Name
Rebuilding Stronger Collaborative Care Models in Medicare Advantage Practices to Achieve the Quintuple Aim of Healthcare
Description

In a time when behavioral health is urgently needed but challenging to sustain financially, this session will examine the transformation of a behavioral health department from traditional, co-located care—which was not meeting the organizational goals—into a collaborative care model (CoCM) that clearly demonstrates how behavioral health contributes to improved patient outcomes, improved satisfaction, and cost reductions. Whenever such shifts occur, it is essential to assess the needs of the population served and secure buy-in from both administration and providers. This process involves working together to develop a shared vision for what can be accomplished collectively, fostering cultural change, and building strong teams. Finally, the effectiveness of the new approach must be evaluated by collecting data that shows the program is meeting its objectives. We will look at practical steps to rebuild a stronger collaborative program or plan for implementation of a new program and ways to collect the data needed to show impact and value based on the quintuple aim of healthcare.

Speakers
Sheila Thomas, M.D.
Content Level
Intermediate
Tags
Collaborative Care Model of Integrated Care, Complex Patient Care, Financing and Operational Sustainability
Session Type
Concurrent
Objective 1
Summarize the advantages of a CoCM in Medicare Advantage Practices to achieve the Quintuple Aim
Objective 2
Identify challenges to change
Objective 3
Create strategies to meet challenges and to collect data to demonstrate value and sustainability of the program
Content Reference 1

Davidson, A. R., Kelly, J., Ball, L., Morgan, M., & Reidlinger, D. P. (2022). What do patients experience? Interprofessional collaborative practice for chronic conditions in primary care: an integrative review. BMC Primary Care, 23(1), 8.

Content Reference 2

Ahmed, M. F., Jaman, A., Barman, M., Iloanusi, C., Muna, M. K., & Arefine, R. (2024). Advancing patient outcomes through collaborative care: A narrative review of evidence from integrated behavioral healthcare. Europasian Journal of Medical Sciences, 6.

Content Reference 3

Pelishek, T. M., & Panzer, M. J. (2025). Collaborative care reduces stress and increases job satisfaction and comfort prescribing for primary care providers. WMJ: Official Publication of the State Medical Society of Wisconsin, 124(4), 364-367.

Content Reference 4

Sadikan, M. Z., & Ariffin, I. A. (2024). Breaking barriers, building bridges: A review of interprofessional collaboration in medical education. International Journal of Transformative Health Professions Education, 2(1), 21-36.

Content Reference 5

McLaney, E., Morassaei, S., Hughes, L., Davies, R., Campbell, M., & Di Prospero, L. (2022, March). A framework for interprofessional team collaboration in a hospital setting: Advancing team competencies and behaviours. In Healthcare management forum (Vol. 35, No. 2, pp. 112-117). Sage CA: Los Angeles, CA: SAGE Publications.