Disease management/population health program

The Disease Management/Population Health program is designed to support providers in caring for patients with chronic healthcare needs. Anthem Blue Cross (Anthem) provides members enrolled in the Disease Management/Population Health program with continuous education on self-management, assistance in connecting to community resources, and coordination of care by a team of highly qualified professionals whose goal is to create a system of seamless healthcare interventions and communications.

 

Who is eligible?

Disease Management/Population Health program case managers provide support to members with:

• Asthma
• Bipolar disorder
• Chronic obstructive pulmonary disease (COPD)
• Congestive heart failure
• Coronary artery disease
• Diabetes
• HIV/AIDS
• Hypertension
• Major depressive disorder — adults
• Major depressive disorder — children and adolescents
• Schizophrenia
• Substance use disorder

 

The Disease Management/Population Health program includes and addresses the following for each condition:

• Condition monitoring (including self-monitoring and medical testing)
• Adherence to treatment plans (including medication adherence, as appropriate)
• Medical and behavioral health co-morbidities and other health conditions (e.g., cognitive deficits, physical limitations)
• Health behaviors
• Psychosocial issues including depression and substance use screening
• Providing information about the patient’s condition to caregivers who have the patient’s consent
• Encouraging patients to communicate with their practitioners about their health conditions and treatment
• Additional resources external to the organization, as appropriate

 

Our case managers use member-centric motivational interviewing to identify and address health risks, such as tobacco use and obesity, to improve condition-specific outcomes. Interventions are rooted in evidence-based clinical practice guidelines from recognized sources. We implement continuous improvement strategies to increase evaluation, management, and health outcomes.

 

For more information on our program and how to refer an Anthem member, please visit https://providers.anthem.com/california-provider/patient-care/disease-management.

Your input and partnership are valued. Once your patient is enrolled in the Disease Management/ Population Health program, you will be notified by the clinical associate assigned.

 

We look forward to working with you.

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