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 Retiree 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 per visit for PCP, $25 per visit for Specialists
30% copay of Eligible Expenses

 $35
 visit
 
30% of UCR, $75 UCR/visit, 30 visits/year

$25
per visit
for
Specialists

30%
copay of Eligible Expenses
Subacute-60 days/calendar year
10% copay of Eligible Expenses 30% copay of Eligible Expenses

N/A
 

N/A
 
10% copay of Eligible Expenses 30% copay of Eligible Expenses
Inpatient

10%
copay
of Eligible Expenses
 

30%
copay
of Eligible Expenses
 

20% copay

 
30% of UCR, $250 deductible per admission

 10%
copay
of Eligible Expenses
 

 30%
copay
of Eligible Expenses
 
Emergency Room
20%
copay
40%
copay
$100 copay/day,
waived if admitted
20%
copay
40%
copay
Deductible
$250/person not to exceed $500 for all covered persons in a family $500/person not to exceed $1,500 for all covered persons in a family


N/A


 


N/A


 
$250/person not to exceed $500 for all covered persons in a family $500/person not to exceed $1,500 for all covered person is a family
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 combined. 60 subacuate and inpatient days/year combined substance abuse, in and out of network.

 

Subacute
60 days per year
combined
(in and out of network)
 
 
 
 
 
Lifetime Maximum


$20,000 maximum plan benefit per covered person (in and out of network combined)
 
N/A 2 courses substance abuse treatment per lifetime


$20,000 maximum plan benefit per covered person (in and out of network combined)
 
Out-of-Pocket Maximum
$1,500/person not to exceed $4,500 in a covered family $2,000/person not to exceed $4,000 in a covered family

N/A

 

N/A

 
$1,500/person not to exceed $4,500 in a covered family $2,000/person not to exceed $4,000 in a covered family
Ambulance
10% copay of Eligible Expenses 10% copay of Eligible Expenses
 
N/A
 
20% copay
10% copay of Eligible Expenses 10% copay of Eligible Expenses