192570 Integrated disease, case, and depression management for those with Medicare supplement coverage

Monday, November 9, 2009

Kamisha Hamilton Escoto, PhD , Ingenix Consulting, Ingenix, Eden Prairie, MN
Ronald J. Ozminkowski, PhD , Health Care Innovation and Information, Ingenix, Ann Arbor, MI
Kevin Hawkins, PhD , Ingenix, Brooklyn, MI
Cynthia E. Hommer, MSW, LICSW , UnitedHealth Group Alliances, Minneapolis, MN
Cynthia Barnowski, RN, MBA , UnitedHealth Group Alliances, Minnetonka, MN
Richard Migliori, MD , UnitedHealth Group Alliances, Minnetonka, MN
Jürgen Unützer, MD, MPH, MA , Psychiatry and Behavioral Sciences, University of Washington, Seattle, WA
Research Objective: To better understand depression among the elderly, highlight the need for depression management, discuss disease management programs for Medicare beneficiaries, and provide details about new initiatives being developed for those with Medicare Supplement (i.e., Medigap) coverage.

Study Design: The literature was reviewed to summarize and highlight major issues in diagnosing and treating depression in older adults. We discuss disease management programs available for Medicare beneficiaries, noting the lack of care management (and especially depression management) available for beneficiaries with supplement coverage. Finally, we describe a new integrated care management and depression program for those with Medigap coverage.

Population Studied: We conducted a literature search using PubMed, looking for peer-reviewed articles pertaining to disease management, care management, and depression in the elderly.

Principle Findings: Depression is a substantial and increasingly recognized public burden among older adults and is commonly present among those who also suffer from other serious chronic illnesses. While comprehensive depression management programs have been shown to improve outcomes in academic trials, systematic integration of depression management into clinical programs has not occurred widely for beneficiaries in Medicare with or without Medigap coverage.

Conclusion: The new integrated disease management, case management, and depression management program developed by UnitedHealth Group will address the critical needs of older Americans suffering from chronic illnesses and depression.

Learning Objectives:
Describe the first known effort to improve the health of Medigap patients via disease and care management.

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: Kevin R. Hawkins, Ph.D., Senior Director at Ingenix has over 20 years experience designing, conducting, and managing health services research. Dr. Hawkins has conducted a variety of research and evaluation projects, specifically health-economic, quality-of-life, disease burden, pharmacoeconomics and retrospective database analyses. Dr. Hawkins has authored over 40 peer-reviewed articles and presentations, and is a reviewer for several medical-scientific journals. Before joining Ingenix, Dr. Hawkins worked for IMS Health, Medstat, and Blue Cross Blue Shield of Michigan. Dr. Hawkins received his Ph.D. in Health Economics from Wayne State University
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.