10/29/2021
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Posted by Provider Relations
Fidelis Care recognizes that effective working relationships between providers and other treatment partners is an evidence-based practice, and thus will result in improved member health outcomes plus improved continuity and coordination of care, increased quality, efficiency and effectiveness of services, and increased member satisfaction. All collaboration efforts should be documented in the member’s medical record.
Why Collaboration with Primary Care Physicians (PCPs) is Necessary:
Behavioral Health practitioners
Persons with mental illness die on average 25 years sooner than the average population. Members may remain untreated or under-treated if PCPs do not recognize members at risk for or with active mental or addictive disorders. Physical symptoms or general medical co-morbidity complicates most behavioral conditions. Psychotropic medications may interact adversely with other medications or cause physical side effects. Medical laboratory or physical examinations may be necessary for members on psychotropic medications. The PCP may prescribe psychotropic medications themselves. In addition to mitigating the physical health risks associated with mental illness, promoting healthy behaviors requires close collaboration and coordination with PCPs and other health professionals for member safety and optimal quality of care.
Medical Specialty practitioners
Specialty healthcare providers should also work with the member's PCP for the exchange of clinical information. Communication between them may aid in diagnosis and/or treatment. Primary Care Provider support for a specialist’s treatment plan can enhance member satisfaction and compliance. This is true when there are medical co-morbidities, potential medication interactions and even when the patient’s needs seem to be for an isolated or straightforward condition.
Fidelis Care appreciates the partnership of our health care providers.