We believe in clinical excellence, innovation, and a relentless commitment to the most scientifically advanced health care solutions. We are a pioneer in the development of advancements that dramatically improves the clinical impact and delivery of behavioral health services. This legacy continues today with our "total health and productivity" approach to care.

"Total health and productivity" has redefined the role behavioral health plays in health care today. It allows us to optimize the impact of our industry-leading behavioral programs by making them integrated components across the entire continuum of care, regardless of which medical and pharmacy provider organizations our clients and members work with. The results of this coordination-of-care approach are profound:

• Increased access to services without driving up cost
• Improved clinical and financial outcomes for co-morbid conditions
• Increased treatment compliance
• Reduction of unsafe and costly drug prescribing errors
• Reduction of disability claims
• Reduction of workplace absenteeism and presenteeism
• Informed consumer choice

Care Advocacy
We focus resources where they make the greatest impact for each member. Risk identification, early intervention, targeted condition-specific programs, integrated therapies, and monitored practitioner performance are effectively orchestrated to enhance clinical results and boost member productivity. Simply stated, your members receive the right care at the right time in the right place from the best practitioners.

• Dramatically reduce costly clinical errors
• Refer members to practitioners who achieve the best clinical outcomes
• Identify the over- and under-utilization of outpatient and inpatient care
• Identify undetected clinical risks such as depression and substance abuse
• Quantifiably measure the effectiveness of therapy
• Measure the clinical and financial impact of medical co-morbidities
• Measure member well-being and workplace absence and productivity

Our specialized care advocacy programs support your highest clinical risk members for the most intensive and costliest behavioral health services. Our care advocacy models are uniquely tiered to ensure that members with acute, chronic, or severe mental illness, as well as those with serious medical co-morbidities, receive evidence-based treatments and targeted interventions to improve clinical outcomes and decrease the cost of care. The result of this approach contributes to a decrease in inpatient/residential care admissions and number of days.

• Intensive Clinical Monitoring
• Inpatient Follow-up Program
• High-Risk Inpatient Follow-up
• Standard Inpatient Follow-up

Brain Health Strategies = A New Frontier
A clinical assessment and management approach to understand and consider the complex relationship between “brain health performance” and effective evidenced-based treatments for behavioral and medical conditions. Understanding the unique, specific variables that define a person’s brain health status is critical to providing truly personalized, holistic medicine. Brain Health = Its optimal performance - how it functions cognitively, emotionally, behaviorally and biologically to achieve a desired quality of life.  We are beginning the next generation of personalized data-driven behavioral medicine with tools to improve identification of emotional health (via the science of the brain, powered by Brain Resource) and refer members to the appropriate interventions at the right time

We are the ONLY national managed care organization to bring together all the necessary clinical management expertise and technology to make this possible. This capability is embedded in our LifeSolutions and EAP offerings.

LifeSolutions-Behavioral/Medical Integration
LifeSolutions is designed to measurably boost member productivity while helping to lower medical costs and reduce disability claims. We work hand-in-hand with your medical and specialty health vendors to actively target at-risk members with undetected co-morbid behavioral health issues like using scientifically-validated clinical predictive models and member-centered outcomes measurement tools.

LifeSolutions leverages our full range of services including behavioral health benefits, employee assistance programs, work/life services and disability management. This powerful approach has been shown to have a positive impact on up to 25% of overall health care costs. Our dedicated team of highly trained clinical experts ensures that LifeSolutions addresses the specific care needs of your population, helping your organization realize significant cost savings.

Our clinical integration experts and care advocacy team will:

• Work with you to analyze your care structure and costs, and identify opportunities for improvement
• Jointly develop a coordination plan for your other health care partners – which includes defining cross-organizational communication and workflows, training, and clinically validated assessment tools – to ensure that behavioral health screening and referral processes are standardized
• Coordinate care with PCPs and behavioral health clinicians to meet the needs of members with behavioral health conditions who are receiving treatment in primary care
• Work with our expert disability coordinators to help members who have either a psychiatric disability, or a medical disability with co-morbid behavioral conditions that are hampering recovery
• Track the progress of each member in the program, sharing results with all practitioners involved in that person’s care

Employee & Member Assistance Programs      
When your members perform at their peak level, your organization is positioned to succeed. But when personal issues and crises interfere with your member’s concentration, attendance and motivation, it can mean reduced productivity, undermined workplace morale and inflated health care costs.

Our Employee Assistance Programs (EAP) and Member Assistance Programs (MAP) are designed to help mitigate these common problems and stressors. Our programs and services go beyond other programs in demonstrating a positive impact on workplace productivity and your organization’s bottom line.

• Measures Productivity: Since services are powered by our revolutionary outcomes-driven system of care, we can take the unprecedented step of measuring productivity gains for your member population.
• Solution-Focused Approach: When members in distress call their EAP, they tend to be consumed—even overwhelmed—by their problems. Our Employee Assistance Specialists are trained to use Solution-Focused Consultation techniques to help callers focus on their resources, rather than just their problems. They also help the member to develop an action plan by helping to clarify goals, identify resources, and lay out initial steps.
• Enhanced Access to Care: Your members can access our full-range of behavioral programs by making one toll-free phone call. Whether it’s a simple question about benefits options or a serious mental health issue, our counselors are trained to match caller needs with appropriate resources.
• To encourage utilization, we also use alternative modes of care, such as our next generation Online Cognitive Behavioral Therapy (CBT) and Telephonic Coaching programs.