Care Management

The scope of Care Management is multi-dimensional, and while its structure and organization may vary from one health plan to another, the primary types of services are common to all. Care Management Strategies can have a major impact on multiple health plan value levers.  We provide 24-hour Nurse Line (basic health information and decision support), Case Management, Utilization Management, Web-based access to health and wellness information along with seamless support for the entire continuum of care management needs to help revenue increase and cost reductions. Our capabilities will shift emphasis from ‘managing’ providers and ‘parenting’ consumers, to influencing consumer behavior, and enabling greater self-care, reliance and efficacy – greatly improving overall value.