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Make sense of the managed care systems that dominate the world of
EAP professionals and programs today Employee Assistance Programs
in Managed Care gives you a valuable overview of modern employee
assistance programs. It compares and contrasts EAPs with managed
behavioral care products and examines how EAPs are often provided
in conjunction with managed care services. This timely book, vital
in today's ever-changing EAP climate, will familiarize you with
essential managed behavioral technology such as the application of
medical necessity criteria. This is especially important today in
an environment dominated by employer- or insurer-sponsored managed
care systems. You also get a helpful directory of EAP/managed care
companiesEmployee Assistance Programs in Managed Care is your
guidebook to today's EAPs, providing vital information about: the
services modern EAPs offer to employers and employees participating
in networks to provide both therapy and EAP services how EAPs
interface with managed behavioral care organizations how EAPs are
sold how EAPs are marketed and managed today professional
issues--certification, credentials, ethics, and more ways that
counseling professionals can participate in them to the advantage
of their clients--and to their professional practicesEAP
professionals, clinical social workers, professional counselors,
psychologists, benefit consultants, insurance brokers, psychiatric
nurses, and clinical nurse specialists can all improve their
practices and stay current with Employee Assistance Programs in
Managed Care.
Managed care is a revolution impacting the practice of clinicians
throughout America. The Clinician's Guide to Managed Behavioral
Care, called "a survival kit" and "must reading," helps clinicians
develop and market professional services attuned to the needs of
managed care systems, manage the utilization process, and reshape
an office practice or hospital-based program to become more
"managed care friendly." It is newly referenced and updated for
clinicians to continue to advocate for their patients and
clients.The Clinician's Guide to Managed Behavioral Care addresses
how clinicians can develop and market professional services attuned
to the needs of managed care systems, how to best manage the
utilization review process, how to re-shape an office practice or
hospital-based program to become more "managed care friendly," and
how to best advocate for patients and clients. Readers will
understand the history and evolution of attempts to manage mental
health care costs and services as well as the emerging clinical,
economic, and social trends that will continue to fuel changes in
the mental health field in coming years. Importantly, this guide
sensitizes readers to the perspectives about mental health care
benefits and the treatment field held by the payor
community--insurance carriers, HMO's, and self-insured employers.
It allows readers to consider a payor's view of how professionals
can play a crucial role in providing quality services while helping
control spiraling mental health care costs--costs that have
escalated much faster than other segments of health care.Who can
benefit from this book? Practicing psychologists, social workers,
psychiatrists, substance abuse counselors, marriage and family
therapists, Employee Assistance Professionals, psychiatric nurses,
professional counselors, program managers, hospital administrators,
and health care marketing professionals will find The Clinician's
Guide to Managed Behavioral Care and invaluable resource.It is
often said that in the future, all in the treatment community will
be involved in "managing care" and that the most successful
clinicians and practices will be those most adept at working with
managed care systems on behalf of their patients and clients. This
book helps you understand how!Important topics in The Clinician's
Guide to Managed Behavioral Care: the changing marketplace for
mental health/substance abuse treatment services assessing market
opportunities in light of managed care influences clinical service
needs of managed care systems clinical innovations: examples, case
studies, vignettes strategies for managing utilization review
marketing strategies for office-based practitioners
hospital-managed care partnerships contemporary office management
strategies to control costs consumers and managed care directory of
America's HMOs directory of America's Managed Mental Health Care
Companies glossary of key terms
Managed care is rapidly making traditional marketing strategies for
mental health services obsolete. Here is the definitive book that
helps professionals understand contemporary market forces and how
to reshape marketing strategies in an increasingly competitive
environment. Marketing Mental Health Services to Managed Care
begins by demystifying the seemingly bewildering world of managed
care systems. It enables the reader to become a fully informed
partner in providing services for managed care systems. In an era
in which many professionals are affiliated with one or more managed
care networks, this book guides clinicians toward greater control
of their professional futures by providing the steps necessary to
develop a successful managed care oriented practice strategy. It
will be especially helpful to the newcomer to practice in the 1990s
or the seasoned practitioner interested in increasing referrals
from managed care systems. Readers of this highly practical new
book learn how to analyze the market for clinical services, how to
plan and develop services for the managed care market, and how to
sell professional services in an era dominated by active payor
entities.The increased importance of automation, group practices,
and effective office management skills are discussed. Although of
particular value to outpatient practitioners, Marketing Mental
Health Services to Managed Care also discusses marketing strategies
and revenue generating ideas for inpatient mental health and
substance abuse treatment facilities. Program managers,
administrators, and marketing professionals in the hospital
industry will find this book a valuable investment. Of special
interest to all readers are chapters addressing the impact of
managed care systems--with their focus on accountability,
cost-effectiveness, and quality--upon traditional clinical
paradigms. Brief therapy skills and techniques are discussed by
these two veteran clinicians and writers. Emerging clinical
innovations and effective reimbursement strategies are also
discussed in this remarkable new book. A resource section, managed
care company directory, and a glossary of terms make this a
practical guidebook of long-lasting value to professionals from
many disciplines.College professors and graduate students will also
find Marketing Mental Health Services to Managed Care a valuable
introduction to marketing professional services in the managed care
dominated marketplace for healthcare today.
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