Behavioral healthcare impacts a wide range of market segments in different ways. One thing they have in common is that poor management of behavioral issues can be costly and further complicate physical care delivery.

Care Management Technologies (CMT) harnesses the power of clinical expertise, data analytics, and advanced technology to improve the quality of care and lower behavioral health costs across many market segments. By compiling and analyzing comprehensive data sets from disparate sources, we help monitor patients for appropriate prescribing, medication adherence, and coordination of care, and provide the latest best-practice data to clinicians at the point of treatment. Equally important, we tailor solutions to meet the specific needs of multiple healthcare stakeholders.

CMT has a robust set of program capabilities that can be configured to meet the needs of numerous healthcare payors and providers:

• State Medicaid Agencies and Managed Medicaid Plans
• Medicare Advantage and Medication Therapy Management Plans
• Commercial Managed Care Organizations
• Self-Insured Employers
• Special Needs Populations (SNP) Plans
• Group Health Third-Party Administration (TPAs)
• Long-Term Care and Hospitalization Discharge Programs
• Workers' Compensation Carriers

The goal: Custom solutions that improve quality and patient safety, decrease costs, and align care with quality practices — such as NCOA, HEDIS® Effectiveness of Care measures — through appropriate discharge planning, safe transition of care, and evidence-based interventions.

Programs for Targeted Demographics

Seniors

CMT understands that prescription drug use in the elderly requires careful monitoring to help prevent adverse side effects. CMT's focused programs promote patient safety and reduce complications by:

• Identifying and helping to avoid the use of drugs that correspond to the Beers Criteria of Potentially Inappropriate Medications for the Elderly. The application of these Quality Indicators™ (QIs) also supports the NCOA HEDIS® Effectiveness of Care measure for Medication Management in the Elderly.
• Facilitating coordination of care for patients with multiple chronic diseases.
• Reducing inappropriate polypharmacy, which is especially important to individuals with reduced metabolisms who are more susceptible to drug toxicity.
• Applying our QIs to improve prescribing for patients with diagnoses of dementia.

Children

CMT programs are designed to promote the utmost safety in prescribing behavioral medications to children by providing systems and timely communications that:

• Reduce the inappropriate use of psychotropic and ADHD medications.
• Help coordinate special care needs for children within state protective custody services or foster care.
• Reduce unnecessary polypharmacy.
• Identify under-utilization of psychotherapy in cases where evidence suggest use concurrent with medications.
• Apply pharmacy best safety practices for younger children who require the strictest dosing guidelines.

Adults

In addition to our foundation solutions for patients with serious mental illness, CMT's Quality Indicators™ can help identify and improve care for patients with conditions such as depression, anxiety and substance use disorder. Along with the associated medical care costs, inadequate and intervention for these conditions is often associated with high rates of disability, absenteeism and presenteeism.