Disease management

Chronic conditions can cost your company big money, but not if you give your employees ways to manage them.

Our disease management program can help with support for more than 35 chronic conditions, including heart failure, asthma and cancer.

Support and technology make our program stand out

• Total health view – We look at the total member, not just a condition, to find the right combination of information and support to help them achieve their optimal health status.
• Personal attention – Members working with a registered nurse get answers to questions about their condition(s) and learn about ways to improve their health. 
• Protective technology – Our advanced systems can help identify members at risk, determine the appropriate level of outreach and support, find potential clinical gaps and errors, and helps improve patient safety.

CareEngine^® system—behind the scenes

Working together means working better. The CareEngine is a perfect example. It compiles information from many touchpoints, including:

• Medical, pharmacy, dental and behavioral health claims
• Feedback from members working with a registered nurse in our health programs
• Health information members put in their Personal Health Record*

All this information is continuously scanned looking for ways to help improve health and patient safety. We can even send out alerts to doctors and/or members when a potential care issue is found. Find out more by talking to your Aetna representative. Or contact us.

Healthier employees help create a healthier business. Give them the tools and we will show them the way.

Support for more than 35 conditions

Heart and blood system

• Heart failure
• Diabetes (adult and child)
• Coronary artery disease
• Peripheral artery disease
• High blood pressure (adult and child)
• Cerebrovascular disease/stroke
• High cholesterol

Lungs 

• Asthma (adult and child)
• COPD (chronic obstructive pulmonary disease)

Bones 

• Osteopenia**
• Osteoporosis**
• Osteoarthritis
• Rheumatoid arthritis
• Chronic low back pain

Cancer 

• General cancer**
• Breast cancer
• Lung cancer
• Lymphoma/leukemia
• Prostate cancer
• Colorectal cancer

Brain and age-related issues 

• Geriatrics
• Migraine
• Seizure disorder
• Parkinsonism

Digestive 

• Heartburn/GERD (gastroesophageal reflux disease)
• Peptic ulcer disease
• IBD (inflammatory bowel disease), Crohn’s disease and ulcerative colitis
• Chronic hepatitis

Kidney 

• Chronic kidney disease
• End-stage kidney disease

Other 

• Hypercoagulable state (increased blood clotting)
• Sickle cell disease (adult and child)
• Cystic fibrosis
• HIV (human immunodeficiency virus)
• Weight management (adult and child)
• Depression**

**Occurring with another condition.

*Included for fully insured customers; available for a fee for self-insured customers.

The CareEngine is a proprietary technology platform developed by ActiveHealth Management, an Aetna company. In conjunction with clinicians, the CareEngine continuously analyzes claims and other data against evidenced-based best practices and alerts the members and their physician about possible care gaps and other inconsistencies. Information is not a substitute for diagnosis or treatment by a physician or other health care professional. The Aetna Personal Health Record ("PHR") should not be used as the sole source of information about the member's medical history.