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 fully integrates physical health, behavioral health, functional needs, and social determinants of health. Our Care Management Program brings care management, disease management and coordination of services that is data-driven, person-centered, collaborative, and supported by evidence-based protocols to facilitate improved member access, outcomes and satisfaction. The care management program connects members and their families and/or caregivers with a care team to develop an integrated care plan to address all their needs. It combines population health management with a holistic member-centric approach to deliver services across the continuum of care.
We offer individualized education and support for many conditions and needs, including:
- Asthma
- Chronic Kidney Disease (CKD)
- Diabetes
- Heart disease
- Depression
- High blood pressure and cholesterol
- Pregnancy
- Weight loss
- Social Determinants of Health (e.g. housing, food, transportation)
CareSource encourages you to take an active role in your patients’ Care Management Programs and participate in the development of individualized care plans to help meet their needs. Together, we can make a difference.
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 1-833-230-2037, or you can make a referral through the Provider Portal.
Disease Management Program
Our free disease management programs help 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 and other mailed materials with helpful tips and information to manage their disease, promote self-management skills, and provide additional resources.
- One-to-one care management (if they qualify)
Members with specific disease conditions such as asthma, diabetes, and hypertension 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 a disease management program to receive condition-specific information or outreach by calling 1-833-230-2037. If a member does not wish to receive newsletters or outreach, they can call to be removed.
Benefits to Members and Health Partners
Members identified in the Disease Management Program receive help finding the appropriate level of care for their condition, and they are encouraged to actively participate in the patient-provider relationship. The program improves the percentage of CareSource members who receive their recommended screenings.
If you have a patient with asthma, diabetes, or hypertension who you believe would benefit from this program and are not currently enrolled, please call 1-833-230-2037.
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.