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

We help members engage the right health care provider, take the right medications, receive the right evidence-based care and make the right lifestyle choices. Our model is like no other in the industry because our programs are:

• Integrated: We keep common longitudinal records for each member across our full continuum of wellness, health care decision support, case management, complex medical conditions, and behavioral health products and services. This ensures the coordination of clinical resources and the sharing of critical clinical information whenever and wherever it is needed.
• Coordinated: Patients, working with dedicated Disease Management nurses, focus on their personal physicians’ treatment plans so they may address areas of opportunity to impact care, medications and lifestyle. Coordinated communications, engagement activities and incentive plans drive meaningful improvements in health.
• Comprehensive: Providing a whole-person approach to Disease Management addresses patients’ immediate needs and underlying issues. A dedicated Disease Management nurse with condition-specific expertise screens for co-morbidities, risk factors and medication compliance. In addition, every interaction is an opportunity to teach members about their conditions and their implications, and how to avoid triggers and reduce or eliminate risk factors. This ultimately empowers individuals to become active participants in the management of their own health.