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Health Management Programs

Clinical Resources - Health Management Programs Page Content Section1

Our programs provide interventions and educational materials to for members with conditions that can be significantly improved through self-care efforts. Our Member Care Management team is on hand to help members understand their conditions, inform them about treatment options when available and encourage treatment plan adherence. There are no additional fees to participate in our health management programs.

Clinical Resources - Health Management Programs - Accordion Content

Care for members with long lasting or recurrent conditions

Our chronic care management programs offer your patients the opportunity to work directly with a nurse care manager. The goal is to develop a partnership with the member, the nurse case manager and the member’s physician, in order to maximize the member’s ability to control his or her chronic condition. Call our Member Care Management Team at 1-800-860-2619.

MCM Care Management Brochure

Care for members with potentially catastrophic illness

Our complex care management programs have been developed to assist patients with particular health conditions that require a greater intensity of management. Examples include cancer, HIV, Stroke, chronic pain, traumatic injuries and transplants. Call our Member Care Management Team at 1-800-860-2619.

MCM Care Management Brochure

Wellframe is a mobile-enabled care management program accessible via smart devices. The user is provided an interactive and personalized care program with the ability to engage in daily Health Checklists, review educational content, and record health status. In addition, the user may reach out to a Care Manager, or a Care Manager can reach out to the user based on clinical alerts, via HIPAA compliant two-way intra-app messaging.

For more information call our Member Care Management Team at 1-800-434-9110.

Chronic condition support and a symptom-management line accessible 24 hours a day every day. Your patients can contact our 24/7 Nurse Call Line at 1-800-348-9786 (TDD/TTY 1-800-421-1220).

Palliative care is a type of care for people who have illnesses that do not go away and often get worse with time. The goal of palliative care is to improve quality of life - not just in the body, but also in the mind and spirit. Many people combine palliative care with other types of treatment.

Palliative care can help manage symptoms, pain, or side effects from treatment. It can help people cope with their feelings about living with a chronic illness. It may even help with planning for future health and medical care.

In the past, palliative care was mostly used to treat people receiving hospice care. Today, this type of care can help anyone who has an illness or disease that cannot be cured. More and more health professionals are using palliative care, and many are specially trained to provide it.