Patient Management Programs

We can use health screens and/or the pre-certification process as a means of red-flagging cases for follow-up care. Our goal with case management is different from what is traditionally seen. Instead of simply directing patients towards the cheapest services, we guide them through their healthcare experience. We lead them through appropriate utilization of services and improved efficiency of care, ultimately leading to reduced costs through greater value.

We break our patient management programs down into 3 categories as a means to aid in the understanding of the management components and as a way to help focus a program objective. Depending on client needs, these components can be combined into a single program.

1. Case Management

Our case management program consists of working with individuals and helping them navigate the health system. The cases that qualify for this program are injuries and illnesses that are somewhat complicated and require multiple physicians or physician visits. Upon a case being accepted into this program, the case manager will establish a relationship with the patient and physicians to be a resource throughout the case. The case manager continues these relationships through the entirety of the case (not just until discharge) ensuring the patient is receiving proper care, progressing to recovery and comfortable with their situation.

2. Disease Management

Disease management works essentially the same as case management, but focuses on patients with chronic diseases such as diabetes and cardiovascular disease. Each participant in this program forms a relationship with a case manager who helps them properly manage their condition and ensures efficient use of resources. This program can be implemented with on-site providers or can act as a stand-alone service.

3. Lifestyle Management

Making healthy lifestyle choices is an extremely effective method of preventing and treating many costly conditions. This program is aimed at individuals who are at risk of developing a condition directly related to lifestyle or currently suffer from a condition that will benefit from positive lifestyle changes (such as diabetes, high blood pressure, obesity related conditions, etc.) This program works best in conjunction with health screens and on-site providers.