Behavioral Health Organizations | Network Management

Challenges for Payers and Behavioral Health Organizations

According to mental health statistics  from the Mental Health Foundation, estimates show that the costs of mental health problems in the United Kingdom make up 4.5 percent of their annual GDP— that’s around 70 to 100 billion euros each year. Combined with the diverse demographics of people who suffer from mental problems, improving outcomes and minimizing costs can be challenging.

Large sums of mental treatment expenses can fall on to payer organizations. And if you manage a large network of behavioral health providers like psychiatrists, psychologists, and mental health counselors, you can only expect expenses to rise. Luckily, there are administrative solutions that can help payers to manage risks more effectively, enhance network coordination, and ultimately reduce overall costs.

Better Provider Management for Behavioral Health Organizations

If you want to succeed, upgrading your management system is a good place to start. After all, managing a diverse patient population is easier when you have the right tools at your fingertips.

For behavioral health organizations, getting an all-inclusive software should be a top priority. After all, you want a system that has all the tools you need for your provider network.

Luckily, comprehensive software or healthcare solutions like QuickCap 7 (QC7) is now readily available for behavioral health organizations. QC7 has a diverse set of features that apply to different specialty networks.

QuickCap 7’s comprehensive features allow behavioral health organizations to:

• customize contracts for providers in your specialty network, such as psychiatrists, psychologists, and therapists;
  
  
• establish comprehensive benefit structures for various providers and organizations;
  
  
• manage your risk pool and make better decisions with extensive data analytics, auditing, and reporting features; and
  
  
• streamline your network coordination through adaptable electronic data interchange (EDI) transactions and built-in communication features.



Additionally, QC7 has more features that can suit the needs of various healthcare businesses like the following:

• User Dashboards. Customizable user dashboards allow easy access and quick visualization of essential business data.
  
  
• Automation Features. Rule-based automation features enable quick and accurate processing of claims, authorizations, credentials, and other healthcare data.
  
  
• Contracting Configurations. Flexible contracting features make for personalized contracts and payment pricing for fee-for-service models, capitation arrangements, and even copay adjustments.



For payer organizations, having full control over every aspect of a patient population is essential for success. QC7’s broad features provide the tools that behavioral healthcare organizations need to simplify network management, enhance care coordination, and ensure quality outcomes. With QC7, you can empower your business to stay ahead of the competition.