Our Case Management combines sophisticated technology with personal outreach to identify and support high-cost, at-risk members. With stringent criteria designed to ensure services for members who can benefit the most, the program:
- Shifts utilization and supports healthy member behaviors
- Provides a support system to facilitate treatment, information, and service
- Coordinates and integrates across medical, behavioral, social and community services.
Interventions target high-risk/complex condition management, readmission management, and rare condition management to impact the quality and cost of care for public sector members.
