Integrated Behavioral Health

Unique model reduces substance abuse and mental health claims

Integrated Behavioral HealthIntegrated Behavioral Health, American Health’s unique combination of medical management and an employee assistance program (EAP), is a solution that reduces 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 during the first call. After the initial evaluation is completed, the member is guided into the most appropriate mode of care for his or her condition using referrals based on American Health’s medical necessity guidelines.

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 or Case Management when necessary.

 

Product Highlights

  • Unique “clinical-first” model guides members with acute MH/SA conditions to the most appropriate mode of care
  • Reduces the frequency of outpatient MH/SA claims
  • Promotes in-network utilization from members with acute MH/SA conditions
  • Boosts EAP utilization, which can lead to increased employee productivity

Testimonials

  • American Health understands the need for a client's overall health management strategy to expand beyond the deployment of UM, CM and DM services. This leadership-driven vision, which is echoed throughout their operations and marketing teams, allows American Health to align themselves with companies like CuraLinc Healthcare when opportunities exist to serve clients in an integrated, yet seamless, fashion.
    Sean Fogarty
    President and CEO
    CuraLinc Healthcare Chicago, IL
  • Over the years that we have been working with American Health, I have virtually no complaints. Our experience with AHH has always been fantastic for both us and our clients. We have always been more than satisfied with the service, the technology and the expertise.
    Susen Bookwalter
    Vice President, Claims Review & Resolution
    New Era Life Houston, TX
  • American Health is very aware of the needs of our different clients. Any time we have needed anything, they have bent over backwards to accommodate us. That flexibility has been invaluable. Timeliness and accessibility have never been an issue. American Health has been a partner in working with our clients, and that's important to our
    company.
    Kim Wood
    Chief Compliance Officer and Consultant
    American Benefit Corporation Ona, WV