Integrated Medical-Behavioral Health Advocacy

Members are often faced with both medical and behavioral health problems. Also known as comorbidity, these kinds of health issues have healthcare costs that are two to three times higher than members without behavioral health complications. Effective medical-behavioral care integration can lead to up to 16% in medical cost savings.*

* Melek, Stephen, “Economic Impact of Integrated Medical-Behavioral Healthcare Implications for Psychiatry,” Milliman American Psychiatric Association Report April 2014, http://www.psychiatry.org/file%20library/practice/professional%20interests/integrated%20care/apa---milliman-report-final-8-13-2013.pdf accessed 2 April 2015).

Beginning with proprietary predictive modeling and proactive outreach, our advocates work with members to offer telephonic care management for coexisting medical-behavioral health issues. These advocates:
• Support members' behavior change to improve both medical and behavioral outcomes
• Help facilitate family support, care coordination and connections to community resources
• Ensure medical and behavioral health data integration
• Provide members with a full picture of their health