Missouri Sees $7.7 Million in Mental Health Services Savings
December 09 2004 - 10:00AM
PR Newswire (US)
Missouri Sees $7.7 Million in Mental Health Services Savings Novel
Program Gives Patients Better Care While Cutting Inefficiencies
JEFFERSON CITY, Mo., Dec. 9 /PRNewswire-FirstCall/ -- An innovative
program to increase the quality of care that Missouri residents
with severe mental illnesses receive while encouraging more
efficient use of Medicaid dollars appears to have achieved both its
goals, a recent analysis shows. The Missouri Mental Health Medicaid
Pharmacy Partnership Program (MHMPP), the first program of its kind
in the United States, evaluates Medicaid mental health prescribing
practices. The program seeks to improve care for Missouri residents
by educating doctors about evidence-based best practices for mental
health medications and reducing inefficient and ineffective
prescribing patterns. "Not only did the MHMPP program positively
affect the quality of care received by Missourians suffering from
severe mental illness, it also allowed Missouri to save $7.7
million in costs the Medicaid program would have incurred in state
fiscal year 2004 had the inefficient prescribing patterns not been
identified," said Joseph Parks, M.D., medical director of the
Department of Mental Health. "We were pleased to see that most
Missouri doctors are following the recommended guidelines when
prescribing medications. We have identified the small number of
doctors who aren't and are reaching them with educational materials
to help change their prescribing habits. These changes have
resulted in better patient care and savings for our Medicaid
program," said Parks. Some of the inefficient prescribing patterns
the program identifies include: duplicative prescribing of
medication by different doctors for the same patient; prescribing
multiple medications from the same therapeutic class; children on
three or more psychotropic medications; and premature, rapid
switching from one medication to another. After reviewing,
identifying and analyzing problematic prescribing patterns, the
program provides doctors deviating from best practices with
information to help them make patient care decisions based on the
latest medical evidence. The MHMPP program is entirely voluntary
for Missouri doctors. All decisions regarding treatment and
medications are made privately between the physician and the
patient and are completely individualized. An analysis from the
program's first year shows: * 98 percent reduction of patients who
are prescribed the same mental health medications from multiple
doctors; * 64 percent reduction of patients who are on two or more
mental health medications of the same type; * 43 percent reduction
of children on three or more psychotropic medications; and * 40
percent reduction of patients receiving an unusually high dosage of
medication. The MHMPP was developed by the Missouri Department of
Mental Health and Missouri Department of Social Services, Division
of Medical Services, in collaboration with Comprehensive
NeuroScience, Inc. Eli Lilly and Company, an Indianapolis-based
pharmaceutical company, has been providing financial support for
this program in an effort to promote excellence in patient health
care. "The program is a model of cooperation among state agencies.
It represents a collaboration of the clinical resources of our
staffs, the industry and our providers. Most importantly, it
assures our most vulnerable citizens the greatest access to best
medical practices and current therapies, while being sensitive to
our limited resources," said Christine Rackers, director of the
Missouri Department of Social Services, Division of Medical
Services. The program also has proven to be popular outside of
Missouri. Fifteen other states have signed contracts to develop
similar programs, buoyed by the increasing awareness that mental
health is integral to physical health. This project demonstrates
two traits other states are eager to copy: * That management of
mental health drugs should be based on nationally recognized
standards and guidelines, as well as individual patient needs, to
ensure the highest quality care; and * That Medicaid dollars for
mental health drugs can be wisely managed by focusing directly on
the quality of prescribing practices. "We fully support
cost-effective programs like this that focus on improving patient
care while encouraging more efficient use of taxpayer dollars,"
said Jack Bailey, Lilly vice president, Business to Business. "We
believe a significant opportunity exists within the Medicaid system
to reduce costs by improving the quality of care and patient
outcomes, and we applaud Missouri's leadership and innovation with
this project." For more information on this project, visit the DMH
Web site at http://www.dmh.missouri.gov/index.htm and DMS at
http://www.dss.state.mo.us/dms . O-LLY (Logo:
http://www.newscom.com/cgi-bin/prnh/20041209/DMHLOGO )
http://www.newscom.com/cgi-bin/prnh/20041209/DMHLOGO DATASOURCE:
Missouri Department of Mental Health CONTACT: Janice Chavers of Eli
Lilly and Company, +1-317-651-6253,
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