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Cartesian Solutions, Inc.™
...health complexity and integrated care specialists...
 ...management consulting, which reverses barriers to clinical improvement and high health costs in those with health complexity by breaking down silos through integrated physical health (PH) and mental health/substance use disorder (MH/SUD) solutions...
The Venn diagram below illustrates the little recognized fact that 90% of MH/SUDs are seen in the PH sector. Importantly, in the current healthcare environment, virtually all MH/SUD resources are targeted to assist the ten percent seen in the MH/SUD sector (the blue sliver) in an artificially designed and independently managed behavioral health system. MH/SUDs for patients seen in the PH sector are either not treated (70%) or ineffectively treated by non-MH/SUD practitioners (87% of the 30% treated). This results in doubling of total health care costs, the majority of which are for PH services. The evidence now documents that these excess costs can be significantly decreased through the development of value-added integrated PH and MH/SUD services. Such services, however, are not financially viable, nor even clinically possible, in today's segregated PH and MH/SUD reimbursement system without creative administrative workarounds.
It is no longer acceptable from a health and cost perspective to perpetuate independent, and to a large degree segregated, PH and MH/SUD assessment and treatment. Projected estimates suggest that to do so, would lead to a net system-wide excess in costs for complex patients with MH/SUDs of trillions of dollars during the next decade (see Table below). In order to reverse even a portion of this anticipated health system loss, it will require the adoption of business practices in which MH/SUDs become incorporated as a basic component of PH at each level of the health industry. Cartesian Solutions, Inc.™ has assembled a consortium of consultants capable of assisting with health complexity identification and the implementation of clinical and business practices that lead to PH and MH/SUD integration. Importantly, Cartesian Solutions, Inc.™ experts work with hospitals and clinics, fund distributors (health plans, government programs), health management organizations and vendors, and purchasers of health care (employers, government agencies) since the transition to complexity identification and the integration of PH and MH/SUD health services requires parallel change among each of these constituencies, most effectively in synchronization.
During 10 years of consulting, Cartesian Solutions, Inc.™ has assisted numerous hospitals
and clinics, general medical health plans, healthcare
purchasers, and health management organizations and vendors.
Each year, the client base has increased and now includes international companies and/or organizations, which recognize the value that the integration
of PH and MH/SUD brings to complex, high cost patients and
to the health system. It's forward thinking
clients use Cartesian Solutions, Inc.™ services to differentiate their products
through the initiation of integrated
care techniques,
the Next Generation of Health Care, starting in patients with health complexity. Cartesian Solutions,
Inc.™ customizes its
consultations to address
specific client needs by providing a broad-based perspective
on options for improvement/change while maintaining a
pulse on the operational components
needed to make the integrated approach to complex and non-complex patient care
and/or care support work in a financially advantageous
environment.
Cartesian Solutions, Inc.™ recognizes that the implementation
of integrated programs requires infrastructure support
as changes are operationalised. For this reason, it also
consults to organizations, research groups, and other industry leaders, which are developing products that support the implementation of integrated PH and MH/SUD services.
Finally, transition from "dis-integrated" to "integrated" care (see
below) requires personnel reculturation
and staff education in the skills needed to consistently
alter outcomes in some of the most complex patients and
costly utilizers of health care services. To assist with
this transition, Cartesian Solutions, Inc.™ offers lectures,
seminars, and workshops designed to initiate and/or facilitate
rapid transition to improved
care for patients, clients, members, or employees through
the implementation of integrated care practices. In addition, it has partnered with the Case Management Society of America (CMSA) and the INTERMED Foundation in the development of a training program for integrated health management, which is now available through CMSA's website.
Cartesian
Solutions, Inc.™
Transition Specialists
from "Dis-Integrated"
to "Integrated" Health Care
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Frequently Asked Questions
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