For obsessive-compulsive disorder, the right diagnosis is often missed for years — 17, on average — and throughout that stretch the member remains the plan’s to cover. But diagnosis is only the first gap. Even with a full directory of behavioral health clinicians, a member with OCD may never reach one equipped to treat it.
Referred into general behavioral health, that member absorbs the mismatch. Getting them to the right care depends on a sequence of steps holding together: an assessment that identifies the condition, a successful handoff and a partner equipped to deliver evidence-based treatment.
This session walks through that sequence — how a digital front door and structured assessments identify what a member is actually facing and route them to matched care, for members age 5 and up. Presenters will also share early outcomes data on level of care and emergency department utilization, with a preview of a larger study now underway.
In this session, attendees will learn:
- Where members are lost between first symptoms and evidence-based care, well beyond the referral
- How structured assessments route members across OCD, hoarding disorder and related presentations
- Early findings on level of care and emergency department utilization, and what the next study examines
- What drives member engagement with behavioral health benefits already in place