:: Government Health Plans

Over the last ten years, Health Integrated has focused on helping high-risk and high-cost health plan members achieve their maximum health potential. Because we understand the complexities of these individuals and most importantly, the interplay between medical health and psychosocial well-being, we deliver programs and services that improve clinical, quality, and financial results.

Medicare / Medicaid

Medicare and Medicaid plan members bring demanding health profiles that require higher-cost health services, often unnecessarily. These members also face unique psychological, social and economic challenges. In order to help Medicare/Medicaid patients be as healthy as possible, Synergy Targeted Population Management™ addresses the unique characteristics of these populations, particularly the impact of psychological well-being and social support on physical health.

Synergy is flexible and customizable. Typically, we deliver Synergy in concert with your existing case and disease management programs. Synergy can also provide a more intensive level of engagement such as geographically located outreach coordinators suitable for select populations.

With individualized attention, Synergy stabilizes psychological issues, educates, and motivates members toward lasting health improvement. Synergy’s personal Care Coaching is essential to helping individuals understand and adhere to their evidenced-based care plans. Synergy also continually monitors and intervenes on behalf of members, which reduces incidents of deterioration and decompensation.

Veterans Affairs / Department of Defense

Active military and veteran populations are particularly challenging because of the diversity of needs. Older veterans frequently have multiple chronic conditions and co-morbid psychosocial conditions, either diagnosed or undiagnosed. Younger active military or veterans may have psychosocial issues such as PTSD, anxiety or substance use disorders, which can insidiously aggravate chronic medical conditions and overall health status. Our Synergy Targeted Population Management™ is designed to emphasize self-efficacy through our integrated biopsychosocial approach, continual engagement, and customized support.

Synergy’s direct-to-consumer engagement model includes mail, telephonic, and web-based communications along with local outreach for select populations. This allows individuals who may be reluctant or geographically unable to access traditional veterans or military health facilities to obtain personalized support. Synergy also pairs a highly credentialed and dedicated personal Care Coach with all individuals in the program. Synergy Care Coaches work with individuals to stabilize co-morbid psychological issues, set goals, educate and provide motivation along the continuum of care. As a result, we see decreased utilization and better adherence to evidenced-based care plans. Synergy also ensures long-term results by continually monitoring individuals and intervening at any point to achieve and sustain optimal health.

Synthesis Health Management Services™ (Synthesis) leverages our extensive medical and behavioral health expertise to drive better clinical outcomes and reduce claims costs. Our comprehensive Synthesis offering includes: Behavioral Health Integration®, Case Management, Utilization Management, Physician Review Services and Nurse Advice/Triage. Any part of Synthesis can be customized to your specific requirements, combined with our Synergy program, or fully integrated into your plan.

To learn more about how Health Integrated can help your organization, contact us at marketing@healthintegrated.com or 1.800.323.0286.


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