A managed care program controls cost for mental health care benefits while ensuring quality of service. It holds providers accountable to the client, employers and trusts who pay for the services. MINES has saved organizations millions of dollars in benefits without compromising quality of care through the following methods:

• Case Management - PDF
• Dialing for Docs - PDF
• Cost Savings - PDF
• Management Information System
• Quality Assurance
• Cost Effectiveness Reports

These programs are also known as managed behavioral health care, managed care, behavioral healthcare and are provided to Taft Hartley trusts and self-insured companies.

Utilization Review: Review of cases is conducted to assure appropriate length of stay, medical necessity and proper level of care.

Case Management: The EAP/MAP or MMHC group does all assessment and referral, authorizes all services, monitors all treatment, provides concurrent review and discharge planning for the behavioral healthcare program.

Management Information Systems: Benchmark information such as distribution of utilization, problem category breakdown, client satisfaction, and relapse rates by provider allows for cost effective management.

Quality Assurance: Client is followed from intake, assessment and referral through counseling, resolution and follow-up to ensure that the benefit dollar is judiciously spent and quality care is received in the managed mental healthcare program. Click here to read about MINES unparalleled Dialing for Docs.

Managed Care Cost Effective Reports:
(Based on availability of data from TPA, a third-party administartor)

• Cost outcome by provider
• Cost outcome by diagnosis
• Relapse statistics by provider
• Average length of stay
• Utilization rate
• Price per unit of service
• Balance between inpatient/outpatient service

Management of treatment is the best overall way to contain costs.

The Benefits:

A managed mental health care program provides a continuum
of care which:

• Controls cost for mental health care benefits
• Provides the most cost effective treatment while ensuring quality of service
• Holds providers accountable to the client, employers and trusts who pay for the services

Health promotion and utilizing non-medical resources, when appropriate, are ways to capitalize on the health care cost containment opportunity.

Downloads:

White Paper: Autism Case Management Considerations for Taft-Hartley Trusts

White Paper: Complex Case Management - A Trustees' and Family Members' Guide