Care Management Services
What We Do
The Network180 Care Management team provides interventions that focus on improving the health and appropriate service utilization of individuals with complex physical and behavioral health needs. Network180 team members include an MSW Clinical Supervisor and peer staff with lived experience with behavioral health.
The Clinical Supervisor guides system level coordination and access to care with health plans and providers.
Peer staff provide face-to-face and telephonic interventions oriented around client activation (increasing client ability to self-manage health). Interventions are driven by the evidence-based Patient Activation Measure and Coaching for Activation tools. Peers meet with clients in homes and community settings, attend health appointments with clients, and provide coaching focused on increasing client knowledge, skills, and confidence around their health.
How We Partner
Care Management services are designed to be implemented in partnership with health plan staff. Clients are identified using shared data and risk stratification that focuses on chronic behavioral and physical health conditions as well as high utilization of intensive services.
Our model pairs the Network180 Clinical Supervisor with a clinical case or care manager from a health plan. Working together, this team collaborates in integrated care planning for complex consumers. While the Network180 Clinical Supervisor facilitates coordination and access with behavioral health providers, health plan staff provide parallel linkages with physical health providers.
Staff from Network180 and the health plan consult with one another regularly on specific cases, as well as case openings and closures.
Results from an external evaluation conducted in summer 2016 indicated that participants significantly reduce total costs by 73% during program enrollment. Before program enrollment, participants average nearly $25,000 in costs. This cost reduces to just over $6,000 after the intervention. Participants additionally show a nonsignificant 2.3% increase after program enrollment.
Participants show significantly reduced emergency department visits by 77%, from nearly 18 visits per consumer to just over 4. After program completion, participants report an additional 48% decrease, down to an average of only 2 visits.
Participants also show clinically significant improvement based on average scores from two valid and reliable health surveys, the Patient Activation Measure-13 and the Veteran’s Rand 12-Item Health Survey.