Patients need the right care at the right cost. Utilization management nurses ensure members receive appropriate services based on evidence-based practices.
Serving the mental health needs of Texans poses a serious challenge for state practitioners, who struggle daily to work through access issues, largely due to lack of resources. For the second year in a row, Forbes Advisor ranked Texas the worst state in the country for mental healthcare, while also ranking it second highest in the number of uninsured adults with mental illness. Equally alarming, Texas ranked second highest in its percentage of youth with untreated depression. Given that Texas also has the third fewest mental health treatment centers in the nation (8.4 per 10,000 businesses), just making timely referrals
Mutually beneficial value-based care contracts support both payer and provider efforts. Discover the key components of a good contract.