How It Works

Care Delivery Process

The Holman Group's care delivery process includes four steps:

  • Intake
  • Assessment & Referral
  • Treatment
  • Follow-up

Quality Management

Our four-pronged approach to quality management includes:

  • Professional network development and maintenance
  • Facility contracting
  • Care monitoring and systems improvement
  • Patient/client satisfaction

Getting Started

The Holman Capitated Plan is simple and straight-forward to launch through:

  1. Orientation
  2. Planning and Pre-implementation
  3. Enrollment

It is our commitment to cost-effectively provide the best services we are able to offer to you. If The Holman Group's approach is appropriate for your organization, we would welcome the opportunity to work with you in a follow-up meeting and presentation.

Sample Federal MH & Addiction Parity

Managed Behavioral Health Care Plan Design

Increase in benefits   
Reduction in benefits   
   
Benefits Current HMO Current Mental Health Benefits Holman Federal Parity Compliant Plan
Mental Health
Substance Abuse
In-Network Out-of-Network
In-
Network
Out-of-
Network
In-Network Out-of-Network
Outpatient
 
$20/visit
 
N/A
$20/visit 30% of UCR, $75 UCR/visit, 30 visits/year
 
$20/visit
 
N/A
Subacute-100 days/calendar year
 
$0 copay
 
N/A
 
N/A
 
N/A
 
$0 copay
 
N/A
Inpatient
 
$0 copay
 
N/A
20% copay 30% of UCR, $250 deductible per admission
 
$0 copay
 
N/A
Emergency Room
$75/visit, waived if admitted
$100 copay/day,
waived if admitted
$75/visit, waived if admitted
Deductible
$500 per adm
N/A N/A
$500 per adm
Annual Maximum
 
Subacute 100 days per year
 
50 outpatient visits/year,
45 subacute and inpatient days/year combined mental health, in and out of network
Subacute 100 days per year combined (in and out of network)
Lifetime Maximum
 
N/A
 
 
N/A 2 courses substance abuse treatment per lifetime
 
N/A
 
 
Out-of-Pocket Maximum
$2,000/member and $4,000/family per calendar year
 
N/A
 
N/A
$2,000/member and $4,000/family per calendar year
Ambulance
Covered by medical Covered by medical
 
N/A
 
20% copay
Covered by medical Covered by medical