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Managed Behavioral Healthcare for County and State Programs

Todays State and County governments are under increased pressure to balance budgets in the face of rising costs, particularly in the Medicaid population.  These pressures will accelerate as healthcare reform takes effect and Medicaid membership balloons to more 75M by 2014.  To manage spiraling costs and increased risk, governments are transitioning to managed care programs in order to control healthcare spend and improve access to quality care.   

The InfoMC Managed Care technology solution allows States and Counties to manage risk, reduce hospital readmissions, take on newer reimbursement models such as pay-for-performance, and adopt more effective approaches for care coordination for high cost-patients.  InfoMCs technology solution applies industry best practices to improve all aspects of managed care, including member engagement, network management, care coordination, and claims management.  As a result, State and County governments can contain costs while improving access to quality, cost effective care.  

Key Features & Benefits:
Managed Behavioral Healthcare for County and State Programs

  • Improves efficiency with a complete technology solution to handle enrollment, manage eligibility, provide authorizations and referrals to contracted network providers, coordinate care across chronic conditions, adjudicate claims and reimburse providers based on performance 
  • Reduces medical and administrative costs
  • Integrates industry best practice mental health, substance use and physical health screening tools
  • Improves outcomes with comprehensive support for chronic care management and care coordination
  • Improves interaction and exchange of healthcare information with automated transaction processing such as real-time authorizations and adjudication
  • Smart, scalable solution will adapt as reporting requirements and other administrative demands evolve
  • Flexible licensed and subscription-based delivery options allow you to match your business and budgetary requirements for both hosted and non-hosted solutions