Who needs Care Management?

Care management is for individuals needing extra assistance and support.Care Management Page Picture 1 The main goal is to educate and coordinate care between the member and physician to prevent avoidable hospitalizations and in turn provide the patient with a healthier life.

Patients who utilize our programs get valuable one-on-one guidance from our care managers including but not limited to the following examples:

  • Understand their illness and learn to recognize warning signs
  • Make lifestyle changes
  • Understand medications and how to use them and stay on schedule
  • Use home monitoring equipment
  • Manage stress
  • Understand tests results
  • Refer them to community support services
  • Locate medical supplies or prescribed equipment
  • Keep follow-up appointments with their doctor
  • Look for signs they’re getting worse instead of better

Reports Show 2/3 of Medicare beneficiaries have 2 or more chronic conditions, 1/3 have 4 or more.

Examples of chronic conditions include, but are not limited to, the following:

  • Alzheimer’s disease and related dementia
  • Arthritis (osteoarthritis and rheumatoid)
  • Asthma
  • Atrial fibrillation
  • Autism spectrum disorders
  • Cancer
  • Chronic Obstructive Pulmonary Disease
  • Depression
  • Diabetes
  • Heart failure
  • Hypertension
  • Ischemic heart disease
  • Osteoporosis
  • HIV
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