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Case Study

Behavioral Health navigation reduces medical cost trend by 176%

By April 29, 2021July 20th, 2021No Comments

A regional health plan wanted to show the value of its behavioral health interventions to employers who pay more for a program to guide members to lower cost settings, such as from an inpatient hospitalization to a residential treatment center or an intensive outpatient program. The plan also sought to lower behavioral health costs.​​

The plan chose Softheon Technologies to independently analyze the behavioral health program. The behavioral health evaluation was a critical part of a larger initiative to determine the effectiveness of more than 50 clinical initiatives, identify cost-savings opportunities, and reverse its medical cost trend, which had increased 55 percent in the past decade.