CUSTOMIZED AUTHORIZATION REVIEWS
AllMed’s broad panel of behavioral health specialists helps you manage complex cases and provide detailed, defensible determinations. We process more than 35 different types of subspecialty cases, including:
- DEVELOPMENTAL-BEHAVIORAL PEDIATRICS
- ADDICTION PSYCHIATRY
- CHILD AND ADOLESCENT PSYCHIATRY
- GERIATRIC PSYCHIATRY
• CARDIOVASCULAR DISEASE
• ELECTOPHYSIOLOGY CARDIOLOGY
• INTERVENTIONAL CARDIOLOGY
• PEDIATRIC CARDIOLOGY
• PEDIATRIC CARDIOVASCULAR AND…
BEHAVIORAL HEALTH EXPERTISE
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 ED visits, cost of claims, and employers’ behavioral health expenses.
To compound these problems, more than a quarter of the need for mental health care professionals across the United States is unmet.⁴ This not only impacts clinical settings but makes it hard for payers to recruit the behavioral health reviewers they need.
While treatment needs grow in urgency, especially with the current opioid epidemic, costs are high for both patients and the healthcare system.⁵ Early prevention and the right type of care are crucial. Stricter regulations have brought a significant increase in mental health and substance abuse claims—and new challenges for payer organizations and medical directors.
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.
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.