We offer disease management programs for:

• Coronary Artery Disease (CAD)
• Heart Failure
• Diabetes
• Asthma
• Chronic Obstructive Pulmonary Disease (COPD)
• Low Back Pain

Our programs are integrated with our suite of wellness, decision support, case management, behavioral health and complex medical condition programs, as well as other health and productivity programs from internal and external partner organizations.

Program Design
Our DM programs are designed to target the elements that support the best clinical and financial outcomes: The Right Health Care Provider, The Right Medications, The Right Care and The Right Lifestyle. Our approach is as follows:

• Identification, Stratification
  Individuals are identified for program participation via a range of methods including health assessments, program referrals, notifications, predictive modeling and claims data. We then assess the needs of the whole person, and their acuity level, potential for impact, readiness to change, and health values and preferences.
• Engagement/Intervention
  Our nurses work with the individual to develop a personal care plan and transfer skills and knowledge to help them best manage their condition. In addition to condition-specific interventions, our programs support individuals in maintaining a healthy lifestyle and adhering to physician treatment plans and medication regimens, effectively managing their condition and co-morbidities (including depression), and receiving the most clinically-appropriate, cost-effective and timely diagnostic testing and procedures.
• Reporting
  We provide a robust reporting package that includes in-depth clinical data on the individuals we manage and to track the specific areas and activities of our clinical interventions. Customized reports are also available based on specific needs.

About our Condition-Specific Programs

• Coronary Artery Disease (CAD)
  The goals of the CAD program are to help individuals best manage their condition and risk factors, and prevent heart attacks and unnecessary hospitalizations. The CAD program provides information and resources individuals need to understand their condition and its implications, and how to reduce or eliminate risk factors such as high cholesterol, high blood pressure, diabetes, excess weight, obesity, cigarette smoking, and lack of physical activity.
• Heart Failure (HF)
  The goals of the Heart Failure program are to help individuals prevent heart failure exacerbations, and recognize changes in symptoms and actively intervene to reduce unnecessary hospitalizations. The Heart Failure program provides information and resources individuals need to understand their condition and its implications, and recognize and manage their symptoms. The program also helps individuals to improve physical activity tolerance, reduce or eliminate health risk factors such as high cholesterol, excess weight, obesity and smoking.
• Diabetes
  The goals of the Diabetes program are to help individuals best manage their condition, blood glucose levels and risk factors, reduce unnecessary emergency room visits, and prevent disease progression and other illnesses related to poorly managed diabetes. The Diabetes program provides information and resources individuals need to understand their condition and its implications, and how to reduce or eliminate risk factors such as high cholesterol, high blood pressure, excess weight, obesity, smoking, and lack of physical activity.
• Asthma
  The goals of the Asthma program are to help individuals best manage their condition, avoid triggers for asthma attacks, reduce unnecessary emergency room visits and hospitalizations, and improve their quality of life. The Asthma program provides information and resources individuals need to understand their condition and its implications, and how to avoid triggers that induce or aggravate asthma attacks (such as exposure to environmental allergens and irritants) and reduce or eliminate risk factors such as smoking.
• Chronic Obstructive Pulmonary Disease (COPD)
  The goals of the COPD program are to help individuals avert acute episodes, reduce unnecessary hospitalizations, and live as comfortably as possible with this advanced stage of respiratory illness. The COPD program provides information and resources individuals need to understand their condition and its implications, and how to avoid triggers that induce or aggravate respiratory episodes (such as exposure to environmental allergens and irritants) and reduce or eliminate health risk factors such as smoking.
• Healthy Back
  The Healthy Back program is uniquely positioned to deliver savings and quality of life improvement by empowering individuals with information to make low back care decisions that are evidence-based, removing lifestyle barriers and enhancing individuals' skills for self-care and self-management of low back conditions, and improving individuals' care seeking patterns towards high quality and efficient providers.