A No Cost, Virtual, Revenue Generating Practice Overlay

Illustration of collaborative care services Illustration of collaborative care services

The Collaborative Care Program deploys teams of tech-enabled care managers and consulting psychiatrists to help primary care practices integrate behavioral healthcare into the primary care setting. The Collaborative Care Program is a virtual practice overlay that is reimbursed by Medicare, many commercial payers, and some state Medicaid plans. Collaborative Care has been proven to double the effectiveness of depression care, improve physical function, and reduce health care costs (outpatient mental health costs, pharmacy costs, other outpatient costs, inpatient medical costs, inpatient mental health/substance abuse costs), delivering a 650% ROI.1

1 Unu╠łtzer et al., Am J Managed Care 2008

How does the program work?

  1. Patients with BH symptoms screened and referred.
  2. Mindoula Care Managers review medical, psychiatric history, and validated measures with psychiatric consultant. Psychiatrist provides treatment recommendations to PCP. PCP begins treatment.
  3. Mindoula monitors progress, provides 24/7 support, and updates PCP on additional psychiatric input.
  4. Outcomes improve, utilization decreases, and program contributes to QM reporting.

Key program elements:

  • Screen clinic population:
    • Meet MIPS quality measures
    • Address other population health goals
  • Deploy Mindoula Behavioral Health Care Managers
  • Orient and train PCP and office staff
  • Access Mindoula psychiatrists for psychiatric consultations
  • Use Mindoula Registry to track patient progress
  • Interface with EMR to facilitate orders, communication and report transfer
  • Provide billing advice, so practice can bill