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
  • Shannon Boling, L.P.C.C., L.M.F.T., Rogers Behavioral Health, WI
  • Ellen Broxmeyer, Eating Recovery Centers, CO
  • Kelly Grill-Cooper, M.S., L.C.P.C., Linden Okas at Edward – Elmhurst Healthcare, IL
  • Angela Craparotta, M.A., M.B.A., Penn Medicine Princeton House Behavioral Health, NJ
  • Cyndi Eddington, Eating Recovery Centers, CO
  • Scott Gressett, Oceans Healthcare, TX
  • Stacie Harty, Acadia Healthcare, Inc., TN
  • Yanick “Nicky” Hazlewood, Psychological & Behavioral Consultants (PsychBC), OH
  • Molly Johnson, NeuroPsychiatric Hospitals, IN
  • Sybil Johnson, Sequel Youth & Family Services, FL
  • Beth Klawitter, Strategic Behavioral Healthcare, VA
  • Joanne Leasure, Recovery Centers of America, PA
  • Cindy Metterle, Penn Medicine Princeton House Behavioral Health, NJ
  • Greg Miller, Springstone, Inc., KY
  • Lori Nason, RN, Acadia Healthcare Inc, TN
  • Creg Parks, Signature Healthcare Services, LLC, CA
  • Eric M. Plakun, M.D., D.L.F.A.P.A., FACPsych, The Austen Riggs Center, MA
  • Chris Simpson, Meridian Behavioral Health, MN
  • JoAnn Snelling-Higgins, Boys Town Behavioral Health Division, NE
  • Larry Weinstein, M.D., American Addiction Centers, TN
  • Michele Wisniewski, Rogers Behavioral Health, WI
  • Susan Wright, BayCare Behavioral Health, FL
  • Marsha D. Yeskoo, Hospital Corporation of America, TN

 

Staff Liaisons: 

  • Shawn Coughlin, National Association for Behavioral Healthcare, Washington, DC