Constrained Innovation in Managing Care for High-Risk Seniors in Medicare + Choice Risk Plans. 3. Depression


HMO Oregon has a program that entails raising primary care physicians’ awareness of depression. The program, which disseminates instruments to measure depression and issues practice guidelines, was initiated because there is extensive evidence in the literature that primary care physicians often overlook subclinical depression and frequently have difficulty with appropriate pharmacologic management of the condition. For enrollees with prescription drug coverage, physicians are provided lists of patients on their respective panels for whom claims for antidepression drugs have been received. Such lists are particularly helpful for ensuring that a senior’s primary care physician is aware of any medications prescribed by other physicians.

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