Care coordination and physical and behavioral service integration in managed care contracts: analysis and sample purchasing specifications.
This double Issue Brief on the issue of managed care contracts and care coordination has been prepared for the Substance Abuse and Mental Health Services Administration as part of a series that examines legal issues in managed care for persons with mental illness and addiction disorders. This Issue Brief is presented in two parts. Part 1 presents an analysis, based on managed care contract data bases developed by CHSRP, of the extent to which public and private group purchasers maintain agreements that specify care coordination as part of the standard of care for persons with co-occurring physical and/or behavioral illnesses and conditions. Part 2 sets forth sample purchasing specifications that are designed to establish care coordination as part of the standard of care.
Center for Health Services Research and Policy, The George Washington University School of Public Health and Health Services, Washington, DC, USA.
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Rosenbaum
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Mauery
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Kamoie
D000068:Accreditation / Q000592:standards; D001524:Behavioral Medicine / Q000331:legislation & jurisprudence / Q000592:standards; D019090:Case Management / Q000331:legislation & jurisprudence / Q000458:organization & administration* / Q000592:standards; D003266:Continuity of Patient Care / Q000592:standards; D003284:Contract Services; D019033:Delivery of Health Care, Integrated / Q000331:legislation & jurisprudence / Q000592:standards; D006297:Health Services Accessibility / Q000331:legislation & jurisprudence / Q000592:standards; D006801:Humans; D008329:Managed Care Programs / Q000331:legislation & jurisprudence / Q000592:standards; D008484:Medicaid / Q000331:legislation & jurisprudence; D008605:Mental Health Services; D011785:Quality Assurance, Health Care / Q000592:standards; D014481:United States