Managing Managed Care

Quality Improvement in Behavioral Health

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• Publisher: National Academies Press
• Year: 1997
• eBook ISBN:
  9780309523684
• Edition: 0
• Topic: Medicine

Managed care has produced dramatic changes in the treatment of mental health and substance abuse problems, known as behavioral health. Managing Managed Care offers an urgently needed assessment of managed care for behavioral health and a framework for purchasing, delivering, and ensuring the quality of behavioral health care. It presents the first objective analysis of the powerful multimillion-dollar accreditation industry and the key accrediting organizations.Managing Managed Care draws evidence-based conclusions about the effectiveness of behavioral health treatments and makes recommendations that address consumer protections, quality improvements, structure and financing, roles of public and private participants, inclusion of special populations, and ethical issues.The volume discusses trends in managed behavioral health care, highlighting the emerging role of the purchaser. The committee explores problems of overlap and fragmentation in the delivery of behavioral health care and discusses the issue of access, a special concern when private systems are restricted and public systems overburdened.Highly applicable to the larger health care system, this volume will be of particular interest to all stakeholders in behavioral health--federal and state policymakers, public and private purchasers, health care providers and administrators, consumers and consumer advocates, accrediting organizations, and health services researchers.

Table of contents

• Front Matter
• Preface
• Acknowledgments
• Contents
• Acronyms
• Summary
• 1 Introduction
• 2 Trends in Managed Care
• 3 Challenges in Delivery of Behavioral Health Care
• 4 Structure
• 5 Access
• 6 Process
• 7 Outcomes
• 8 Findings and Recommendations
• Glossary
• A Committee Biographies
• B Can the Outcomes Research Literature Inform the Search for Quality Indicators in Substance Abuse Treatment?
• C Consumer Outcomes and Managed Behavioral Health Care: Research Priorities
• D Public Workshop Agendas and Participants
• E Liaison Panel Members to the Committee on Quality Assurance and Accreditation Guidelines for Managed Behavioral Health Care
• F Organizations That Submitted Written Materials to the Committee
• Index