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Consensus Study Report

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Managed care has produced dramatic changes in the treatment of mental health and substance abuse problems, known as behavioral health. Managing Managed Care offers an urgently needed assessment of managed care for behavioral health and a framework for purchasing, delivering, and ensuring the quality of behavioral health care. It presents the first objective analysis of the powerful multimillion-dollar accreditation industry and the key accrediting organizations.

Managing Managed Care draws evidence-based conclusions about the effectiveness of behavioral health treatments and makes recommendations that address consumer protections, quality improvements, structure and financing, roles of public and private participants, inclusion of special populations, and ethical issues.

The volume discusses trends in managed behavioral health care, highlighting the emerging role of the purchaser. The committee explores problems of overlap and fragmentation in the delivery of behavioral health care and discusses the issue of access, a special concern when private systems are restricted and public systems overburdened.

Highly applicable to the larger health care system, this volume will be of particular interest to all stakeholders in behavioral health—federal and state policymakers, public and private purchasers, health care providers and administrators, consumers and consumer advocates, accrediting organizations, and health services researchers.

RESOURCES AT A GLANCE

Suggested Citation

Institute of Medicine. 1997. Managing Managed Care: Quality Improvement in Behavioral Health. Washington, DC: The National Academies Press. https://doi.org/10.17226/5477.

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Publication Info

396 pages |  6 x 9 | 

ISBNs: 
  • Hardcover:  978-0-309-05642-7
  • Ebook:  978-0-309-17505-0
DOI: https://doi.org/10.17226/5477
Chapters skim
FRONT MATTER i-xxiv
SUMMARY 1-14
INTRODUCTION 15-39
TRENDS IN MANAGED CARE 40-75
CHALLENGES IN DELIVERY OF BEHAVIORAL HEALTH CARE 76-121
STRUCTURE 122-167
ACCESS 168-183
PROCESS 184-225
OUTCOMES 226-240
FINDINGS AND RECOMMENDATIONS 241-254
GLOSSARY 255-260
APPENDIX A 261-270
APPENDIX B 271-311
APPENDIX C 312-335
APPENDIX D 336-348
APPENDIX E 349-354
APPENDIX F 355-356
INDEX 357-370

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