Care And Disease Management
CareSource® offers care and disease management that can provide a broad spectrum of educational and follow-up services for your patients.
Care Management Program
CareSource’s Care Management program is a fully integrated health management program that strives for member understanding of and satisfaction with their medical care. This one-on-one personal interaction with outreach specialists and nurse care coordinators provides a comprehensive safety net to support your CareSource patient through initial and ongoing assessment activities, coordination of care, education to promote self-management and healthy lifestyle decisions. In addition, we help connect your patient with additional community resources.
We offer individualized education and support for many conditions and needs, including:
- Asthma
- Diabetes
- Heart disease
- Depression
- High blood pressure and cholesterol
- Low back pain
- Pregnancy
- Weight loss
You can now access care plans online through the Provider Portal to easily provide input into your patients’ care plans and consult with care managers.
How to Refer Members to Care Management
Together, we can make it easier for members to manage their care. If you know of a member who may benefit from the Care Management program, please call us at 1-844-679-7867.
Disease Management Programs
Members identified as high risk will have a nurse assigned to their case to help educate, coordinate and provide resources and tools to help the member reach their health care goals.
Our free Disease Management Programs helps our members find a path to better health through information, resources and support.
We help our members through:
- The MyHealth online program for members 18+ to participate in a journey to improve their health
- Newsletters with helpful tips and information to manage their disease, promote self-management skills, and provide additional resources
- Coordination with outreach teams
- One-to-one care management (if they qualify)
Members with specific disease conditions are identified by criteria or triggers such as emergency room visits, hospital admissions, and the health assessment. All ages (children, teens, and adults) are eligible. These members are automatically mailed condition-specific newsletters. The materials are available in English and Spanish. Any member may self-refer or be referred into the Disease Management Programs to receive condition-specific information or outreach. If a member does not wish to receive newsletters or outreach, they can call 1-844-438-9498.
Benefits to members and health partners
Members identified in the Disease Management Programs receive help finding the appropriate level of care for their condition, and they are encouraged to actively participate in the patient-provider relationship. The programs improves the percentage of CareSource members who receive their recommended screenings.
If you have a patient with a chronic condition who you believe would benefit from this program and are not currently enrolled, please call 1-844-438-9498
Benefits to Member and Providers
The Disease Management programs improves the percentage of CareSource members who receive their recommended screenings. They also offer the following benefits to members:
- Assistance finding the appropriate level of care for their condition
- Encouragement to actively participate in the patient-provider relationship
If you have a patient with diabetes or hypertension who you believe would benefit from this program and are not currently enrolled, please call 1-844-438-9498.