Medica 2019 Annual Report

THE POWER OF Adaptability Nothing is more certain than uncertainty, and change is the only constant. That’s why we’re always learning and innovating to meet the changing needs of our members and communities, and responding to the demands of the place and the moment.

When There’s a Better Way, We Find It

In 2019, we redesigned our clinical model for behavioral health care to enhance our ability to deliver the right care at the right time for members at all levels of risk from mental health challenges. Oftentimes, when our members have medical illnesses or injuries, emerging mental health issues are overlooked. Our new clinical model is supported by data analytics that identify members with serious medical conditions — such as a recent heart attack, stroke or cancer diagnosis, or a chronic condition like diabetes — who also have an emerging mental health concern such as depression, anxiety or substance use. We reach out to these members with integrated physical and behavioral health case management services that address the member’s conditions in a holistic way. Our Employee Assistance Program (EAP) is another way we help our members with stress and other difficulties that can trigger or worsen existing mental health problems if not addressed. EAP provides no-cost counseling and specialized support services for a wide range of life challenges. In 2019, we raised the annual number of EAP sessions included in most of our benefit plans from three visits to five.

1 in 5 American adults experiences mental illness each year Source: National Alliance on Mental Illness

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