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Managed Care

Concepts

Phone (866) 750-2723

Fax (409) 886-5715

Disease Management

WELL-Managed Chronic Care (Disease Management)

 

Chronic Care or Disease Management is a system of coordinated healthcare interventions and communications for populations with conditions in which patient self-care is significant.  Managed Care Concepts offers a comprehensive chronic care suite of services through its WELL-Managed Chronic Care product after members have been identified by our own OMNI tool.

 

Why do Chronic Care Management?

If employers focus solely on high risk populations, they are missing the 20% of low risk who are moving to medium or high risk and they miss the 40% of medium risk who are migrating to high risk. Goal: to keep low-risk individuals at low risk and keep them from migrating to high risk. An employer cannot win where there is continual flow to high risk.

 

How does Chronic Care aid in reversing risk?

Chronic Care Management helps in accomplishing risk reversal by focusing on:

  • Employee Awareness/Education
  • Behavior Modification Programs
  • Nutrition/Exercise Strategies
  • Healthy Lifestyle Coaching
  • Medical Follow-Up

 

What else does it do?
  • Supports the physician/patient relationship and the physician's plan of care.
  • Emphasizes prevention of exacerbations and complications utilizing evidence based practice guidelines and patient empowerment strategies.
  • Evaluates clinical, humanistic, and economic outcomes on an on-going basis with the goal of improving overall health.

 

How is this accomplished?
  • Health/Fitness Assessments
  • Individual Telephonic Interview with member which includes an individualized care plan with active goal setting
  • Staged monitoring of member progress
  • Incentives for participation and/or reaching goals set
  • Health Mailings

 

Programs Offered:

Diabetes, Coronary Artery Disease (CAD), Hypertension, Asthma, Chronic Obstructive Pulmonary Disease (COPD), Chronic Heart Failure (CHF), Obesity

 

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Managed Care Concepts

P.O. Box 3103, Orange, TX 77631

Tele: 866-750-2723

Fax: 409-886-5715

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