Condition Care Management: Obesity
Obesity and obesity-related co-morbid conditions have a profound impact on quality of life, on the cost of health care, and on the cost of doing business.
Magellan has 30 years of experience in successfully managing the treatment of the full scope of behavioral health issues, including addictive behaviors and eating disorders. We are now applying that experience to the serious epidemic of obesity to improve our members’ health and reduce costs for our customers.
Magellan Condition Care Management: Obesity uses a unique four-tier program to provide a complete suite of tools for successful weight management matched to the degree of support needed by the individual.
By combining clinical compassion and expertise with best-practice business models, Magellan Condition Care Management: Obesity helps members lose weight and helps health plans and employers manage the skyrocketing costs and clinical impact of obesity and bariatric surgery.
Spend Five Minutes with Magellan to learn more about the obesity epidemic and Magellan’s solution for controlling the costs associated with obesity.
Tier One: Web Entry and Resources
On MagellanHealth.com, animated coaches engage members and guide them though a host of weight management resources and screening tools aimed at assessing their needs and providing individualized and interactive nutrition and exercise programs.
Members who will benefit from the second and third tiers of intervention are identified through these animated coaches and screening tools. Magellan uses statistically based criteria and works with our customers to establish “thresholds for participation” that meet the financial, clinical and philosophical needs of the plan, allowing us to move only the most appropriate members from the Web to the more intensive components of the program.
Tier Two: Telephone Consultation
Members are assigned a dedicated coach who will work with the member, one-on-one, to provide education, tools and guidance to help members build the skills necessary to achieve their goals and make long-lasting behavior changes.
Our program offers a range of call models to maximize education, feedback, support and encouragement for the member. Magellan provides guidance on using the Web site more effectively, identifies community-based programs, and focuses on behavioral change techniques.
Tier Three: Network Support
Magellan has developed a network of thousands of psychiatrists, psychologists and social workers nationwide who have the requisite training or experience for inclusion in this program. These experts offer intensive behavior modification therapy and tailored exercise and nutrition counseling.
In consultation with independent industry experts, Magellan has structured a training program for this specialty network to assist providers in working with member self-assessments and clinician-directed tools that focus on medical issues, weight, diet, nutrition and eating behaviors. This tier also emphasizes the importance of understanding the risks, benefits and lifelong implications of bariatric surgery.
Tier Four: Bariatric Surgery Support
Designed for members who have met the criteria for and asked to have bariatric surgery, this intensive assessment and management program helps ensure that only those candidates who are medically cleared, fully informed and emotionally ready to undergo this life-changing procedure are recommended.
Magellan then supports these members through the surgical period and in the post- operative phase via telephonic coaching, network visits and group therapy. Our program spreads out these elements during post-op to support the members when they need it most.
Download our brochure on Magellan Condition Care Management: Obesity (370 KB PDF)
Please note that all Magellan products and services, including Magellan Condition Care Management: Obesity are sold to employers or health plans, not directly to individuals. If you have questions about how to lose weight or maintain a healthy weight, please contact your primary care physician for assistance.