MAP Care Solutions

Contact us to: Request a Demo

Solutions for Substance Use Disorder


Overview


MAP Care Solutions is MAP's internal care management team that consists of primarily peer recovery advocates and counselors. Since 2011, MAP Care Solutions has engaged in over 300,000 post-acute telehealth sessions and collaborative, post-acute care. Over the course of the last six years of gathering data and following persons in recovery from addiction and/or Substance Use Disorder longitudinally, MAP’s clinical teams have identified several important factors such as family history of addiction and having a co-occurring behavioral health disorder, which aid in determining the potential risk of a use event, relapse, or return to active addiction. These factors are incorporated into the predictive risk analysis and long-term support model.

MAP Care Solutions engages members and their consents, including family members, to facilitate deployment of MAP Care Solutions Services (also known as Recovery Support Services). These services include adaptive engagement programs which entails dynamically administering a combination telephonic and video-based telehealth, remote monitoring devices (such as breathalyzers, anxiety monitoring patches, medication adherence devices) and other technologies to maximize engagement rates with members and their consents / family.


Desired Outcomes that MAP Care Solutions Delivers


Increase post-treatment engagement with members and consents to direct care in-network to reduce out of network costs

  • Expanded post-acute support and care management for members with chronic SUD that reduce downstream medical utilization costs, add value and differentiate your plans to healthcare consumers by providing longer-term recovery support
  • Ensure all members and/or applicable family and consents are receiving post-discharge recovery support
  • Ensure your full potential and volume of outcomes data is captured and reported on
  • Increase engagement rates and frequency with member’s post-discharge that enable you to stratify risk across its member populations to facilitate intervention / readmission when appropriate

Track and analyze outcomes data to improve treatment programs and facilitate the shift to value-based reimbursement

  • Capture standardized outcomes data on providers and programs that are instrumental in developing value-based reimbursement models for these services
  • Deliver advanced reporting and analytics capabilities to help refine care coordination and improve programs
    • Engage members and direct care in-network to reduce out of network costs
    • Long-term recovery support reduces the utilization of high-cost medical services

Where Does The Data Come From?


Members
Member reported data derived from post-aucte engagements via telehealth

Consents
Passive interview and validation of member inputs

Devices & Apps
Remote Breathalyzer, Med Adherence and Dispensation, Anxiety Monitors, Pharmacogenetics, Self-management apps

EMR/EHR Integrations
MAP's interoperable platform integrates with existing clinical workflows where appropriate to eliminate redundancy

Administrative Platforms
Eligibility for enrollment and cost data for ROI analysis, and census data for hospitalization

Services


Peer recovery support programs offered through MAP Care Solutions create better engagement, lower utilization of high cost services, and improve member experience. The goal is to ensure the member receives comprehensive and ongoing assessment, peer recovery support, subsequent care direction, and an actionable recovery plan to reduce the potential of relapse and promote the best quality of care and outcomes. The highlights of the peer support program are provided below:

  • Weekly, bi-weekly or monthly peer to peer recovery support sessions - ~30 minutes in length
  • Member maintains relationship with same peer over time
  • Peers uniquely trained to deliver services and collect outcomes data
  • Candidate selection criteria and referral model with Payer’s UM/CM/DM team
  • Peer recovery support engages family members and other consents
  • Periodic risk assessments for Substance Use Disorder and related co-occurring behavioral health disorders
  • Engagement channel and schedule for peer recovery support sessions based on assessment
  • Use of telehealth and remote monitoring technology to provide the peer recovery support services to the members
  • Facilitate care coordination of members to Primary Care Provider and Psychiatrists as directed by the assigned care managers of the member
  • Coordinate referral to higher levels of addiction treatment including the facilitation of single-case agreements when applicable as directed by the assigned care managers of the member

Members with co-occurring behavioral/mental health disorder(s) will be able to utilize MAP’s network of licensed Physicians with specialties in Child/Adolescent, Addiction Medicine, Geriatric Psychiatry or Licensed Clinical Psychologists (Ph.D. or Psy. D. level) for providing psychological testing. Network Physicians can also provide medication evaluation, medication management, assessment and counseling.

Therapy Services

  • 45 minute sessions
  • Adolescent Practices available
  • Patient seen weekly (dependent upon case acuity)
  • Nationwide Coverage
  • MA and Ph.D. Level Clinicians (Psychologists, LCSW, LMFT, LPC)
  • 24 Hour On-Call Clinician Backup
  • 7 days a week scheduling
  • Quality Oversight

Psychiatry services

  • Initial Evaluation 45 minutes in length
  • Medication Management 15 minutes in length
  • Program covers individuals ages 18 and older
  • 24 Hour On
  • Psychiatrists uniquely trained to deliver services via telehealth

Therapy Services

  • In-Clinic BH Specialists
  • Co-location model places BH providers "virtually" within clinic
  • Psychiatry and therapy services pro Clinic sites can include: PCP Practices, Federally Qualified Healthcare Centers, Community Mental Health Centers, Skilled Nursing Facilities Guided Medication Management for EPCS with PCPs as prescribers
  • Onsite Clinic Staff can schedule appointments online
  • Utilize PHQ-9 and GAD-7 Assessments