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Disease Management

 

Chronic disease can be overwhelming and stressful. For many patients, figuring out how to navigate the health care system adds to the challenge and frustration. HMSA's disease management services are designed to reinforce the care you provide by educating patients and helping them take a more active and responsible role in controlling their chronic disease.

 

Disease management services are available for HMSA members with asthma, chronic obstructive pulmonary disease (COPD), coronary artery disease (CAD), heart failure, diabetes, or chronic kidney disease (CKD). Services are also available for members with behavioral health conditions.

 

Member Participation

Eligible members are identified via claims information and automatically enrolled for the services if they have a chronic disease. Members with any of these conditions may also enroll by calling HMSA's Disease Management Services. Members may opt out of services at any time by calling the same number.

  

In general, all participating members will receive the following services:

 

Some members may be eligible to receive additional services depending on their condition:

 

Provider Participation

Many physicians will be asked to participate if they have patients with any of the aforementioned conditions. Health care providers who choose to participate are offered tools and services that include various newsletters, reports, evidence-based clinical practice guidelines, disease management resources, and other information as provided by the disease management provider service managers to help them manage their patients' conditions. Disease management services are not designed to replace the care members receive from their physician.

 

Health care providers who choose to participate are offered tools and services that include evidence-based clinical practice guidelines, reports, and other information as provided by the disease management provider service managers.

 

For more information, please contact HMSA's Disease Management Services.

 

Also, see the following PDF files:

 

Care Connection Member Brochure (4.8 MB)

 

Care Connection Physician Brochure (544 KB)

 

Diabetes Education Provider Network Brochure (1 MB)

 

Adobe Reader or another PDF-reader application is needed to view the PDF files.

 

 

 

To view the previous version of this document see Care Connection - OBSOLETE.

 

First Published:09/11/2006
Latest Revision:10/06/2011
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Files that are in PDF format can be viewed using the free Adobe Reader or another PDF-reader application.

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