Blog 2017-04-02T13:27:54+00:00

Behavioral Healthcare Shortages: Causes and Solutions

By | March 29th, 2017|Categories: Behavioral Health Integration, Clinical Analysis, Clinical Operations Improvement, Uncategorized|Tags: , , , , , , |

The National Council for Behavioral Health and the National Council Medical Director Institute released a far-reaching report this month: The Psychiatric Shortage: Causes and Solutions. As a recognized leader in behavioral health reviews, this BHM Healthcare Insider Blog brings selections from the executive summary focusing on the behavioral healthcare shortages and solutions.

Successful Delegation To Downstream Entities

By | March 29th, 2017|Categories: Compliance, Operational Analysis, Uncategorized|Tags: , , , |

Healthcare organizations face challenges regarding reduction of their medical and administrative costs because regulatory and administrative demands are increasing. Payers and providers must evaluate new partner relationships and solutions for work processes and potentially outsource administrative functions in order to offer competitively priced services to patients. Successful delegation requires planning.

Behavioral Health Costs: Success Stories

By | March 21st, 2017|Categories: Behavioral Health Integration, Clinical Analysis, Clinical Operations Improvement, Uncategorized|Tags: , , , , , , |

Managing behavioral health costs challenges the US healthcare system. The issues encompass many of the legacy processes and structures needing to be overhauled. Some interesting recently posted examples may show the way for the entire healthcare system. These come from both payers and providers.

Independent Medical Review (IMR) Hits High In CA

By | March 21st, 2017|Categories: Uncategorized, Utilization Management|Tags: , , , , |

An analysis of the California workers’ comp independent medical review (IMR) process used to resolve medical disputes finds that in 2016, IMR physicians once again upheld about 90% of utilization review (UR) physician’s modifications or denials of treatment, yet IMR volume continued to grow, climbing 6.5% last year.

AHCA Impact On Payers

By | March 14th, 2017|Categories: Trends, Uncategorized|Tags: , , , , , , |

The American Health Care Act (AHCA) made its debut. Not many people in government and healthcare industries expect quick passage of the AHCA in its initial form, but understanding the differences with the Affordable Care Act (ACA) sets a framework for how payers prepare for the final version. Fair to say, every organization must make adjustments and the pressures for building internal organization-level efficiencies increase.

AHCA Impact On Providers

By | March 14th, 2017|Categories: Trends, Uncategorized|Tags: , , , , , , |

The American Health Care Act (AHCA) made its debut. Not many people in government and healthcare industries expect quick passage of the AHCA in its initial form, but understanding the differences with the Affordable Care Act (ACA) sets a framework for how providers prepare for the final version. Fair to say, every organization must make adjustments and the pressures for building internal organization-level efficiencies increase.

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