Carve-Out Program

A program by a payer—e.g., Medicare—which transfers the responsibility for mental health services to specialty behavioural health organisations; such programs are designed to reduce costs
References in periodicals archive ?
Only qualified employers and bona fide labor organizations are eligible to establish a carve-out program.
The construction industry carve-out program was one of the creative initiatives that resulted from the 1993 reforms of the state's workers' compensation system, Duncan noted.
TheraMatrix is recognized as the pioneer of innovative and unique programs, such as on-site industrial rehabilitation services, hospital-based programs, free-standing outpatient clinics and its one-of-a -kind national outpatient physical therapy managed-care network carve-out program.
Since 2005, TPTN has successfully and seamlessly implemented its unique physical therapy carve-out program on several occasions.
Northern California contractors and unions representing carpenters, laborers and operating engineers have formed a labor-management trust to administer a collectively bargained workers' compensation carve-out program, the Building Industry Trust announced.
Savings From a Carve-out Program for Mental Health and Substance Abuse in Massachusetts Medicaid.
By the end of 1995, 12 States had adopted some form of MBHC carve-out program for their Medicaid programs.
There have been a lot of other carriers that have come into this space and gone from it," said John Laprade, who heads the sales unit of MassMutual's Executive Group Life Carve-Out Program.
In addition to providing insight to the often confusing world of Workers' Compensation Carve-out statistics, EFM also provides self-analysis worksheets to help individual companies project their potential savings under a Carve-out program.
In many states, none of the licensure options really makes sense for mental health carve-out programs.
A recent California Department of Insurance document claims that "several carve-out programs, specifically those with an ombudsman, have had demonstrated success in reducing the level of litigation, returning workers to work more quickly, and reducing the overall cost burden on the system.
In particular, 10 out of 16 states implemented carve-out programs in 1995 or later.