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Managed Care Plans

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Managed Care plans are continuing to promote an integrated, quality management approach to information processing and patient outcome management. Along with the many linkages that have come with the growth in the medical industry has come greater reliance for Cloud based real-time information. Linking provider performance, payment systems, to real-time patient outcome data has now become a reality. Anything that isn’t electronic now such as: patient referrals, treatment authorizations, electronic billing – are all in the process of becoming automated. By creating more efficient, real time monitoring systems by 3rd party payers, it is predicted costs of unnecessary provider services will be reduced, health care will improve and consumers will have better communications with both their providers and health plans.

Behavioral health providers will have to accept the reality that future health spending will focus on streamlining administrative functions, such as processing claims, tracking referrals, measuring provider performance outcomes, reducing patient residential lengths of stay and provider performance data to Health Care Exchanges for publishing on the web. Sooner rather than later, behavioral health providers should expect 3rd party payers will start demanding greater whole person care, including seamless integration and coordination between themselves and medical service providers.