The rapid growth in managed care, including Medicare and Medicaid enrollment, will continue to push behavioral health providers toward the assumption of some type of risk. Those who adapt to this change will have a much better opportunity to carry forward in the provision of services. No matter what strategy they choose, providers should accelerate their rates of change. Improving cost efficiency, establishing strong quality improvement programs, implementing best practices, and measuring outcomes are sound measures in and of themselves.
To help provider organizations navigate the management challenges of this transition, OPEN MINDS has developed a Managed Care Competencies Assessment, focused on the organizational and technical competencies needed to make the transition successful. This assessment was designed as a self assessment to evaluate and identify improvements in the following domains:
- Managed Care Clinical Operations
- Customer Centric Intake and Admission Process
- Managed Care Marketing
- Revenue Cycle Management: Admissions
- Revenue Cycle Management: Billing
- Revenue Cycle Management: Collections
- Leadership and Human Resources
- Information Technology/Systems
- Metrics Management
- Quality Management
- Compliance Management
- Margin Management
The OPEN MINDS Managed Care Competencies Assessment is designed to provide recommendations at each key management domain. Each domain encompasses a number of competencies that are key to transitioning to the managed care model. The self-assessment is designed to allow leadership teams to work as a group or to allow individual members of leadership to assess the organization from their point of view
Organizations receive an organizational access code to the self-assessment tool that includes ‘how-to’ instructions and explanations of each domain. Once scores are entered, the assessment tool will summarize responses by domain and competencies around three decision criteria. After completion, the tool will provide recommendations for your organization to improve each area of competency based on order of importance. All self-assessments are licensed for a six month period and may be completed an unlimited number of times.