Success Story 5
Maintaining Clinical Focus in Managed Care
"PsychConsult has helped our care management organization earn its progressive, clinically-centered reputation. The excellent work done by our care managers is evidenced by our HEDIS scores, which have steadily risen for the past three years and exceed national averages; CCBH is ranked higher than nearly all of the managed care organizations in its region."
"Knowing that it can be very challenging to track co-occurring disorders, CCBH was able to customize member screens to record dual diagnoses. This information may then be analyzed to inform future protocols."
Community Care Behavioral Health
| Challenge | Solution | Success | |
| Patient Focused Managed Care Organization |
Use information system to integrate clinical patient focus into the management of care |
Access to a complete clinical narrative of the patient Use reporting to monitor productivity and outcomes |
Care managers able to make accurate choices using extensive information |
| Accreditation and Quality Reviews |
Meet federal state and local accreditation and Quality Assurance requirements Streamline resources needed to prepare for reviews |
Built custom fields and documentation templates into system to capture necessary data Paperless system makes all information immediately accessible |
Increase in HEDIS scores, exceeding national averages Frequent praise from NCQA & DPW reviews Few resources needed to prepare for reviews |
About Community Care Behavioral Health
Community Care Behavioral Health is a behavioral health management company designed primarily to serve the needs of public sector consumers, their families, and the communities of Pennsylvania through the delivery of effective and accessible behavioral health services. We take a holistic approach, which balances care delivery, regardless of the funding stream, emphasizing outreach, early intervention, prevention and rehabilitation.
We handle full assumption of risk; utilization management; network development and management; provider relations; claims payment; member services; quality improvement; compliance, and credentialing.