CIGNA Behavioral Health Program Reduces Overall Health Care Costs and Improves Patient Outcomes
10 Abril 2007 - 3:31PM
PR Newswire (US)
EDEN PRAIRIE, Minn., April 10, 2007 /PRNewswire-FirstCall/ -- CIGNA
Behavioral Health (CBH) today released new data on the results of
the company's Intensive Care Management (ICM) program,
demonstrating improved member outcomes that resulted in average
savings of more than $3,000 per member. CBH's intensive care
management program pairs members experiencing complex clinical
behavioral conditions, such as severe depression, with a clinical
"care advocate" following an initial inpatient visit. The central
goal of the program is to empower members to take preventive action
before a condition escalates to a higher-risk situation, which
could otherwise lead to overall decreases in productivity, missed
work days or even disability. The study found ICM program
participants experienced: -- a 53 percent decrease in inpatient
admissions, -- a 14 percent increase in medication compliance, and
-- a savings of $3,134 during the program enrollment. To conduct
the study, CBH analyzed one full year of medical, behavioral and
pharmacy utilization data for all clients. The population evaluated
had a primary behavioral diagnosis with underlying medical
co-morbidities and a minimum of one inpatient psychiatric
admission. A study group of 286 participants enrolled in the ICM
program were compared with 517 members of a control group not
enrolled in the program. The study group participants were managed
by a personal care advocate, who maintained daily or weekly contact
and who made outreach calls to both the member's behavioral and
medical doctors to ensure coordination of medications. The care
advocate also confirmed appointment participation, provided ongoing
education to both the participant and their family members, and
screened for enhanced symptoms and stressors and contacted the
member's provider anytime the member needed a higher level of care.
The company called the results significant, noting that chronic
medical conditions are often the cause of employee absenteeism with
mental illness causing more missed work days than many other
chronic conditions such as diabetes, asthma and arthritis. Mental
illness and substance abuse disorders are the top five causes of
disability among people age 15-44 in the U.S. and Canada.(1) "The
intensive care management program was developed to assure that we
were doing everything possible to improve the lives of our members
by carrying our philosophy of care advocacy beyond traditional
utilization review," said Jodi Aronson Prohofsky, Senior Vice
President of Clinical Operations. "Through this program we now know
that with targeted intervention, we can increase productivity,
decrease absenteeism and reduce overall health care costs. About
CIGNA Behavioral Health CIGNA Behavioral Health provides behavioral
care benefit management, EAPs, and work/life programs to consumers
through health plans offered by large U.S. employers, national and
regional HMOs, Taft-Hartley trusts and disability insurers. CBH,
with headquarters in Eden Prairie, Minn., operates care management
centers around the U.S. in support of a national network of more
than 56,800 independent psychiatrists, psychologists and clinical
social workers and more than 5,100 facilities and clinics. For more
information, visit http://www.cignabehavioral.com/. (1) An
Employers Guide, Behavioral Health Services, National Business
Group on Health DATASOURCE: CIGNA Behavioral Health CONTACT: Arlys
Stadum of CIGNA Behavioral Health, +1-763-559-5587, Web site:
http://www.cigna.com/ http://www.cignabehavioral.com/ Company News
On-Call: http://www.prnewswire.com/comp/165050.html
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