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Managed care health plans are designed to control healthcare costs by controlling which healthcare providers members can access in addition to managing the utilization of services to reduce unnecessary treatment. Today, there are three primary types of managed care plans: Health Maintenance Organizations (HMOs), Preferred Provider Organizations (PPOs), and Point of Service (POS) plans.

Why Managed Care Matters:

Managed care impacts clinical, financial and executive roles in different ways. States and providers are at different stages in the transition to managed care and value based care. Before entering into managed care contracts, executive teams at behavioral health organizations need to accurate assess costs and forecast the expected revenue and risk.

How You Need to Adapt:

To adequately prepare for the demands of managed care, clinicians and executive teams need to implement technology solutions that can give them insight into the costs associated with treatment and the ability to monitor service utilization enterprise-wide.

[Webinar Recording] The 21st Century Cures Act & the ONC Cures Act Final Rule

The 21st Century Cures Act is sweeping legislation that’s affecting all behavioral healthcare providers across the United States. Of particular interest to providers is the ONC Cures Act Final Rule, which implements a number of compliance deadlines related to data accessibility and information blocking. Moving forward, providers will need to offer efficient, timely access to […]

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[Webinar Recording] The Future Is 2020 In The Rearview Mirror: A 2021 Forecast

The COVID-19 pandemic caused major shifts throughout organizations, industries, and the entire world. The behavioral health and human services market is no exception. As we look back on 2020, there were some short-term tactics that we anticipated would be around for a while to allow provider organizations to create stability, resiliency, and success while weathering […]

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Cahaba Mental Health Center​ ​|​ C​areLogic Implementation Success with Key Metrics, Six Months Post GoLive

The mission of ​Cahaba Center for Mental Health​ in Selma, Alabama, is to provide quality mental health, developmental disabilities, and substance abuse services in a manner that respects individual dignity, promotes recovery, and enhances personal, family, and provider relationships. Cahaba Mental Health went live on CareLogic in December, 2018, after searching for an integrated EHR […]

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[Tool] 6 Tips To Succeed With MACRA MIPs

The annual MACRA program attestation period is feared by many providers, and no wonder. It’s a data-heavy, intensive process, but one that can provide huge benefits to agencies when done properly.  So how does Qualifacts help? Our CareLogic EHR supports 17 different measures with 17 different sets of data, all of which is monitored during […]

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Unburied Treasure: Mapping Your Way To Better Workflows With Analytics

We’ve all heard that you need to move from reporting to analytics. But is there a map to the place where the data drives the workday? This webinar breaks down the differences in, and the value of, both reporting and analytics: Practical examples for how to become a data-driven organization How to be successful in […]

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[Webinar Recording] Navigating the Path to Value-Based Care

Navigating the Path to Value-Based Care: The Journey to Improved Clinical Outcomes Client engagement is top of mind for many behavioral health and human service providers. Finding ways to cut through the noise of and connect in meaningful ways that improve clients’ path to care while addressing necessary business challenges can be overwhelming. In this […]

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[Webinar Recording] The Art and Science of Treatment Planning

Treatment plans are essential to the delivery of quality and effective care. While there are evidence-based best practices you can incorporate into your treatment plan (the science), it’s also important to leverage your own clinical judgement and experience (the art) and specialize your treatment plan to meet the needs of your individual client. By taking […]

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[Tool] A Managed Care Checklist for Agencies that Support Individuals with Intellectual & Developmental Disabilities and Autism

Assessing your technology’s capacity to handle the increasing demands of managed care is a smart move. Managed care requires quality measurement and improvement, performance trend analysis, and sophisticated integration between clinical, billing, and administrative work. This tool will help you assess your organization’s technological readiness for the demands of a managed care world. Fill out […]

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