Care management

Care management includes case management, utilization management and disease management. Care management can help “at-risk” members achieve better health through effective patient management. Effective patient management helps them stick with the behaviors and clinical approaches that have been proven to work.

Care management is for patients on the “not well” end of the spectrum. They need more help than those at the healthy end of the spectrum.

3 advantages of care management from Aetna

Coordinating care for members with special needs is more efficient and effective because of these four advantages.

Evidence-based decisions
Our actions and policies have strong foundations in research and clinical experience. This helps members get access to the right care at the right time.

Integration and technology
Having systems that all work together helps us identify and reach more members who need our help and support.

Targeted outreach to members
Our clinical staff will contact members identified by our systems, who may need extra help. Early identification and targeted outreach is one more way to help members with complex medical needs.

Find out more by talking to your Aetna representative.