BEHAVIORAL HEALTH AUTHORIZATION REVIEWS

AllMed offers a broad network of behavioral health specialists to help you manage your complex cases and provide detailed, legally defensible determinations.

Our nationwide network of specialists includes board-certified psychiatrists and psychologists who apply the most relevant clinical evidence and standards of care to each case they review to support optimal outcomes. By addressing your members’ needs at the right level of care and in the most clinically appropriate way, you can optimize costs related to over utilization and downstream appeals, while improving the quality of care.

We process more than 35 different types of subspecialty cases, including:

  • DEVELOPMENTAL-BEHAVIORAL PEDIATRICS
  • PSYCHIATRY
  • ADDICTION PSYCHIATRY
  • CHILD AND ADOLESCENT PSYCHIATRY
  • GERIATRIC PSYCHIATRY
  • PSYCHOLOGY

GROWING NEEDS, SHRINKING RESOURCES

Behavioral and mental health is a mounting national concern and a growing strain on the healthcare system. The statistics are striking across Emergency Department (ED) visits, cost of claims, and employers’ behavioral health expenses.

A poll of behavioral health organizations in 2020 found that within that year 52 percent saw an increase in demand for services4. Meanwhile the ratio of behavioral health professionals is estimated at 1 per 30,000 people5. Trying to manage the growing demand with the resources available can lead to physician burnout, inappropriate care and overutilization.

If these realities are straining your review resources, you’re not alone. Many health plans are now looking for help from utilization management and Independent Review Organizations (IRO), like AllMed to provide on-demand access to board-certified psychiatrists and psychologists. By addressing your members’ needs at the right level of care and in the most clinically appropriate way you can optimize costs related to overutilization and downstream appeals, while improving the quality of care.

BEHAVIORAL HEALTH RESOURCES

WEBINAR ON-DEMAND: ABA Therapy for Autism Management

In this interactive discussion, AllMed covered Applied Behavior Analysis (ABA) therapy and considerations that impact when this treatment is medically necessary.

REACH OUT
INTERESTED IN OUR REVIEW SERVICES?

Whether you need specialized expertise or simply don’t have the staff to keep up with demand, we’re here to help with customized services that fit your exact needs. By leveraging our physician reviewers, you ensure that you always have the capacity for timely, high-quality, compliant reviews of your behavioral health cases.

ACCREDITATIONS