Professionally Guided CareSM
The Preferred Mental Health Management (PMHM) system of Professionally Guided Care uses doctorate psychologists to review, assess, and direct covered members through treatment provided by its National Provider Network. The training, experience and diagnostic ability of the initial reviewer is what sets PMHM apart from its competitors. While the quality of care and utilization increase with PMHM, behavioral health benefit costs decrease an average of 50% to 80% in the first year of management due to PMHM’s high level of review expertise.
PMHM’s system of care embraces the belief that clinically appropriate and cost-effective care produces the best result for the covered member in the shortest time.
Professionally Guided CareSM follows specific principles to deliver these results:
Benefits of PMHM’s Professionally Guided CareSM
Following are some of the advantages of PMHM’s system of Professionally Guided Care:
RAPID RESPONSE. Problem resolution begins with patient’s first call and the initial assessment by the PMHM Staff Psychologist.
DIAGNOSTIC ERRORS REDUCED. Initial assessment by the PMHM Staff Psychologist and the face-to-face evaluation by the treating provider offer two professional opinions. This increases diagnostic accuracy.
PATIENT ACTIVE IN TREATMENT. The patient becomes an active partner in selecting a provider, goals and a treatment plan.
EMPOWERED EMPLOYEES. The patient learns to control thoughts and behaviors linked to the underlying symptoms or problems.
BETTER DIAGNOSIS. Results in more appropriate treatment and the proper use of medications when necessary.
DECREASED MEDICAL COSTS. Effective treatment of patients’ mental health problems has been proven to lower total healthcare costs.
Preferred Mental Health Management (PMHM) is committed to providing the highest-quality behavioral health care to every covered member. Based upon its covered member and provider survey and outcomes data, PMHM is achieving this objective.In addition to helping patients reach their treatment goals, however, PMHM’s program produces outstanding savings for its employer clients.
Such impressive financial savings are the result of PMHM’s unique behavioral care management system which includes:
Since 1987, PMHM has consistently demonstrated the clinical and financial benefits of this unique and principled approach to the comprehensive management of behavioral health care services.
Savings are based on billed claims vs. actual paid claims. Savings stem from provider & hospital discounts and review of claims for clinical necessity.
National Map of PMHM Providers
Preferred Mental Health Management (PMHM) has one of the nation’s largest behavioral health networks with more than 10,500 outpatient providers and 800 inpatient treatment facilities. This network offers some of the deepest discounts available. Outpatient providers include psychiatrists, psychologists, licensed clinical social workers and licensed chemical dependency counselors. PMHM’s inpatient rates are flat per-diem fees which include all services.