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Successful Disease Management Programs Can Play Role in Health Care Reform
Date:6/8/2009

Eight-State Study Cost Savings Results

The study, conducted by CNS, evaluated eight representative state BPMs to determine behavioral pharmacy costs for Medicaid patients whose physicians received an educational mailing compared to costs for a similar group of patients who had not yet been a subject of a mailing. On average, the program helped states avoid almost $800 in behavioral health pharmaceutical costs each year, per patient, or a total of $94.5 million since the programs began for the eight states studied.(1)

"These data document that it is possible to improve the care of people with psychiatric illness in a cost-efficient manner. The treatment of mental illness has advanced remarkably in recent years, but those advances are generally only slowly translated into better clinical practice. The BPM puts evidence-based best practice guidelines into clinicians' hands on a fast track," said Jack Gorman, MD, SVP and chief scientific officer, CNS.

"The Behavioral Pharmacy Management Program is an excellent example of evidence-based interventions that increase access to quality mental health care while reducing costs. Community behavioral health providers across the nation are committed to replicating such science to service initiatives to provide outcomes that benefit individual patients," said Linda Rosenberg, MSW, president and CEO, National Council for Community Behavioral Healthcare.

Patient Care Improvement Results

In addition to saving Medicaid costs, the BPM has resulted in more than 2 million patient care improvements nationwide.(4) For example, an analysis of the first year of Missouri's BPM found a:(5)

  • 98 percent decrease in the number of patients who are prescribed the same mental health medications from multiple doctors;
  • 64 percent decrease in the number of patients who are on two or more mental health
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SOURCE Eli Lilly and Company
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