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Disease Management
Chronic diseases are taking a toll on the American population and workforce.
These conditions contribute to rising medical expenses and excessive benefit
utilization. A disease management program helps keep these costs to a minimum
for your self-funded plan. By identifying high risk conditions among your
employees you are encouraging proactive medical attention and care.
Program Components:
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Past medical claims data analysis and screening are used to identify and
classify four chronic conditions among employee population:
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(1) asthma (2) diabetes (3) congestive heart failure (4) hypertension (5) Coronary Artery Disease (CAD)
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Outbound nurse call to speak with these classified employees to evaluate their
need for further intervention and follow-up call to monitor and encourage
self-managed healthcare
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Assignment of appropriate chronic care management and distribution of
educational mailings for guidance and support
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Allows employee to focus on their total health management and improves
communication lines between patients and physicians
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Helps prevent the onset of major health care expenses by monitoring high-risk
employees
Nurse HelpLine
The Nurse HelpLine program provides 24/7 access to registered nurse counseling.
Nurse HelpLine allows participants to call and have their medical questions and
needs evaluated prior to seeking help from a physician or the emergency room.
Nurse HelpLine can help lower your plan costs by reducing unnecessary medical
visits and plan utilization.
Nurse HelpLine Services:
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24/7 telephone access to nurse care counselors
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Nationally recognized triage algorithms
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Medical triage and care advice
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Provide acute care treatment options: clinics, hospital, physician, ER
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Audio health information library
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TDD/TTY capability for hearing impaired
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AT&T language translation line
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Communication to physician/case manager in cases identified as emergent
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Information and referral sharing with Care & Pharmacy Management
To learn more about how Disease Management and Nurse HelpLine can be implemented with your health plan, 1-800-643-4416 or
contact us by email today.
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