Our programs deliver the information, support, and education members and providers need to strengthen adherence to evidence-based medicine, reduce unnecessary hospitalizations and health care costs, and improve outcomes and quality of life.

• Clinical guidelines from recognized leaders in the industry
• Specialized engagement and member support tailored for Medicaid and Medicare
• NCQA accreditation in CHF, COPD, diabetes, and asthma

Empowering Members

Our Disease Management programs empower members, in collaboration with physicians and other health care providers, to effectively manage their conditions and associated risk factors and co-morbidities.

The program is:

• Coordinated – taking advantage of our full continuum of wellness, health care decision support, case management, and complex medical condition solutions
• Comprehensive – providing a whole-person approach to disease management that includes behavioral health, co-morbidity and prescription drug management
• Integrated – providing a complete view of population and member data from a shared technology platform across programs using a Longitudinal Person Record, an integrated predictive model, and consolidated reporting