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Plan Info

Healthier YOU disease management

Our Healthier YOU Disease Management department develops, implements, and oversees programs for members with specific diagnoses including:

  • Asthma (adult & pediatric)
  • Heart failure
  • Diabetes (adult & pediatric)
  • Chronic obstructive pulmonary disease
  • Hypertension
  • Coronary artery disease
  • Pediatric weight management (Fit Kids)

The Disease Management program follows nationally accepted guidelines and standards of care for all of the conditions managed. Identification of and outreach to high and medium risk members involves:

  • Assessment of member needs and barriers
  • Review of discharge instructions
  • Education of members chronic medical conditions
  • Coordination of home care visits
  • Coordination of referrals to community resources
  • Coordination of PCP and specialist appointments
  • Behavioral health resources for those coping with chronic disease
  • Smoking cessation facilitators assist members interested in quitting smoking
  • Dietary counseling to help members achieve their nutritional goals and provide nutritional education.

The goal of the program is to transition members to self-management and achieving an optimal state of health. Referrals can be made to this program by calling 1-866-500-4571.