The power of data.  The humanity in care.

Care Management programs provide a one-to-one collaboration between the member and their dedicated nurse care manager. We believe effective care management begins with a trusted relationship coupled with understanding the member and their individual health and lifestyle challenges.

Our care management programs are designed to improve outcomes through medication compliance, preventive care and appropriate use of healthcare resources.



Disease Management

Members with chronic conditions are engaged to improve health and condition compliance while reducing health care costs and avoidable complications.

 


Acute/Episodic Management

Proactive nurse care management to provide the member with education and guidance through their acute/episodic health event for optimal outcomes.

 

 


At Risk Management

Early identification of high risk members through biometric screenings provides the opportunity to take action before the onset of chronic conditions.

 

 


Utilization Management

Data analytics combined with outreach engagement to assist members with appropriate use of healthcare resources.