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Employers & Government Agency IntegrationWhat do integrated physical health and MH/SUD services mean to company employees or government health program enrollees?
Frequently Asked Questions by Employers and Government Agency Clients Should MH/SUD services be purchased from an external vendor (managed behavioral
health organization--MBHO)? Employer and Government Agency Health Care Purchasing Options For years, purchasers of health care have been told that the only way to hold down costs for employees with MH/SUDs is to tightly restrict their access and use of health care services. This perception underlies past emphasis on Utilization Management as a means to control health care costs for employees with MH/SUD problems. We now know that the majority of employees' and public program enrollees' health care costs are caused by the frequent use of services by very few individuals (see Figure below). Over half the individuals whose service use falls into the top 1% to 5% by cost have concurrent medical and behavioral disorders. This is exactly what employers have been documenting in their own analyses of high health care costs (see Table below). This is also why effective management of MH/SUD problems is critical for the reduction of both health care costs, incidents of disability, and use of taxpayer supported services, such as housing subsidies, court costs, and special education programs in the schools. These Cartesian Solutions, Inc.™ consultations help purchasers enter into health plan contracts that support integrated physical health and MH/SUD services at all levels and also ensure that the contracted benefits to enrollees are provided as negotiated.
Cartesian Solutions, Inc.™ provides consultations to purchasers of health care (employers and government agencies) in the following areas:
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