Employee Assistance Programs in Managed Care

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 companiesEmployee 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 Chapter 1. A Service for the Twenty-First-Century Workplace Background EAPs Today Summary of EAP Dependent Care Services The 1997 National Study of the Changing Workforce: Implications for EAPs EAPs and Legal Services EAPs and Financial Services The EAP As an On-Site Supervisor Training and Employee Education Tool Chapter 2. A Managed Care Primer Managed Care Strategies Indemnity Insurance Plans Key Managed Care Functions Chapter 3. Professional Roles in EAPs The Certified Employee Assistance Professional (CEAP) Credential Dilemmas Faced by the EA Professional Client Advocacy Chapter 4. Legal and Ethical Considerations for EA Professionals Introduction Ethical Issues How to Discuss Confidentiality Concerns with EAP Clients Health Care Fraud: How Managed Care Investigates Chapter 5. Marketing and Selling EAPs Understand Your Market Develop Customer Success Stories Determine the Key Decision Makers in an EAP Purchase Chapter 6. Innovations in Managed Care MBHO Psychopharmacology Management Services Innovations: Uses of the Internet in MBHO Environments Appendix A. 2001 Directory of Major North American MBHO and EAP Companies Appendix B. Sample EAP Sales Proposal for a New Customer Appendix C. Magellan Behavioral Health Medical Necessity Criteria, 2000 Bibliography Index Reference Notes Included