top of page

Collaborative Care Management

MDTel Health’s collaborative care management integrates physical and behavioral healthcare in the primary care setting, empowering PCPs with technology and clinical support to identify and address low to moderate BH conditions before they escalate.

Solution Features:

Imagine a cloud-based platform that acts as the central hub for managing behavioral health in primary care settings. This is the reality with our solution, where a patient registry seamlessly integrates with existing electronic health records and workflows. Enroll members electronically and foster real-time collaboration among care teams.


MDTel's licensed care managers are your dedicated partners in member success. They provide monthly, direct support via brief, evidence-based interventions and resource identification. This personalized approach works in tandem with PCPs and psychiatric consultants to develop comprehensive care plans for each member.


Expert psychiatric consultants review cases within the registry, offering valuable diagnostic and treatment recommendations. Your team is always empowered with the best insights.


Empowering Members through Technology:


Members gain their own powerful tool in the form of a dedicated app focused on building skills for improved mental health. Validated assessments for initial screening and regular check-ins provide valuable data and insights.


More than just assessments, the app offers a space for patient journals and activities, which connect seamlessly to the registry for remote monitoring and risk stratification. This proactive approach allows for early intervention and personalized adjustments to care plans.


And the support doesn't stop there. Even after graduating from the program, members continue to receive ongoing support to maintain progress and ensure long-term success.


Data-Driven Insights for Better Outcomes:


Advanced analytics proactively identify potential enrollees, flag escalating risk, and enable attribution. This empowers you to optimize your resources and target interventions where they can make the most significant impact.


Health Plan Benefits:

  • Boost behavioral health condition identification through remote, automated assessments.

  • Witness improvements in both behavioral and physical health clinical measures.

  • Decrease unnecessary emergency department utilization, saving time and resources.

  • Optimize medication usage and adherence for better treatment outcomes.

  • Increase adherence to treatment plans for long-term success.

  • Elevate member and provider satisfaction with a coordinated approach.

  • Reduce long-term health complications and associated costs.


Member Benefits:

  • Receive convenient BH screening and treatment right in your primary care setting.

  • Get directed to the most appropriate level of care for your specific needs.

  • Feel confident that all your health concerns are being addressed holistically.

  • Experience improved satisfaction with your providers and health plan.

  • Enjoy seamless care coordination between physical and behavioral health services.

  • Benefit from a personalized treatment plan tailored to your unique needs.


Provider Benefits:

  • Easily screen for and manage BH issues with confidence and streamlined workflows.

  • Receive comprehensive training and support from care managers and psychiatric consultants.

  • Dedicate more time to meaningful patient interactions and interventions.

  • Increase practice efficiency and effectiveness through coordinated care.

  • Witness improvements in both behavioral and physical health clinical metrics.

  • Boost adherence to treatment plans and medication regimens.

  • Expand revenue opportunities through optimized care delivery.

System Integrations:


Our chronic care management seamlessly integrates with a wide range of existing systems, ensuring a holistic view of each patient's needs. This includes:

  • Demographic Information

  • Health Risk Assessments

  • Biometric Screening Data

  • Gaps in Care

  • Service Authorization Data and Benefit Information

  • Event Notifications (e.g., ED high utilizer alerts)

  • Medical/Pharmacy Claims Data

  • Person-Centered Care Plans

  • Prior Authorizations

  • Pre-certifications

  • Discharge Information

  • Transitional Service Review

By leveraging existing data and workflows, our solution empowers you to deliver coordinated, high-quality care to every member with greater efficiency and effectiveness.

bottom of page