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Core Product

CASE MANAGEMENT

Highly trained Registered Nurses serve as patient advocates, collaborating with patients and providers to attain the most cost-effective treatment and maintain quality of care.

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Focusing on acute and life-threatening diagnoses such as:

Cancer

Premature delivery

Organ transplants

Cardiac issues

Core Product

UTILIZATION MANAGEMENT

Independent medical reviews ensure medical necessity and enhance care quality.

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Adding value by:

Reducing healthcare costs

Achieving medical care compliance 


Minimizing hospital and ER visits

Screening members for other HealthWatch services


Download Utilization Management Program Consumer Rights and Responsibilities [PDF, 319KB]

Download Download Utilization Management Notification Form [PDF, 244KB]

Core Product

DISEASE MANAGEMENT

Promote health and control costs through education on chronic conditions, goal setting and patient-specific provider coordination for improved medical knowledge, fewer ER visits and lower costs.

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Multidisciplinary, multilingual Care Coaches led by a Medical Director include:

Registered Nurses

Dietitians

Respiratory Therapists

Exercise Physiologists

Diabetes Educators

Obstetric Nurses

Mental Health Professionals


Download Disease Management Participant Rights and Responsibilities [PDF, 78KB]

Download Physician Rights and Responsibilities 2016 [PDF, 419KB]

ADDITIONAL SERVICES

Nurse

GPA NURSE NAVIGATORSM

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A patient concierge program, designed to help members maximize their benefit plans with step-by-step guidance through the healthcare system.

Each team includes:

Registered Nurses

Multilingual Medical Support Specialists

Benefit Specialists

Physician Advisor

BeWell

BEWELLSM

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A customized wellness program offering your workforce interactive tools to promote improved health habits and increased engagement.

BeWellSM offers:

Certified Wellness Experts


Tailored Program Design

Communications to Suit Your Population

Best-In-Class Management Reporting

Integrated Biometric Screenings

Custom Wellness Portal & Mobile App

Innovative Healthy Me & More Coaching Program delivering online education using varied media sources, accountability, community support, and motivation to achieve goals

Healthy

LIFESTYLE COACHING

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A lifestyle coaching program for individuals who want to achieve a healthier lifestyle and prevent future health problems. Participants work with a Specialized Care Coach telephonically receiving one-on-one support, motivation and accountability to reach their health goals.

Lifestyle Coaching Programs include:

Back Pain

High Blood Pressure

High Cholesterol

Stress Management

Tobacco Cessation

Weight Management

Protect your populations with powerful medical management.