Practitioner Program Description
One or more of your patients is participating in our disease management
program. As part of this program, your patients receive information and support
services designed to help them improve and maintain their health through
behavior and lifestyle changes. The programs are funded by employers or health
plans and is available free of charge to eligible employees or health plan
members and dependents, who are pregnant and/or have chronic disorders, such as
heart failure, diabetes, depression, obesity, asthma or musculoskeletal pain.
The program is designed to complement your prescribed treatment plan and
clinical decision-making. Our care managers encourage your patients to follow
your recommendations. We advise patients to contact you about medical concerns
and to call 911 or go to the ER in emergency situations. We will provide you
with periodic reports on your patients' progress toward meeting program goals.
The major goal of this program is to help participants develop lifelong healthy
habits and learn how to manage their conditions to reduce hospital visits and
slow or reverse disease progression.
As a participant in the program, your patients will receive the following:
Periodic assessments to determine health status, educational needs and degree
of condition control
Comprehensive condition-specific education based on clinical practice guideline
Education about general health, wellness and prevention as appropriate
Periodic follow-up calls to monitor progress toward meeting goals
Toll-free telephone access to a nurse, who can answer questions and offer
Evidence-based guidelines are used to support program interventions. You can
view these guidelines by selecting the Clinical Guidelines
and Decision Support References link on this site. The guidelines are
based on the most current recommendations and updates published by
organizations such as the American Diabetes Association (ADA), American Heart
Association (AHA), American College of Cardiology (ACC), National Heart Lung
and Blood Institute (NHLBI), the Global Initiative for Chronic Obstructive
Pulmonary Disease, and the Institute for Clinical Systems Improvement (ICSI)..
If you have questions or feedback about the program, please call the number
provided in your introductory letter. We are pleased to offer this program to
your patients to help them follow your treatment plan between visits and work
toward health goals.
Finally, this site provides a copy of your
practitioner rights. Please take a moment to review them.