More than 130 million Americans are afflicted with a chronic illness, however, when members are managed early enough in the disease process, better outcomes are possible. With disease management programs for asthma, congestive heart failure, COPD, diabetes and coronary artery disease, we provide the education and tools necessary for members to lead healthier lifestyles.
We use more than a dozen information sources to identify patients with high-risk, high-cost conditions such as congestive heart failure, chronic obstructive pulmonary disease and diabetes. With our reliable data strategies, we find members with conditions that are modifiable and intervene with our biopsychosocial model to educate members so they can make informed choices about their health.
The interventions members receive are determined by their level of health risk. Among our tools are educational materials, telephonic coaching, assessments and medication reminders. We work hand-in-hand with providers to promote compliance and strongly encourage members to communicate proactively with their doctors. We make risk-sensitive, appropriate referrals throughout the continuum of care.
We work with your plan to familiarize providers with disease management programs and let them know when their patients enroll, when interventions are made and when care gaps are identified. At all times, our programs respect the primacy of the provider’s treatment plan and serve as a support tool in their efforts.
Contact us today to learn more about how our disease management solution can benefit your health plan and its members.