Through our disease management program, Case Managers use predictive modeling to proactively identify patients with documented or suspected diagnoses of high-risk behavioral health and co-morbid diseases.  Our disease management program improves the efficiency of treatment for behavioral health issues by working to correct issues before they escalate. Through disease management, symptoms are reduced and member functioning is enhanced. Our disease management program is designed to increase the medical community's awareness of certain diseases, educate consumers on symptoms and self-managed care, teach consumers how to change unhealthy behavior, support provider treatment plans and stratify consumers for intensity of services based upon risk assessment.

MHNet has programs targeted towards consumers with anxiety disorders, children with ADHD and adolescent children of parents with major depression. Additionally, we routinely collaborate with state programs to provide a behavioral health complement to their preventive health or disease management programs that address high-risk and high-cost medical diagnoses. Each program is selected based upon the consumer population's high-volume diagnoses, demographics and risk characteristics.  Our preventive health programs identify potential problems through predictive modeling, manage high-acuity consumers before healthcare utilization escalates, coordinate with health plans to reduce medical costs and encourage the use of psychotherapy in coordination with medication management.

Each consumer acessing care receives case management. Case Managers supervise consumer compliance with recommended treatment plans, monitor consumer progress and contact consumers directly to make sure they are receiving treatment that will lead to superior clinical outcomes.

MHNet also employs Intensive Case Management for consumers with concurrent medical and behavioral problems, consumers with chronic and severe behavioral health conditions and consumers who require supplemental services or have complicating factors that would result in further deterioration in the severity of the illness without intensive intervention.  MHNet's case management provides access to specialty programs and resources, coordinates treatment between providers, ensures monthly reviews are done with a medical doctor, and reduces barriers through frequent consumer contact while monitoring and encouraging treatment.

MHNet's Quality Improvement Program is comprehensive and encompasses all aspects of the organization.  We conduct continual monitoring of quality care and tailor improvement activities to meet the specific needs of each public program.  Strong actions and evidence-based interventions are used to improve clinical outcomes.  MHNet ensures all performance indicators are developed, measured, and managed with the same degree of rigor. Sound statistical and organizational methodology for all of our performance measures and improvement activities guarantee MHNet's best practices provide you and your consumers with the highest level of quality service.

As medication costs continue to increase, health care providers must institute reforms that address this issue while also enhancing patient safety.  MHNet’s PsychR_x program meets this growing need by offering a systematic analysis of prescription data, diagnosis codes, and provider types geared towards identifying prescription patterns not in line with best practices.  The program offers targeted interventions designed to meet the needs of providers, patients and health care organizations. PsychR_x aggressively addresses these problems by examining the root causes of increasing drug costs and developing practical solutions.  We apply our proprietary algorithms to pharmacy data to identify and address costly prescription issues such as poly-pharmacy and over-utilization.