LEADER 04603oam 2200625I 450 001 9910816270503321 005 20230803032224.0 010 $a1-317-78628-9 010 $a1-315-80835-8 010 $a1-317-78629-7 024 7 $a10.4324/9781315808352 035 $a(CKB)2670000000518834 035 $a(EBL)1619319 035 $a(SSID)ssj0001107999 035 $a(PQKBManifestationID)12482314 035 $a(PQKBTitleCode)TC0001107999 035 $a(PQKBWorkID)11085923 035 $a(PQKB)11174157 035 $a(OCoLC)874173514 035 $a(MiAaPQ)EBC1619319 035 $a(OCoLC)897458958 035 $a(EXLCZ)992670000000518834 100 $a20180706e20131996 uy 0 101 0 $aeng 135 $aur|n|---||||| 181 $ctxt 182 $cc 183 $acr 200 14$aThe clinician's guide to managed behavioral care /$fNorman Winegar 205 $aSecond edition. 210 1$aLondon ;$aNew York :$cRoutledge,$d2013. 215 $a1 online resource (347 p.) 225 0 $aHaworth marketing resources 300 $aFirst published 1996 by the Haworth Press, Inc. 311 $a0-7890-6013-2 311 $a0-7890-6012-4 320 $aIncludes bibliographical references and index. 327 $aCover; Half Title; Title Page; Copyright Page; Table of Contents; Acknowledgments; Introduction; Chapter 1. What Is "Managed Care"?; Essential Facts; Background: Developments that Set the Stage for Managed Behavioral Care Systems; Risk: The Dynamic that Drives Managed Care; Chapter 2. Managed Care Basics: Health Maintenance Organizations; The Central Role of the Primary Care Physician; Other Key HMO Functions; HMO Models; Internal Organizational Structures; Quality Assurance and Regulation; Current Trends; Summary 327 $aChapter 3. Preferred Provider Organizations and Mental Health Point-of-Service NetworksHow PPOs Achieve Cost Containment; Other Features; Provider Selection; Discussion and Trends; Point-of-Service Networks; Any Willing Provider Statutes; Chapter 4. Employee Assistance Programs and Managed Care; Background and Development; How EAPs Work; Basic Delivery Systems; EAP Staffing; Do EAPs Create a Return on Investment?; Future Trends; EAP Retooling; Chapter 5. Managed Behavioral Care Systems; Understanding Managed Care Product Lines; Values and Beliefs Associated with MBC; Elements of MBC Systems 327 $aKey Administrative Aspects of MBC SystemsIndustry Consolidation; Trends; Chapter 6. Contracting with Managed Care; Contracting with Closed Networks; Risk-Based Contracting; Chapter 7. Managing the Utilization Management Process; Types of UM Procedures; Typical UM Questions; Medical Necessity; Denials, Appeals, and Other UM Aspects; Chapter 8. Legal Issues and Utilization Management; Major Cases; Implication for Employers; State Regulations and ERISA; Summary; Chapter 9. Marketing to Managed Care; Implications for Clinicians; Outpatient Practice 327 $aManaged Care-Hospital Partnerships: Implications for Substance Abuse TreatmentSummary; Chapter 10. Critical Issues; Important MBC Features for Consumers; EAPs and Managed Care; Quality of Services; Ethical Issues for Practitioners; Appendix A. Mental Health Provider Agreement; Appendix B. Directory of America's Health Maintenance Organizations; Appendix C. Treatment Summary; Appendix D. S.O.A.P. Process Note Recording Format; Appendix E. Managed Care Directory, 1995; Appendix F. Brief Therapy Reading List; Appendix G. Managed Care Market Share Estimates, 1995; Glossary; Index 330 $aManaged care is a revolution impacting the practice of clinicians throughout America. The Clinician's Guide to Managed Behavioral Care, called "a survival kit" and "must reading," helps clinicians develop and market professional services attuned to the needs of managed care systems, manage the utilization process, and reshape an office practice or hospital-based program to become more "managed care friendly." It is newly referenced and updated for clinicians to continue to advocate for their patients and clients.The Clinician's Guide to Managed Behavioral Care addresses how clinician 410 0$aHaworth marketing resources. 606 $aManaged mental health care$zUnited States 615 0$aManaged mental health care 676 $a362.2/0973 676 $a362.20973 700 $aWinegar$b Norman.$01700373 801 0$bMiAaPQ 801 1$bMiAaPQ 801 2$bMiAaPQ 906 $aBOOK 912 $a9910816270503321 996 $aThe clinician's guide to managed behavioral care$94083325 997 $aUNINA