| A key component of the chronic illness care | | | | capitated and have a relatively flexible capacity to |
| model for treatment of depression is care | | | | allocate resources, can provide and fund care |
| management: a collaborative process of | | | | management services internally. |
| assessment, planning, facilitation, and advocacy for | | | | 4. Flexible Infrastructure Support for |
| options and services to meet an individual's health | | | | Chronic Care Management |
| needs through communication and available | | | | This funding model includes an allocation of money |
| resources to promote quality and cost-effective | | | | by health plans to practices designed to support |
| outcomes. Several well-controlled studies have | | | | specific quality improvement efforts, such as |
| demonstrated the clinical efficacy and cost | | | | infrastructure developments (e.g., information |
| effectiveness of care management for behavioral | | | | system upgrades), provider training, or care |
| disorders in general and for depression in primary | | | | manager salaries that will improve clinical |
| care settings specifically. In these studies, care | | | | outcomes and patient satisfaction. The additional |
| managers provided combinations of the following | | | | money is available to a practice either to meet |
| services: | | | | specific, predetermined expenses or, more |
| - Patient and family education aboutdepression | | | | flexibly, for purposes of its own choosing. In the |
| and its treatment | | | | latter case, practices may choose to reward |
| - Development of treatment and | | | | physicians for meeting or exceeding pre-selected |
| selfmanagementplans | | | | clinical performance expectations, reinvest the |
| - Coordination of care with primary andbehavioral | | | | money to enhance quality infrastructure (e.g., |
| health specialty providers | | | | support care managers), or do both. |
| - Assessment and monitoring of | | | | 5. Health Plan-Based Care Management |
| patients'preferences, needs, barriers, and progress | | | | Managed care and/or managed behavioral |
| - Encouragement of treatment adherence | | | | healthcare organizations employ care managers in |
| bypatients and medication guidelinecompliance by | | | | a variety of roles to perform multiple tasks, with |
| physicians | | | | a focus on utilization review and treatment |
| - Brief, structured forms of psychotherapy | | | | planning with treating clinicians via telephone. These |
| - Specialty referrals and hospitalizations asneeded | | | | typical managed behavioral healthcare |
| A significant challenge to providing depression care | | | | management services usually involve minimal or |
| management is finding sustainable funding | | | | no contacts with patients or primary care |
| mechanisms for these services. The Robert | | | | providers. As health plan employees, care |
| Wood Johnson Foundation's $12 million national | | | | managers' salaries and expenses are typically |
| program, "Depression in Primary Care: Linking | | | | absorbed in the administrative costs charged to |
| Clinical and Systems Strategies," funds three | | | | the health plan's customers (i.e., purchasers). In |
| related grant components - incentives | | | | some cases, health plan-based care management |
| (demonstration projects), value research, and | | | | targets specific diseases (e.g., asthma, diabetes, |
| targeted leadership awards - to stimulate | | | | depression) or populations (e.g., the frail elderly). |
| innovation in primary depression care. These | | | | Demand for enhanced, collaborative care by |
| components help to identify and implement | | | | purchasers and consumers will be instrumental in |
| economic and organizational strategies that, along | | | | managed behavioral healthcare organizations' |
| with evidence-based clinical best practices, will | | | | commitment to invest in care management |
| sustain chronic illness care improvements in the | | | | services to support primary care providers. |
| primary care treatment of depression. Several | | | | 6. Third-Party Based Care Management |
| extant models for funding depression care | | | | Under Contract to Health Plans |
| management services have been piloted through | | | | Health plans may subcontract with disease |
| the program's demonstration projects and similar | | | | management organizations, managed behavioral |
| programs as described below. | | | | healthcare organizations, and/or community |
| 1. Practice-Based Care Management on a | | | | mental health organizations to provide off-site |
| Fee-for-Service Basis | | | | care management services for specific patient |
| In the fee-for-service model, care managers are | | | | populations (e.g., chronically ill elderly patients) and |
| employees of the primary care practice and | | | | or diagnostic classes (e.g., patients with |
| located within its clinical site(s). Revenue flows | | | | depression). These arrangements are typically |
| from the insurer (e.g., a health plan or | | | | capitated wherein the subcontractor receives per |
| governmental payer) to the primary care practice | | | | patient per month revenue that is generally based |
| upon the insurer's receipt of properly coded billing | | | | on historical estimates of both the service costs |
| statements and in accordance with the payer's | | | | and patients served. As with the other funding |
| benefits structure and coverage policies. Few, if | | | | mechanisms, consumer expectations and |
| any, explicit care management billing codes are | | | | purchaser demands will exert clinical and economic |
| recognized by third-party payers, especially | | | | pressure on health plans to extend support to |
| private insurers, thus making fee-for-service billing | | | | third parties to provide care management |
| dependent on "medically necessary" services | | | | services. |
| rendered "incident to" physicians' care. To be a | | | | 7. Hybrid Models |
| viable source of funding, however, any | | | | Combinations of the funding mechanisms listed |
| fee-for-service care management billing from | | | | above results in various hybrid-funding models for |
| primary care would have to address current | | | | care managers and their services. For example, |
| constraints on billing for patient telephone contacts | | | | community mental health center counselors can |
| and inability of the sites to bill for multiple primary | | | | be placed in primary care practices and funded |
| care provider encounters in the same day. | | | | partly through fee-for-service billing and partly |
| 2. Practice-Based Care Management | | | | through health plan contracts. |
| Under Contract to Health Plans | | | | Challenges and Opportunities |
| Health plans can contract with primary care | | | | Because care management services fall outside |
| practices to provide care management services | | | | the conventional margins of the healthcare |
| to certain plan members with specified diseases, | | | | delivery system and are delivered by healthcare |
| including depression. In these arrangements, care | | | | professionals whose training cuts across traditional |
| managers are typically located at the practice | | | | boundaries, third-party payers require cogent |
| site(s) and may be employees of the practice, | | | | demonstrations of their value in order to justify |
| the health plan, or another entity (e.g., a | | | | subsidizing them. However, a decade of |
| community mental health organization or a disease | | | | well-controlled health services research |
| management company). Such arrangements can | | | | demonstrating the benefits of depression care |
| include providing full or partial salary | | | | management (i.e. better integration of primary and |
| reimbursement to practice sites for depression | | | | behavioral healthcare for depressed patients, |
| care managers. Revenue for the care managers' | | | | improved clinical outcomes) and the strong |
| services is generally based on historical estimates | | | | endorsement of major health policy institutions |
| of both the service costs and the number of | | | | (such as the President's New Freedom |
| members served, and takes the form of monthly | | | | Commission, the Institute of Medicine, and the |
| or yearly retrospective payments. | | | | Centers for Medicare and Medicaid Services) can |
| 3. Global Capitation | | | | drive ongoing efforts to find sustainable |
| Group model HMOs, which are generally fully | | | | mechanisms for funding these services. |