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Clinical Care Management

Care Management Programs

Improving self-care behaviors can be challenging. While you may be interested in a patient’s latest test results, the patient just wants to easily manage her condition as part of her daily routine. That’s where care management programs come in. We look at things from the patients’ perspective, helping them set goals and stick to them. In the process we’re helping physicians and their patients impact population health, reduce preventable admissions, encourage proper utilization and improve medication adherence.

Our impact in two years proves that there is tremendous value in providing enhanced health and care management resources for our members.

- North Carolina State Health Plan

Programs for All Ages and Stages of Care

Our care management programs are designed to help patients become active participants in their own care. We combine various engagement models with comprehensive care and relationship building. We've refined our programs through many years of feedback and results, creating a broad portfolio that can help your patients achieve results.

  • Nurse Advice Line
  • Disease Management
  • Case and Complex Case Management
  • Utilization Management
  • End-stage Renal Disease Case Management
  • Emergency Department Utilization Management
  • Oncology Care Management
  • Maternity Care Management
  • Behavioral Health
  • Medication Therapy Management
  • Specialty Pharmacy Services
  • Transitions of Care

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