$148 per member per year medical cost savings when you connect Medical, Behavioral and Pharmacy benefits 17
Cigna Total Behavioral Health’s integrated design helps drive better health, outcomes and savings. With comprehensive and personalized support every step of the way Cigna Total Behavioral Health creates more opportunities to proactively engage customers in the right treatment and coaching, at the right time. Increasing the use of these important services helps drive improved health, lower utilization and lower costs. Inpatient case management Support for those needing hospitalization for mental illness or substance use treatment, including detoxification and residential treatment. Case managers work with the individual, their family and outpatient professionals to coordinate services and help ensure safe and effective treatment upon discharge. Outpatient case management Dedicated outpatient support for those leaving the hospital, including partial hospitalization and intensive outpatient treatment. Outreach to individuals and health care providers to provide education, appointment reminders and follow-ups on medication compliance. Plus, there is no prior authorization required for routine care. Intensive behavioral case management For individuals with complex mental health or substance use conditions who are at high risk for readmission. Dedicated case managers reach out to support individuals as often as necessary. They act as liaisons to patient and family after discharge. Gaps in care Proprietary screening model used to review all claims. Identifies evidence-based behavioral gaps in care. Enables targeted outreach and intervention.
Specialty coaching and support services Our Coaching and Support services provide dedicated support for a broad range of conditions including autism, eating disorders, intensive behavioral case management, substance use and opioid and pain management. We also provide coaching and support for parents and families, which empowers individuals to be to be effective advocates for their child, spouse, or family member-or their own mental health needs. Our dedicated behavioral coaches and case managers support your employees — and their families. Our team uses a multidisciplinary approach to help ensure treatment is effective and appropriate. They coordinate with health care professionals and refer to our pharmacy and wellness programs. They also help overcome barriers to treatment and promote engagement through education and referrals to local support groups and seminars. Our Coaching and Support services include a digital interface through Vela 8 to supplement coaching. Coaches help customers acquire the app which enables secure two-way messaging, as well as the ability to share resources and support specific to customer needs. Appointment tracking on a shared calendar is also featured. Free Veteran Support Line — Helps veterans with a wide range of needs such as pain and stress management resources, including Mindfulness for Vets program, as well as counseling for substance use and opioids, financial and legal assistance, and parenting and child care. First responders — Our teams are trained to address the unique challenges and concerns of first responders and their families. We provide education on the confidentiality of our programs, virtual behavioral services and online resources tailored to the first responder’s needs.
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