Posts Tagged Opioids
MINES & Associates innovative opioid complex case management program helps manage treatment, control costs, and combat predatory facilities amid growing opioid crisis
MINES & Associates (MINES), a nationally recognized business psychology firm, helps self-insured organizations with its innovative Opioid Complex Case Management Program aimed at improving treatment and reducing costs of opioid abuse treatment cases. The program counters the egregious exploitation of clients by predatory treatment facilities.
MINES has been at the forefront of managed care services, providing complex case management services that produce cost-effective care in the least restrictive settings. MINES has saved its self-insured clients tens of millions of dollars while ensuring that the patient has received appropriate care.
MINES accomplishes this through an aggressive complex case management protocol designed to communicate directly with the patient and their family regarding costs, treatment, expectations for the facility regarding pre-certification, concurrent review, discharge planning, and long-term aftercare. MINES limits the number of UAs, mitigates costs to usual and customary or Medicare percentages, requires immediate discussion of discharge planning and family involvement, and re-integration into the patient’s community. These patients require long-term aftercare and support from case management.
MINES complex case management protocol functions as a patient advocate service to help patients navigate the treacherous array of predatory facilities, where, in some cases, case rates can run from $100,000 to over $1,000,000when care costs should be in the $9,000 to $30,000 range at a credible facility. The patient is often compromised by their drug use and cannot make informed choices regarding their own care. The patient’s family often does not understand the patient’s in network/out of network benefits and may just “google” treatment without precertifying care. MINES helps them cut through all the lies, misinformation, and noise to get the appropriate level of care needed.
About MINES & Associates
For over 37 years MINES & Associates has been a nationally recognized, award-winning business psychology firm that provides a variety of services to employers including employee assistance programs (EAP), managed mental healthcare, organizational development services, wellness programs, behavioral risk management, disease management, PPO services, and other behavioral health programs serving a diverse portfolio of clients nationwide.
Please visit www.minesandassociates.com for more information on MINES.
To Your Wellbeing,
The MINES Team
For full press release visit: https://goo.gl/pLMv1E
Just a quick update.
Dr. Robert Mines (chairman and psychologist) and Dr. Dani Kimlinger (CEO) from the MINES Team were honored to contribute to an article by Bruce Shutan in this month’s issue of The Self-Insurer. The article is called Beyond Opioids and covers how EAPs, like MINES, and good benefit-plan design can help treat addictions and other substance use issues in an employee population as well as control overall health care spending.
The issue can be viewed here:
Check out other Self-Insurer publications here: https://goo.gl/2TjaUV
And check out other MINES publications here: www.minesandassociates.com/about_staff_publications.html
To your wellbeing,
The MINES Team