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Health Plans have been conducting significant and ongoing studies on disease and care management: regarding clinical outcomes; risk management methodologies; cost/benefit; and general population management.    It is a continuing search, a successive approximation geared to finding solutions that meet somewhat competing agendas.  Health Plans must find working approaches that can

  • Satisfy the cost-conscious purchasers of health plan products
  • Balance the challenges of practitioner autonomy and professional competencies within rapidly changing trends in medicine and behavioral healthcare
  • Operate according to the rigorous standards of scientific evidence--within the available resources
  • Improve the health status and satisfaction of members entrusting health plans with their well-being.

This page will report on ongoing resources, studies, and dialogues that can contribute to the industry reflection.

  • Press Release (8/2/05), National Institute for Mental Health, on the CATIE Study (Clinical Antipsychotic Trials of Intervention Effectiveness), where the NIMH completed the first study studying the effectiveness and side effects of newer and older drugs. Please see "NIMH Study To Guide Treatment Choices for Schizophrenia,"   found at  http://www.nimh.nih.gov/healthinformation/catie.cfm             

  • Press Release, National Institute for Mental Health, "Cognitive Therapy Reduces Repeat Suicide Attempts by 50%," found at http://www.nimh.nih.gov/press/ctsuicide.cfm
  • Frank Marre, DO, Associate Vice President of Clinical Quality Improvement for Priority Health presented an overview of the impact of Disease Management approaches at Priority Health to attendees at  the Michigan Summit on Disease Management for Serious Mental Illness, Lansing Michigan, March 23, 2004  
  • Christine Reilly, PhD, RN,  Clinical Consultant for the Beck Institute for Cognitive Therapy and Research presented an overview of cognitive therapy approaches at Priority Health to attendees at  the Michigan Summit on Disease Management for Serious Mental Illness, Lansing Michigan, March 23, 2004  
  • Østbye, Yarnell, et al, "Is There Time for Management of Patients with Chronic Diseases in Primary Care?" Annals of Family Medicine. Vol.3. May/June 2005 

 

 

 
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