Health Management Program
A healthcare cost containment strategy to identify health and social risks, engage and support at-risk members, and report health outcomes
A health management program designed to achieve better health outcomes and sustain lower health care costs
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Our Health Management Program is part of our value based population health Hybrid Express Care Program designed to reduce health care costs by improving health. Healthy people and properly managed conditions require fewer medical expenses which inevitably leads to lower health care utilization and reduced insurance premiums.
A care delivery model that improves health and lowers the cost of care without compromising care quality
Partner with nurse practitioners who understand the complexity of health care
Our Health Management Program may be the area where employers can see the biggest return on investment depending on the workplace population. Employees with poorly managed conditions account for the majority of expensive health claims with frequent utilization of acute health services which could have been prevented with proper clinical support and monitoring.
Transforming the future of employer based health-care through innovation
Healthcare coverage is one of the largest employee-related expense for US employers. Proactively addressing rising health care costs through effective cost-containment strategies that enhance employee health and business growth.
A valued return on investment
- Better management of chronic conditions
- Earlier treatment of illnesses or complications from chronic conditions
- Fewer emergency room visits
- Improved productivity due to a healthier workforce
- Improved retention of employees who appreciate a supportive robust wellness program
Deep Impact
We truly care about our members and their health outcomes. Our team of nurse practitioners, wellness nurses, and health coaches support members while they take control of their health. Our user-friendly wellness portal engages our members with an individualized health profile with preventative health recommendations.Data Driven
We use secure HIPPA-compliant technology and maintain full member confidentiality as we build trusting relationships with our members. We use secure digital health solutions as part of our population health approach to identify the health needs of our members. Our specialized wellness programs are designed based on data-driven wellness initiatives. We closely monitor results and report health outcomes.Better Health
Our Health Management Program addresses a significant financial challenge in health care, caring for those with complex medical conditions and poorly managed chronic diseases. Members are well supported by our clinical team and digital wellness tools to help our members self-manage conditions like diabetes. Addressing health concerns, symptoms, and complications early helps prevent disease progression. As a result, our members do better and are healthier.Big Savings
When members are healthy and well they tend to generate fewer health claims, use less sick time, and are more productive. The invaluable return of wellness is the improved quality of life for our workforce population.
Care Management
Enable better health & maximize clinical efficiency through care management
Risk Stratification
Our Care Management Program uses risk stratification tools to identify at-risk members with risk factors for chronic disease, unmanaged or poorly managed disease, poor health literacy, high utilization of non-preventative health services (ie. emergency rooms), and members who lack proper access to care.
Member Centered Care
Our Care Management Program is all about understanding a member's overall health and desired health goals. We take a member-centered approach to supporting our members in managing their symptoms while improving health literacy, driving accountability, and reducing costs.
Care Coordination
Navigating our healthcare system can be challenging for many especially those with chronic medical conditions, these challenges often lead to frustration, delayed care, and poor health outcomes. With care coordination, our clinical staff supports members by identifying the appropriate level of care and making specialist referrals when clinically indicated in consultation with the member's primary care provider.
Case Management
We understand the challenges that some of our members may experience which often result in poor health outcomes. We advocate for and guide our members through these challenges by offering continued clinical support, community resources, and bridging members without primary care services to a primary care provider.
Care management is all about identifying and supporting members with the necessary tools and guidance to reduce health risks
Our Care Management Program identifies rising-risk and high risk members who are given the opportunity to meet with our nurse practitioner or wellness nurse to generate a member-centered care plan with continued monitoring and follow-ups
Chronic Care Management
Impacting members by maximizing health, closing gaps in care, and initiating treatment early to improve health outcomes
We take a personalized approach to support our members with difficult-to-manage conditions or those with co-existing physical and behavioral health conditions. Chronic care management programs have been shown to be successful in improving health, improving satisfaction, and significantly reducing costs.
Identify
We identify medically complex members through our health risk assessments and claims analysis.
Engage
Our clinical team or wellness coordinator reaches out to the member to schedule a virtual wellness visit.
Care Plan
During the Wellness Visit, our clinical team gains a full understanding of the member's social, physical, and mental health. Our nurse practitioner or wellness nurse works with the member to ensure they have a general understanding of their condition and medication regimen and can recognize and control symptoms with an individualized care plan.
Follow-Up
Continued monitoring and follow-up are important to maximize care plan adherence. Following the initial wellness visit, the member may have lab orders if clinically indicated to establish disease severity or risk for complications. The member continues to be supported with frequent virtual follow-ups and phone calls to check in with the member.