Some Magellan Care Management Centers listed above may manage services for health plan, employer and public sector customers not located in the same geographic area as the service center. Check the state listings in parentheses to be sure you’re reading all the information pertinent to you in serving your Magellan members.
Clinical Practice Guideline Compliance Scores High
To monitor the quality of care delivered to members, Magellan's Tristate Care Management Center reviews treatment records from our high-volume providers to determine how well they follow recommendations in our adopted clinical practice guidelines. Our Major Depression - Su . . . Read more
Provider Satisfaction Survey Scores Remain High
Results of the Tristate Care Management Center's annual survey of providers in its commercial and Medicaid networks showed an overall provider satisfaction rate of 91 percent in 2011. In total, 629 providers gave us their feedback; which represents a 16.5 percent response . . . Read more
Treatment Record Reviews Reveal Opportunities
The Tristate Care Management Center's review of 476 provider treatment records between January and December 2011 resulted in an aggregate score of 88 percent compliance with Magellan's treatment record review standards, which exceeds our goal of 80 percent. Records we revi . . . Read more
2011 QI/UM Program Results Released
Magellan's Tristate Care Management Center annually evaluates its quality improvement (QI) and utilization management (UM) programs, with an emphasis on assessing the quality and safety of clinical care and service, and influencing network-wide safe clinical practices. Ke . . . Read more