Who's minding the data: information system requirements for participating in at-risk contracts.
Managed behavioral healthcare organizations that receive capitated payments to provide behavioral healthcare services for a defined population need sophisticated management information systems that allow for two-way data exchange with payors. Such systems must be able to generate data on cost per service and utilization of services by beneficiary population, while incorporating a number of subsystem capabilities. In this article the author reviews the requirements for such an information system, the various potential financial loss points that have made such capabilities essential and the specific features that are demanded--as well as offering suggestions on how to select an information system vendor.
Behavioral Health Inc., Baton Rouge, LA 70801, USA.
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D002204:Capitation Fee; D003284:Contract Services / Q000191:economics / Q000458:organization & administration / Q000706:statistics & numerical data; D003625:Data Collection / Q000592:standards; D017408:Guidelines as Topic; D007358:Insurance, Psychiatric / Q000191:economics* / Q000706:statistics & numerical data; D008329:Managed Care Programs / Q000191:economics / Q000458:organization & administration* / Q000706:statistics & numerical data; D008331:Management Information Systems / Q000592:standards*; D012306:Risk; D014481:United States