Scores increase in multiple areas of providers' treatment records

Magellan compiles annual results of its provider treatment record review process applicable to the Magellan center serving commercial health plans in the states other than California. As reflected in 2024 results, providers complied well with most requirements.

Contracted Magellan practitioners provide us with the requested treatment records consisting of the entire medical record including intake forms and disclosures. The following summary compares CY 2023 and 2024 quality results by treatment record section.

Results indicate increased performance in four of the seven measures and minimal change in two of the measures. Despite increased scores, there are opportunities for improvement in the Coordination of Care (PCP Communication) and Client Rights and Confidentiality measures as they remain below the target goal of ≥80%.  

As you know, a member’s mental health can impact their medical treatments (and vice versa), so it is important to share information with the member’s PCP. Thank you for your commitment and attention to this area!

The table below further breaks down results for coordination of care. Results show that only one provider measure exceeded the established target, and there are opportunities for improvement in 1) communication between behavioral health and PCPs, as well as 2) provider requests for member authorization of communication with PCPs.