Managed Behavioral Health Care Provider Practice Patterns

Keefe, Robert H.; Hall, Michael

doi:10.1300/j045v12n01_02

Cited by 3 publications

(1 citation statement)

References 32 publications

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“…45 For example, health policy decisions are generally derived from medical data from health care systems and insurance companies. 46 Using these data as the primary source can invite the appearance of full knowledge when the data actually represent only individuals connected to the system; excluding the unconnected generates an incomplete picture that can perpetuate disparities in access and outcomes.…”

Section: Moving Forwardmentioning

confidence: 99%

Use of Electronic Technologies to Promote Community and Personal Health for Individuals Unconnected to Health Care Systems

2011

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Ensuring health care services for populations outside the mainstream health care system is challenging for all providers. But developing the health care infrastructure to better serve such unconnected individuals is critical to their health care status, to third-party payers, to overall cost savings in public health, and to reducing health disparities. Our increasingly sophisticated electronic technologies offer promising ways to more effectively engage this difficult to reach group and increase its access to health care resources. This process requires developing not only newer technologies but also collaboration between community leaders and health care providers to bring unconnected individuals into formal health care systems. We present three strategies to reach vulnerable groups, outline benefits and challenges, and provide examples of successful programs.

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Section: Moving Forwardmentioning

confidence: 99%

Use of Electronic Technologies to Promote Community and Personal Health for Individuals Unconnected to Health Care Systems

2011

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Goyette²

2003

Psychiatric Quarterly

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Hepatitis C and HIV/AIDS are among the most significant infectious diseases of our time. Psychiatric patients are often part of the higher risk population to contract these diseases, and patients who have contracted these diseases experience a wide variety of psychiatric problems associated with the underlying infection and with its treatment. The authors provide an overview of these infectious diseases and then describe the varying roles psychiatrists have in caring for these patients in the various settings of their work. The complexity of these patients presents a unique challenge to, and opportunity for, psychiatrists to integrate and coordinate their interventions with those of other medical providers and thereby enhance the patient's cooperation with all aspects of care.

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Providing Therapy When Managed Care Organizations Deny Reimbursement

Keefe

Hall

Corvo

2002

Social Work in Health Care

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Sampled private practitioners from the Register of Clinical Social Workers, American Psychological and Psychiatric Associations were used to evaluate what percentage of these practitioners' caseloads are made up of clients who have been denied reimbursement by managed care organizations for ongoing therapy. The results indicate that 39% of the respondents' caseloads are of managed care insured clients, of whom nearly one-third have been denied reimbursement for ongoing therapy, and of whom 42% later reenter therapy with an acute exacerbation of symptoms. The results have potential ethical and legal complications for private practitioners treating clients insured by managed care organizations.

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Managed Behavioral Health Care Provider Practice Patterns

Cited by 3 publications

References 32 publications

Use of Electronic Technologies to Promote Community and Personal Health for Individuals Unconnected to Health Care Systems

Use of Electronic Technologies to Promote Community and Personal Health for Individuals Unconnected to Health Care Systems

Untitled

Providing Therapy When Managed Care Organizations Deny Reimbursement

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