Behavioral Health Authorization Reviews

Behavioral and mental health is a mounting national concern and a growing strain on the healthcare system. The statistics are striking across Emergency Department (ED) visits, cost of claims, and employers’ behavioral health expenses.

A poll of behavioral health organizations in 2020 found that within that year 52 percent saw an increase in demand for services⁴. Meanwhile the ratio of behavioral health professionals is estimated at 1 per 30,000 people⁵. Trying to manage the growing demand with the resources available can lead to physician burnout, inappropriate care and overutilization.

If these realities are straining your review resources, you’re not alone. Many health plans are now looking for help from utilization management and Independent Review Organizations (IRO), like AllMed to provide on-demand access to board-certified psychiatrists and psychologists. By addressing your members’ needs at the right level of care and in the most clinically appropriate way you can optimize costs related to overutilization and downstream appeals, while improving the quality of care.