At its Fall 2018 Board Meeting, the NABH Board of Trustees established an initiative to assure that patients who require medically necessary behavioral healthcare have access to it. This Board-directed effort is intended to address the behavioral healthcare industry’s growing concern that health plans are micromanaging behavioral health services so intensely that they are restricting patient access to medically necessary care.

This is why NABH created the Managed Care Committee, which will work with the Board and the NABH management team to develop a focused strategy that addresses this issue. This comprehensive initiative will focus on both parity-related fixes and provider actions that could help change current health plan practices. External consultants who specialize in health plan activities, the parity law, and regulations will help the committee with its work.

The committee works to:

  • Identify challenges that NABH members experience with utilization management procedures from health plans
  • Discuss problems they face providing care that their patients’ need
  • Develop practical recommendations to solve this persistent problem.

The committee includes:

Chair:

  • Car Evans, Chair, Universal Health Services, Inc., FL

Members:

  • Katie Alexson, McLean Hospital, MA
  • Shena Ashmore, Oceans Healthcare, TX
  • Shannon Boling, L.P.C.C., L.M.F.T., Rogers Behavioral Health, WI
  • Nicole Clarke, M.S., L.P.N., Meadows Behavioral Healthcare, AZ
  • Mary Clark, Newport Healthcare, TN
  • Kelly Grill-Cooper, M.S., L.C.P.C., Linden Oaks at Edward – Elmhurst Healthcare, IL
  • Angela Craparotta, M.A., M.B.A., Penn Medicine Princeton House Behavioral Health, NJ
  • Karen Fauer, UltraGroup Healthcare, TN
  • Matt Feehery, Delphi Behavioral Health Group, FL
  • Mark Friedlander, M.D., M.B.A., Universal Health Services, Inc., PA
  • Andrew J. Gerber, M.D., Ph.D., Silver Hill Hospital, CT
  • Scott Gressett, Oceans Healthcare, TX
  • Stacie Harty, Acadia Healthcare, Inc., TN
  • Yanick “Nicky” Hazlewood, Psychological & Behavioral Consultants (PsychBC), OH
  • Molly Johnson, NeuroPsychiatric Hospitals, IN
  • Emily Hunter, L.M.S.W., Compass Health, LA
  • Joanne Leasure, Recovery Centers of America, PA
  • Caitlin Lewis, Recovery Centers of America, PA
  • James “Pat” Luer, Kindred Behavioral Health, KY
  • Terri Malenfant, Recovery Centers of America, PA
  • Steve McGill, Vertava Health, TN
  • Osei Mevs, Acadia Healthcare, Inc., TN
  • Erica Munger, Penn Medicine Princeton House Behavioral Health, NJ
  • Lori Nason, RN, Acadia Healthcare Inc, TN
  • Carl O’Brien, Rutgers University Behavioral Health Care , NJ
  • Steve Page, Sun Behavioral Health, NJ
  • Ryan Pardo, LifeStance Health, Inc., WA
  • Creg Parks, Signature Healthcare Services, LLC, CA
  • Christiana Paul, L.M.F.T., SHARP Mesa Vista Hospital, CA
  • Eric M. Plakun, M.D., D.L.F.A.P.A., FACPsych, The Austen Riggs Center, MA
  • Lori Scharff, L.I.C.S.W., Boys Town Behavioral Health Division, NE
  • Jacob Shaheen, UltraGroup Healthcare, TN
  • Matthew Sparling, Vivant Behavioral Healthcare, AZ
  • Martina Sze, US Healthvest, NY
  • Larry Weinstein, M.D., American Addiction Centers, TN
  • Michele Wisniewski, Rogers Behavioral Health, WI
  • Susan Wright, BayCare Behavioral Health, FL
  • David Zach, Recovery Centers of America, PA

Staff Liaisons: 

  • Shawn Coughlin, National Association for Behavioral Healthcare, Washington, DC
  • Kirsten K. Beronio, J.D., National Association for Behavioral Healthcare, Washington, DC