Magellan Health Helps Providers Deliver Behavioral Care

Magellan Health Helps Providers Deliver Behavioral Care is a key part of what they do.

With a focus on improving patient outcomes, Magellan Health offers a range of services to support providers in delivering high-quality behavioral care.

Their approach is centered around providing timely access to care, which is crucial for addressing mental health issues before they escalate.

By streamlining the process and reducing administrative burdens, Magellan Health enables providers to focus on what matters most – patient care.

The Idaho Behavioral Health Plan is a significant contract between the state of Idaho and Magellan of Idaho, a national Medicaid managed care group. Magellan is running the $1.2 billion contract for four years, with possible renewals.

This contract is a big deal, as it tasks Magellan with managing the full continuum of behavioral health services for the state. In comparison, the previous contractor, Optum, only managed outpatient mental health services.

Magellan's mission is to help individuals live healthy, vibrant lives, and their approach to behavioral healthcare is focused on improving member health outcomes and reducing healthcare costs.

Here are some key aspects of Magellan's approach to behavioral health services:

The Idaho Behavioral Health Plan is a significant contract that has recently been awarded to Magellan of Idaho. This company is part of the national Medicaid managed care group Centene.

Magellan has taken over the contract from Optum, which had been running Medicaid mental health benefits for a decade. The new contract is a much larger one, with a value of $1.2 billion and a duration of four years, with possible renewals.

The Idaho Medicaid and Behavioral Health Deputy Director, Juliet Charron, highlighted the scope of the contract, stating that Magellan is tasked with managing the full continuum of behavioral health services for the state.

Magellan's approach to behavioral health services is integrated and comprehensive. They address all aspects of wellness along an individual's journey, including social determinants of health.

Their approach includes prevention and early identification of mental health concerns through digital, telephonic, and in-person screening. They also enable primary care practices to deliver mental health treatment through Collaborative Care Management.

Magellan's network includes over 118,000 credentialed providers and mental health professionals, available in person, via telehealth, and virtually via apps.

Here are some key aspects of Magellan's behavioral health services:

Magellan Health Inc. is an American for-profit managed health care company that's focused on special populations, complete pharmacy benefits, and other specialty areas of healthcare. It's a subsidiary of Centene Corporation.

Magellan has helped providers quickly, particularly large providers with professional billing staff, in getting paid. They've fared better under the new contract transition.

According to a provider group lobbyist, Magellan's CEO David Welsh has personally taken customer service calls to address providers' concerns. This shows a commitment to customer service and support.

Magellan worked hard to respond to providers' concerns before taking over the contract, and they were prepared for the transition. They even had to prove it to federal regulators at the Centers for Medicare and Medicaid.

Magellan has been very kind and helpful to providers, such as one individual who received assistance with billing claims. They were grateful for the support, especially during a challenging time.

Payment delays have been a concern for some Idaho Medicaid mental health care providers since Magellan took over the contract.

Some providers had predicted payment delays due to Magellan not testing systems as soon as they hoped.

A handful of providers decided not to offer behavioral health services since the contractor shift.

Magellan's billing software has been described as "pretty clunky."

Growing pains are to blame for delayed payments, according to Rehabilitative Health Services CEO DeVere Hunt.

Magellan's leadership has been "extremely responsive" to resolving payment issues.

The preventive mental health program Early Serious Mental Illness (EMSI) is experiencing payment delays, with Rehabilitative Health Services waiting four months for payment.

Payment issues are not unusual for an insurance company, according to Magellan's responsiveness to them.

Behavioral health is at the core of living a healthy, vibrant life. Magellan's mission is to help individuals achieve this goal through its whole-health approach to behavioral healthcare.

Magellan's approach addresses all aspects of wellness, including social determinants of health, which can have a significant impact on an individual's overall well-being.

By emphasizing prevention and early identification of mental health concerns, Magellan's approach can help reduce the need for higher levels of care. This is achieved through digital, telephonic, and in-person screening.

Collaborative Care Management allows primary care practices to deliver mental health treatment, streamlining care and improving outcomes.

Magellan's behavioral health network offers over 118,000 credentialed providers and mental health professionals available in person, via telehealth, and virtually via apps. This extensive network provides individuals with access to a wide range of care options.

Here are some key benefits of Magellan's behavioral health approach: