Complex Care Management is a multifaceted solution that reduces pharmacy costs and increases quality of care for members. The program is a plan-specific quality initiative based on evidenced-based medicine that focuses on educating health plan providers about the optimal use of behavioral health medications for health plan members via mailings and face-to-face detailing visits by clinical pharmacists.

Benefits: Identifies ... Addresses ... Improves:

• Inappropriate prescribing behavior
• Lack of coordination of care among providers
• Incorrect use of specific Behavioral Health medications
• Physician practice patterns
• Patient care plans

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