PP101 – Integrating Physical & Behavioral Healthcare: A Whole Person Approach
Evidence supports a strong link between behavioral health conditions and chronic illness. Individuals with chronic medical and comorbid behavioral health conditions cost two to three times more than individual without a comorbid condition. Nine to 17% of total healthcare expenditures could be eliminated with integration between medical and behavioral healthcare according to Millman study (2018). Case management is uniquely positioned to play an important role in ensuring individuals with co-occurring physical and behavioral health conditions receive the coordinated care and in addressing the individual’s barriers to health improvement.
This session answers the question about why a whole person (physical and behavioral health) case management approach is critical to addressing three major individual problems – quality, experience and cost. Core components including targeting individuals with needs, tactic to improve outreach and engagement as well as how to complete a whole person assessment and integrated care plan that promotes sustained engagement are discussed. The session will provides the roadmap of how one commercial health plan moved from separate medical and behavioral health case management programs that provided co-case management to an integrated case management model. Key tips and lessons learned are shared as well as clinical, quality, cost and experience outcomes. This session will be interactive including time for participants to share best practices in addressing barriers case management programs are facing in implementing an integrated approach and demonstrating quantifiable results.
1. Understand why addressing both the physical and behavioral health conditions in a single case manager is crucial for improving individual’s health outcomes
2. Understand the core components of a whole person, integrated case management model
3. Understand how to implement a whole person, integrated case management model and how to quantify the value on investment (Outcomes)