Employee Assistance Programs in Managed Care

by Winston; William

• ISBN13: 9780789006172
• ISBN10: 0789006170
• Format: Hardcover
• Copyright: 2002-09-04
• Publisher: Routledge

Summary

Make sense of the managed care systems that dominate the world of EAP professionals and programs today! Employee Assistance Programs in Managed Care gives you a valuable overview of modern employee assistance programs. It compares and contrasts EAPs with managed behavioral care products and examines how EAPs are often provided in conjunction with managed care services. This timely book, vital in today's ever-changing EAP climate, will familiarize you with essential managed behavioral technology such as the application of medical necessity criteria. This is especially important today in an environment dominated by employer- or insurer-sponsored managed care systems. You also get a helpful directory of EAP/managed care companies Employee Assistance Programs in Managed Care is your guidebook to today's EAPs, providing vital information about: the services modern EAPs offer to employers and employees participating in networks to provide both therapy and EAP services how EAPs interface with managed behavioral care organizations how EAPs are sold how EAPs are marketed and managed today professional issues--certification, credentials, ethics, and more ways that counseling professionals can participate in them to the advantage of their clients--and to their professional practices EAP professionals, clinical social workers, professional counselors, psychologists, benefit consultants, insurance brokers, psychiatric nurses, and clinical nurse specialists can all improve their practices and stay current with Employee Assistance Programs in Managed Care.

Table of Contents

Acknowledgments	vii
A Service for the Twenty-First-Century Workplace	1	(26)
Background	5	(2)
EAPs Today	7	(6)
Summary of EAP Dependent Care Services	13	(2)
The 1997 National Study of the Changing Workforce: Implications for EAPs	15	(6)
EAPs and Legal Services	21	(1)
EAPs and Financial Services	22	(1)
The EAP As an On-Site Supervisor Training and Employee Education Tool	23	(4)
A Managed Care Primer	27	(10)
Managed Care Strategies	27	(3)
Indemnity Insurance Plans	30	(1)
Key Managed Care Functions	31	(6)
Professional Roles in EAPs	37	(18)
The Certified Employee Assistance Professional (CEAP) Credential	40	(1)
Dilemmas Faced by the EA Professional	41	(3)
Client Advocacy	44	(11)
Legal and Ethical Considerations for EA Professionals	55	(10)
Introduction	55	(1)
Ethical Issues	55	(5)
How to Discuss Confidentiality Concerns with EAP Clients	60	(2)
Health Care Fraud: How Managed Care Investigates	62	(3)
Marketing and Selling EAPs	65	(10)
Understand Your Market	66	(1)
Develop Customer Success Stories	67	(3)
Determine the Key Decision Makers in an EAP Purchase	70	(5)
Innovations in Managed Care	75	(14)
MBHO Psychopharmacology Management Services	75	(5)
Innovations: Uses of the Internet in MBHO Environments	80	(9)
Appendix A. 2001 Directory of Major North American MBHO and EAP Companies	89	(2)
Appendix B. Sample EAP Sales Proposal for a New Customer	91	(16)
Appendix C. Magellan Behavioral Health Medical Necessity Criteria, 2000	107	(54)
Bibliography	161	(2)
Index	163