Core and Specialty Services

Beacon offers an extensive portfolio of well researched and effective member centric solutions. The services are designed to meet a client’s particular objectives and take into consideration a client’s membership, product offerings, local health delivery systems and the regulatory environment. Backed by years of proven experience, Beacon’s clients and their members benefit from:

• Local clinical presence of licensed behavioral health professionals and managers who understand the community in which they work;
• Best in breed clinical programs that deliver unmatched clinical outcomes in a cost effective manner;
• Seamless clinical integration that effectively coordinates care for a member’s behavioral and physical health care needs;
• Superior information technology which facilitates access to timely and relevant clinical operational and financial data
• Rigorous data analysis processes which focus on identifying best practices and demonstrating value

Beacon understands that each individual client has very unique needs. Some clients may want to hire an MBHO to handle all aspects of behavioral health program administration, while others may elect to work with an MBHO to provide a very specific set of complex services. In either case, it is imperative that the MBHO and its health plan partner take a holistic approach to a member’s needs and work together to offer the most effective care management programs to address both behavioral and medical conditions. Beacon meets a client’s requirements by offering a comprehensive portfolio of core and specialty services, which can be purchased as a suite or on an a la carte basis.

Core Services:

Beacon’s menu of core services consist of a combination of clinical, operational and financial services, including

• Utilization review
• Intensive Case Management (ICM)
• Network management
• Claims and billing

With each of our core services, we move beyond simply facilitating one or more aspects of a member’s behavioral health care coverage. We work with the member and our client to address fully both behavioral and physical needs.

Delivery of our core services is straight forward: We uphold the highest quality standards, provide unmatched customer service, never lose sight of the needs of our members and maintain fiscal discipline.

Specialty Services:

Complementing Beacon’s wide range of core services is a portfolio of specialty services each designed to achieve discrete outcomes. These well researched and clinically designed services have a proven track record of effective care management on behalf of members, and include:

• Clinical Decision Support
• Depression Management Programs
• Psychotropic Drug Intervention Program
• AfterCare
• Notice Of Admission