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Implementing case management for individuals involved with the justice system

For more than 40 years, case management techniques have proven effective at meeting health plan members’ complex behavioral health needs. Still, today, when it comes to case management services, individuals coming out of correctional facilities remain underserved. Many community-based health plans fail to recognize that these individuals require at least the same intensity of case management services they would need as someone who is discharged from a psychiatric hospital or detox facility.

Give everyone a compass and teach them to use it

Developing mission, vision, and values statements are how an organization declares “who we are, what we’re about, and how we’re going to accomplish our goals together.” These are intended to be living documents that guide not only long-term planning but daily actions and decision making. Creating these statements is an essential step of strategic planning—but only the first step in how an organization sets its destination and achieves its goals.

Evidence-Based Family Therapies Improve Youth’s Lives

In this time of disruption and economic stress brought on by COVID-19, keeping families safe, healthy, and intact is more important than ever. Catherine Geary, MPH, senior policy analyst, Health Law and Policy discusses the benefits of family-oriented healthcare and therapy in improving a family’s communication and relationships.

Budget Impact Forecasts for Novel Drugs informs Utilization Management Strategies

Pharmaceutical breakthroughs offer the promise of life-changing treatment for many patients. When payers evaluate how to add new drugs to their formularies, they must have clear insight into how many of their members are likely to benefit and at what cost. Commonwealth Medicine clinical pharmacists provide expert curation of pipeline intelligence, clinical trial analysis, and claims-based data analytics to predict the impact of new drug treatments on specific populations.

Process Improvement and Operational Design Strategy

ACOs and CBOs: Don’t get lost in the gap! Process improvement expert Jessica Carpenter explains how the gap between your organization’s policies and everyday practices is where efficiency and compliance can fall or become lost. Read Jessica’s blog to learn the three key steps to achieve process improvement and deliver better results on a more consistent basis.

Women’s health must be a criminal justice concern

One of the most compelling arguments for improvements to healthcare for individuals who are incarcerated is the fact that “[a]t least 95% of all state prisoners will be released…”1 Further, pursuant to a 2014 study by the Sentencing Project, more than 215,332 women and girls are now incarcerated in the U.S.2  This figure represents both a … Read more