Serious Mental Illness (SMI)

People with Serious Mental Illness make up one of the most complex, costly cohorts of the publicly funded healthcare system; our data has shown that SMI members spend 129% more days in the hospital than the general Medicaid population. Magellan Complete Care has a proven solution that addresses the unique challenges of people with SMI.

Magellan Complete Care Solution for SMI

Creating critical access to healthcare services during a time of provider shortages
  • Comprehensive community networks
  • Provider support specialists who offer technical assistance to providers
  • Health guides to support individuals’ transition of care
Coordinating care across fragmented healthcare services
  • Integrated care teams
  • Whole-person approach, connecting behavioral, physical, pharmacy and social needs
  • Model of Care customized for individuals living with SMI
Reducing high-cost hospitalizations and readmissions
  • Proactive care coordination interventions
  • Strategic staffing, such as in a hospitalist or field-based case manager, to meet members where they are, facilitate communication among providers and support member before and after discharge
Creating environments that support care plan and medication adherence
  • Embedded community outreach specialists
  • Mobile crisis teams
  • Housing for members experiencing chronic homelessness
  • Certified Peer Support Specialists

Magellan Complete Care’s unmatched experience and unique approach addresses the high costs of SMI care with impressive results

16% reduction in inpatient visits over 12 months
$2,700 average medical cost savings per member per month in our housing placement program
Compared to D-SNP plans, 18% shorter average length of stay and over 50% fewer prescriptions per member per year