Care management is for people who need extra assistance and support. It helps them to adopt and stick with proven treatments. Our core care management program includes precertification, concurrent review, discharge planning, retrospective review and case management.
Precertification is an entry point into care management programs. This lets us help members:
Concurrent review, discharge planning and retrospective review work together to offer several advantages to members:
Our case management program coordinates members’ care. Case managers:
By helping members achieve their optimal health, we can shape better health outcomes, increase satisfaction and lower overall costs.