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Showing posts from February, 2015

A Day in the Life of a Managed Medicaid Behavioral Health Behavioral Health Medical Director

By Dr. Sosunmolu Shoyinka Begin with the end in mind.... The 2nd of the habits propounded by Stephen R. Covey. I start my day by mentally reviewing my overarching goals. In formulating the objectives that underlie my activities in this role, I have drawn heavily from Ekong’s paper on this role and from discussions with seasoned colleagues. My goals are to • Resource the health plan clinical teams. • Resource our provider network. • Resource the system of care, as best I can. I make certain to get an early start, particularly since my to-do list today consists of 3-4 hours of driving to and from meetings. Included are a series of provider visits, a public-policy workgroup meeting with key stakeholders, clinical team meetings to discuss complex cases in two of the four health plan markets that I support and, most crucial of all, a high level state meeting to discuss the system of care in one of the states I support. As I have intimated in a previous post, one of the things I e

Tales from the Dark Side: The Diary of a Managed Medicaid Behavioral Health Medical Director.Part I

By Sosunmolu Shoyinka, M.D. This blog is about my introduction to the world of Managed Care. It is about one individual’s gradual transformation from junior faculty into business executive, from clinician-educator to administrator. It is about learning to function in the world of health care financing - a world of politics and of policy, of rapidly-shifting alliances, priorities and strategy. It is a world of oft-difficult decisions and of confronting stark realities. Yet it has also proved to be an unparalleled learning opportunity, one in which politicians, bureaucrats, clinicians, business and data analysts, media, policy and lobbying experts sit together to hammer out strategy for ensuring that the health needs of a very vulnerable population are taken care of. And it is home to some of the most hardworking, talented, dedicated and genuinely caring people that I have ever met. Over the next several posts, I will share with you some of the lessons I’ve learned and cont