Last week, we wrote about a local mental health office that covers western North Carolina counties losing $3 million since switching to managed care in January.
A consultant's report issued this week describes problems at Western Highlands Network, one of the first local mental heath offices to convert to a managed care system.
Among other things, the report says that the information Western Highlands leaders receive about services, use and costs is inadequate, and that it is not keeping good track of Medicaid claims.
The report goes on for nine pages. In short, it says Western Highlands needs lots of improvements, and the consultant recommends close monitoring by the state Department of Health and Human Services.
Under managed care, the local mental health office gets a set amount of money to treat mentally ill patients who rely on Medicaid or state funds.
Western Highlands Network became a managed care organization in January. By next January, managed care organizations for government-paid mental health services will cover the entire state.
Here's the report: