Practical Solutions for Healthcare Integration & Transformation

Parker Dennison is a national healthcare consulting firm, offering the combined talents of clinical. operational. and financial professionals since 1989. Nationally known and respected, our consultants have worked in over 40 states to assist providers, managed care organizations, health plans, and state and county authorities with adapting to and managing today’s healthcare environment.

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Themes from Innovative Complex Care Management Programs

In many regions across the country, robust “super-utilizer” programs providing intensive outpatient care management to high-need, high-cost patients are beginning to emerge. The term “super-utilizer” describes individuals whose complex physical, behavioral, and social needs are not well met through the current fragmented health care system. As a result, these individuals often bounce from emergency department to emergency department, from inpatient admission to readmission or institutionalization—all ...

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Emerging Models of Integrated Care Coordination

As behavioral health providers strategize on where they can fit in healthcare reform, I see care coordination as an obvious role where many providers could thrive. Central to healthcare reform is improved coordination and navigation of the complex healthcare delivery system to ensure whole-person, whole-life prevention, early intervention, supports, and care. Some of the models for care coordination read like good old fashion social work, ...

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Impact of Physical/Behavioral Healthcare Integration

The American Psychiatric Association (APA) recently released a report prepared for them by Milliman, Inc., entitled, "Economic Impact of Integrated Medical-Behavioral Healthcare: Implications for Psychiatry".  The analysis provided in the report summarizes by payor (Commercial, Medicare, Medicaid) the elevated levels of healthcare costs related to beneficiaries who have chronic medical and behavioral comorbidities. Based on the outcomes of several recent integration projects, the actuaries estimate the portion of the ...

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CA 1115 Waiver Expanding SUD Continuum

Medicaid expansion and the requirements for mental health and addiction parity have created improved insurance coverage for treatment of substance use disorders.  Various initiatives are underway to improve capacity of the substance abuse service system, including developing the service array and the ability of providers to deliver services within the requirements of Medicaid and private insurers. In August 2015, the California Department of Health Care Services ...

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