Fully-integrated medical home for people with severe and persistent mental illness: A description and outcome analysis of a Medicare Advantage Chronic Special Needs Program
People with severe persistent mental illness pose a significant challenge to managed care organizations and society in general. The financial costs are staggering as is the community impact including homelessness and incarceration. This population also has a high incident of chronic comorbid disorde...
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| Format: | Article |
| Language: | English |
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Wiley
2018-12-01
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| Series: | Mental Illness |
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| Online Access: | https://pagepress.org/journals/index.php/mi/article/view/7819 |
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| author | Robert Myers |
| author_facet | Robert Myers |
| author_sort | Robert Myers |
| collection | DOAJ |
| description | People with severe persistent mental illness pose a significant challenge to managed care organizations and society in general. The financial costs are staggering as is the community impact including homelessness and incarceration. This population also has a high incident of chronic comorbid disorders that not only drives up healthcare costs but also significantly shortens longevity. Traditional case management approaches are not always able to provide the intense and direct interventions required to adequately address the psychiatric, medical and social needs of this unique population. This article describes a Medicare Advantage Chronic Special Needs Program that provides a Medical Home, Active Community Treatment, and Integrated Care. A comparison of utilization and patient outcome measures of this program with fee for service Medicare found significant reduction in utilization and costs, as well as increased adherence to the management of chronic medical conditions and preventative services. |
| format | Article |
| id | doaj-art-28a637636e8b4d469fdf3ae79acec924 |
| institution | Kabale University |
| issn | 2036-7457 2036-7465 |
| language | English |
| publishDate | 2018-12-01 |
| publisher | Wiley |
| record_format | Article |
| series | Mental Illness |
| spelling | doaj-art-28a637636e8b4d469fdf3ae79acec9242025-02-03T05:58:01ZengWileyMental Illness2036-74572036-74652018-12-0110210.4081/mi.2018.7819Fully-integrated medical home for people with severe and persistent mental illness: A description and outcome analysis of a Medicare Advantage Chronic Special Needs ProgramRobert Myers0Department of Psychiatry and Human Behavior, University of California, Irvine, CAPeople with severe persistent mental illness pose a significant challenge to managed care organizations and society in general. The financial costs are staggering as is the community impact including homelessness and incarceration. This population also has a high incident of chronic comorbid disorders that not only drives up healthcare costs but also significantly shortens longevity. Traditional case management approaches are not always able to provide the intense and direct interventions required to adequately address the psychiatric, medical and social needs of this unique population. This article describes a Medicare Advantage Chronic Special Needs Program that provides a Medical Home, Active Community Treatment, and Integrated Care. A comparison of utilization and patient outcome measures of this program with fee for service Medicare found significant reduction in utilization and costs, as well as increased adherence to the management of chronic medical conditions and preventative services.https://pagepress.org/journals/index.php/mi/article/view/7819Severe and Persistent Mental Illness, Schizophrenia, Medical Home, Integrated Care, Medicare. |
| spellingShingle | Robert Myers Fully-integrated medical home for people with severe and persistent mental illness: A description and outcome analysis of a Medicare Advantage Chronic Special Needs Program Mental Illness Severe and Persistent Mental Illness, Schizophrenia, Medical Home, Integrated Care, Medicare. |
| title | Fully-integrated medical home for people with severe and persistent mental illness: A description and outcome analysis of a Medicare Advantage Chronic Special Needs Program |
| title_full | Fully-integrated medical home for people with severe and persistent mental illness: A description and outcome analysis of a Medicare Advantage Chronic Special Needs Program |
| title_fullStr | Fully-integrated medical home for people with severe and persistent mental illness: A description and outcome analysis of a Medicare Advantage Chronic Special Needs Program |
| title_full_unstemmed | Fully-integrated medical home for people with severe and persistent mental illness: A description and outcome analysis of a Medicare Advantage Chronic Special Needs Program |
| title_short | Fully-integrated medical home for people with severe and persistent mental illness: A description and outcome analysis of a Medicare Advantage Chronic Special Needs Program |
| title_sort | fully integrated medical home for people with severe and persistent mental illness a description and outcome analysis of a medicare advantage chronic special needs program |
| topic | Severe and Persistent Mental Illness, Schizophrenia, Medical Home, Integrated Care, Medicare. |
| url | https://pagepress.org/journals/index.php/mi/article/view/7819 |
| work_keys_str_mv | AT robertmyers fullyintegratedmedicalhomeforpeoplewithsevereandpersistentmentalillnessadescriptionandoutcomeanalysisofamedicareadvantagechronicspecialneedsprogram |