Tuesday, October 2, 2012

How to do the Managed Care Dance – What You Need to Know to Participate in Networks

 
Date: October 16, 2012, 1:00 to 2:30 p.m. EDT
Don’t miss an important webinar led by speakers with extensive experience in the managed care industry.  Managed care and managed behavioral healthcare play a critical role in the delivery of behavioral healthcare services. Whether Medicaid, Medicare, or commercial insurance, providers need to know how to effectively participate in managed care networks.   CIHS will host a webinar for community-based providers — whether they are community health centers, mental health centers, substance abuse treatment organizations, HIV/AIDS clinics, maternal and child health organizations, or others — to learn how to effectively apply and gain acceptance on managed care provider panels. For integrated care to succeed, providers and managed care and managed behavioral healthcare organizations need to work together effectively on behalf of enrollees. 
 
Webinar presenters will provide details on:
  • The goals, structure, and components of managed behavioral health care organizations;
  • The managed behavioral healthcare organization credentialing process, including the criteria and standards many behavioral health organizations use to select quality network provider partners;
  • A range of reimbursement models used by managed care entities;
  • Specific strategies and key “relationship points” for partnering with BHOs, particularly as related to primary and behavioral healthcare integration.
 
  Participants will hear examples of successful integration-focused provider partnerships that move towards meeting the triple aim of better healthcare, better health, and lower cost through improvement.
Audience: Personnel from community-based provider organizations, both behavioral health and primary care
 
Presenters:
Pamela Greenberg, President and CEO, Association for Behavioral Health and Wellness
Jim Clarkson, Vice President, ValueOptions Grants Management Practice, Emerging Markets Group
ValueOptions
Deb Adler, Senior Vice President, Behavioral Network Services, OptumHealth