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Our Disease Management programs empower individuals, in collaboration with physicians and other health care professionals, to effectively manage their conditions and associated risk factors and co-morbidities. Our programs are fully integrated with Personal Health Support clinical programs, ensuring the coordination of clinical resources across the continuum of wellness, health and medical decision support and Disease Management.  We provide a whole-person approach that includes behavioral health, co-morbidity and prescription drug management. We help reduce variation in clinical quality and cost through improved patient self management, and through guidance to quality and efficiency designated physicians, Centers of Excellence networks and clinical programs, and UnitedHealthcare® networks where appropriate. We provide a complete view of the employer population and individual member data from a shared technology platform across programs with a Longitudinal Personal Record and through an integrated predictive model and consolidated reporting.

Asthma Disease Management Program
Asthma is a prevalent, and growing, costly health problem for Americans. The Asthma Disease Management program helps reduce unnecessary hospitalizations and health care costs, missed days of work and seeks to improve the individual’s quality of life. The program provides information, comprehensive assessments, nurse coaching, interventions and other resources to help participants:

  • Avoid triggers that induce or aggravate asthma attacks
  • Reduce or eliminate risk factors, such as smoking
  • Manage their condition through adherence to medication, peak flow meter use, and other physician treatment plans
  • Monitor their asthma to recognize attack warning signs and take appropriate actions

Cancer Support Program
Cancer Support Program is a comprehensive, integrated single source to help manage cancer-related costs and to help improve the quality of care and quality of life for your employees and their dependents. The program is delivered through our team of specialized cancer nurses, who coordinate care, help prevent and manage symptoms and side effects, collaborate with physicians and other nurses and help patients navigate the complex health care system. They will have access to cancer Centers of Excellence network and UnitedHealth Premium® designated physicians .

Chronic Obstructive Pulmonary Disease
Chronic Obstructive Pulmonary Disease is a lung disease in which the tubes that carry air in and out of the lungs are partly obstructed, making it difficult to get air in and out. Most people with this disease have both chronic bronchitis and emphysema. Cigarette smoking is the most common cause of this disease, but those who breathe in other kinds of lung irritants, like pollution, dust, or chemicals, over a long period of time may also develop this disease. There is no cure - the damage cannot be reversed, but there are treatments that can help the person feel better and slow the damage. Our program provides education, self management skills and can explain treatment options that may be available to an individual, based upon the recommendation of their health care provider to:

  • Relieve symptoms with no or minimal side effects
  • Slow the progress of the disease
  • Improve exercise tolerance (the ability to stay active)
  • Prevent and treat complications and sudden onset of problems
  • Improve overall health

Diabetes Management Program
The Diabetes Management program seeks to reduce unnecessary hospitalizations and health care costs and works to improve the health of those individuals who have diabetes. The program provides information, interventions, nurse coaches and other resources to help participants:

  • Manage their condition through daily monitoring of key findings, including weight and symptom changes, and symptom-specific management
  • Adhere to physician treatment plans and drug therapy regimens
  • Manage risk factors and co-morbidities
  • Understand their condition and how to receive the most clinically appropriate, cost-effective and timely diagnostics and procedures

Heart Failure Disease Management Program
The Heart Failure Disease Management program seeks to reduce unnecessary hospitalizations and health care costs and works to improve the health of those individuals who have heart failure. The program provides information, interventions, nurse coaches and other resources to help participants:

  • Manage their condition through daily monitoring of key findings, including weight and symptom changes, and symptom-specific management
  • Adhere to physician treatment plans and drug therapy regimens
  • Manage risk factors and co-morbidities including hypertension, asthma, diabetes, coronary artery disease, chronic obstructive pulmonary disease and depression
  • Understand their condition and how to receive the most clinically appropriate, cost-effective and timely diagnostics and procedures

Managed Transplant Program
Managed Transplant Program uses United Resource Networks’ expertise in gathering, interpreting and sharing transplant program information and provides access to Centers of Excellence – with more than 160 leading transplant programs located at medical centers throughout the U.S. There are pre-negotiated rates for treatment at premier facilities and information and assistance throughout the entire transplant process. We identify programs with demonstrated clinical excellence in the field of transplantation. We encourage consumers to access and use timely health information and take control of their own destiny. We believe that providing outstanding customer service and straightforward information about specialized medical care options and treatment facilities give people the support they need at complex times.

United Behavioral Health
United Behavioral Health provides scientifically advanced behavioral health product and service solutions — from industry-leading Employee Assistance Programs and outcome-driven behavioral health benefits, to groundbreaking medical/behavioral coordination-of-care solutions that focus on “total health and productivity.”  These programs can be clinically integrated across the entire continuum of care, regardless of which medical and other specialty health vendors you use. Our goal is to:

  • Increase access to services without driving-up cost
  • Improve clinical and financial outcomes for co-morbid conditions
  • Increase treatment compliance
  • Reduce unsafe and costly drug prescribing errors
  • Reduce disability claims
  • Reduce workplace absenteeism
  • Provide informed consumer choice

United Resource Networks
United Resource Networks has been identifying and contracting with high-quality, specialized medical centers for more than 10 years. They gather and share information on treatment experience, patient outcomes and areas of specific expertise to support the decision-making process for everyone involved. There is access to specialists at medical facilities across the country and consultative services on which facility may best meet their specific treatment needs.

 

 

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