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 PPO 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
$15/visit, no deductible 20% co-insurance after deductible

 $20
 visit
 
30% of UCR, $75 UCR/visit, 30 visits/year
$15/visit, no deductible 20% co-insurance after deductible
Subacute-100 days/calendar year
10% co-insurance after deductible 30% co-insurance after deductible

N/A

 

N/A

 
10% co-insurance after deductible 30% co-insurance after deductible
Inpatient
10% co-insurance after deductible 30% co-insurance after deductible

20% copay

 
30% of UCR, $250 deductible per admission
10% co-insurance after deductible 30% co-insurance after deductible
Emergency Room
$100/visit, no deductible, waived if admitted or for observation stay

$100 copay/day, waived if admitted


$100/visit, no deductible, waived if admitted or for observation stay
Deductible
$250/person, $500/family for in-network and out-of-network combined

N/A

 

N/A

 
$250/person, $500/family for in-network and out-of-network combined
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
$5,000/person, $10,000/family for in-network and out-of-network services combined


N/A

 


N/A

 
$5,000/person, $10,000/family for in-network and out-of-network services combined
Ambulance
Covered by medical Covered by medical
 
N/A
 
20% copay
Covered by medical Covered by medical