Realigning Clinical and Economic Incentives to Support Depression Management Within a Medicaid Population: The Colorado Access Experience

  • Marshall R. Thomas
  • Jeanette A. Waxmonsky
  • Gretchen Flanders McGinnis
  • Colleen L. Barry

DOI: 10.1007/s10488-005-4229-z

Cite this article as:
Thomas, M.R., Waxmonsky, J.A., McGinnis, G.F. et al. Adm Policy Ment Health (2006) 33: 26. doi:10.1007/s10488-005-4229-z


The authors describe their experiences in developing an economically sustainable depression care management program within Colorado Access, a non-profit Medicaid health plan. They describe high rates of mental health issues, medical comorbidities, and psychosocial barriers to care within the plan’s Medicaid population. They discuss how the company redirected resources to incorporate depression care management into an intensive care management program focused on high-cost members with multiple chronic medical conditions. This strategy allowed Colorado Access to cost effectively care manage a targeted group of high-cost Medicaid recipients across multiple primary care physician (PCP) practices without requiring changes in provider workflow.


business case care management chronic diseases depression health plan medicaid 

Copyright information

© Springer Science+Business Media, Inc. 2005

Authors and Affiliations

  • Marshall R. Thomas
    • 1
  • Jeanette A. Waxmonsky
    • 2
  • Gretchen Flanders McGinnis
    • 3
  • Colleen L. Barry
    • 4
  1. 1.Department of PsychiatryUniversity of Colorado Health Science CenterCenter Colorado Access in DenverUSA
  2. 2.Department of Psychiatry and also the Grants Project ManagerUniversity of Colorado Health Science CenterColorado AccessUSA
  3. 3.Director of Decision SupportColorado Access in DenverUSA
  4. 4.Department of Epidemiology and Public HealthYale University School of MedicineNew HavenUSA
  5. 5.University of Colorado Health Science CenterDenverUSA

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