Behavioral Healthcare Management (BHM)
Managing mental and behavioral health care is fundamentally different from managing medical care. Effective treatment depends on early engagement and understanding the patient’s level of functioning, not just a diagnosis code. When behavioral health management relies solely on medical-style utilization processes, care can become reactive and disconnected — driving up costs and delaying recovery.
Traditional utilization management was designed for medical conditions where diagnostic tests clearly define treatment paths. Applying those same processes to behavioral health, where testing is limited, often leads to a “hands-off” review process that misses opportunities for early intervention. This issue was less visible when most self-funded plans placed strict limits on mental health benefits, but with mental health parity removing those caps, unmanaged behavioral health costs can quickly escalate.
At Interface Behavioral Health, our BHM program addresses this challenge head-on by focusing on proactive engagement, real-time care management, and accountability — helping employees access the right level of care faster and helping employers control costs while improving outcomes.
Active Care Management
Interface Behavioral Health’s Active Care Management approach ensures behavioral health cases are handled proactively rather than reactively. Our care managers engage with patients early, assess their functional level, and guide them to the most appropriate level of care. This early involvement not only helps patients understand their treatment path but also increases their commitment to achieving better outcomes.
As patients progress, we work closely with treatment facilities to gradually step them down to less intensive levels of care — a process that lowers costs while helping patients transition back into everyday life with the tools they need to manage their condition. When improvement stalls, we reassess and consider alternative levels of care or treatment settings, holding providers accountable for demonstrating measurable progress toward recovery.
Our program also includes a credentialed network of facilities, psychiatrists, and psychotherapists with negotiated, all-inclusive per diem rates (excluding psychiatrist fees). This provides employers with predictable costs while maintaining high-quality care. Every claim is carefully audited and repriced to confirm that services billed match services authorized before being submitted for payment, preventing overpayments and ensuring plan dollars are used efficiently.
To learn more about the value of our BHM program, please contact us.
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