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The BMA Method of Delivered Care
Behavioral Medicine Associates
shares professional space with medical providers. Overhead is reduced;
there is no need for a separate set of offices, phones, business
machines or furnishings. All this is provided at the medical office,
and included in the monthly lease charge. Similarly, benefits from
cross-scheduling accrue, resulting in fewer missed or canceled appointments.
Should a patient cancel, there is often another patient in the medical
office who can be seen. Behavioral care is viewed as part of the
routine medical treatment, avoiding the stigma so often attached
to these services. The medical office staff function as liaisons,
receptionists, etc., further reinforcing the idea that behavioral
care and medical care are "seamless".
BMAs method of providing care benefits
from defined treatment parameters. The BMA method of delivering
care reduces overhead, and allows for a large influx of new patients,
reducing the need to "extend" the length of care. BMA
helps patients feel better faster, encouraging greater acceptability
and even more referrals.
Specialty Areas Benefit From Behavioral
Care
There are numerous medical specialty areas which are
amenable to behavioral care. Currently BMA provides services to
a population of patients who have sustained traumas as a result
of accidents and who are being treated for pain.
Additional medical problem areas include:
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Incontinence
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Sexual Dysfunction
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Rehabilitation
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Chronic Wound Problems
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Respiratory Problems
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Organ Donors/Recipients
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Diabetes Treatment
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Cancer Treatment
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Dialysis Treatment
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Home Health Care Services
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Sleep Disorders
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Habit Control - Weight / Smoking
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These medical problems specialties treat patients
in facilities dedicated to these problems areas. Behavioral care
will provide treatment to these patients directly related to these
issues. BMA has developed treatment protocols to address these issues
in a time-limited manner.
Reimbursement
Traditionally, psychological services were paid by
a patients insurance carrier at a set rate or yearly limit.
Since the proliferation of managed care plans, HMO's, and the like,
the business of psychology has been radically altered. Third party
payers have become "case managers", setting up a series
of guidelines, regulations, and other obstacles to payment, and
thereby, the delivery of care. BMAs approach to behavioral
care will take advantage of these guidelines by providing time-limited,
problem specific care based upon empirically derived treatment protocols.
Additionally, medical referrals will enable greater acceptance of
care. BMA provides carriers with the information/material they demand,
while demonstrating "limited" goals. The fear in paying
for psychological care was its open-ended approach, a lack of goals
and "fuzzy" methodology.
Medicare provides for behavioral care based
upon a set fee schedule which varies by geographic region. Due to
advances and improvements in electronic billing, payments are predictable.
BMA has extended its marketing efforts directly
to insurance carriers, etc., to demonstrate the efficiency of our
services and the cost-effectiveness of our program of specific care.
It is expected that agreements with third party payers will be established
to insure ease of payment.
Services for Patients with On-the-Job
Injuries
BMA will mount a vigorous campaign to provide services
to patients who have been injured on the job. Worker compensation
claims represent a sizable expense, and are often extended due to
issues of behavioral dysfunction. Programs of pain management, work
hardening, and lifestyle adjustment enable patients to return to
work sooner, with less disability. BMA seeks medical providers with
whom to partner and also Worker Compensation Carriers who benefit
from the BMA program of care.

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