Integrated Behavioral Health

Reduces unnecessary costs by guiding members who will benefit from short-term behavioral health counseling to the EAP at the point of entry

Integrated Behavioral Health, American Health's unique combination of medical management and an Employee Assistance Program (EAP), is a solution that reduces unnecessary costs by guiding members who will benefit from short-term behavioral health counseling to the EAP at the point of entry. For members with acute mental health or substance abuse (MH/SA) conditions, the program identifies providers or facilities within the health plan's network that are appropriate for their specific need.

The program's "clinical-first" service model provides all participants with a thorough psychosocial assessment. After the initial evaluation is completed, the member is guided into the most appropriate mode of care for their condition using referrals based on American Health's medical necessity guidelines.

Provides Savings from Would-be Claims

Because half of all non-medication behavioral health cases can be addressed within the framework of an EAP short-term counseling model, Integrated Behavioral Health provides savings from would-be claims that were instead redirected into the EAP. For participants with acute MH/SA conditions, this integrated approach provides referrals to network providers and Case Management when necessary.

• Reduces the frequency of outpatient mental health and substance abuse (MH/SA) claims
• Promotes in-network utilization from members with acute MH/SA conditions
• Unique "clinical first" model guides members with acute MH/SA conditions to the most appropriate mode of care
• Boosts Employee Assistance Program utilization, which can lead to increased employee productivity

To learn more about American Health's Integrated Behavioral Health program, watch our presentation, call us at (866) 614-4244 or send an email to marketing@AHHinc.com.