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Care Coordination

Helping Members Effectively & Easily Navigate Their Health Plan

There are many parts of your health plan that all work together to help deliver quality care to your employees and their families. For many of us, the healthcare system is clumsy, intimidating and often times difficult to use, especially if you don’t use the plan often or have never used it before.

Care Coordination helps to solve some of these challenges by linking all the important pieces of your plan together for your members, simplifying their healthcare experience with fewer phone calls, questions and less confusion.

  • Patient Advocacy
  • Disease Management
  • Wellness Programming
  • Pre-Certification
  • Case Management
  • and More!

Our clients that have implemented the Care Coordination program are seeing happier employees, reduced burden on the HR Department and in some cases a reduction in paid claims without having to reduce benefits or shift costs. This proactive program also teaches members how to effectively navigate the healthcare system when they need it most. This assistance ultimately improves employee morale and overall satisfaction with the benefit plan.

Care Coordination Program Highlights:

Toll-Free Employee Help-Line where often times one phone call helps with all the tasks below:

  • Integrated Customer Service (claims review, provider look-up, etc.)
  • Integrated Case Management (Pre-certification, Case Management, etc.)
  • Physician Coordination
  • Patient Advocacy
  • Nurse Coach
  • Defragmentation of the healthcare system
  • Helps to reduce waste and duplication of medical treatments
  • Educates and empowers participants (this can be particularly helpful with members enrolled in many Consumer Driven Health Plans)

For more information on our Care Coordination program, please contact your Diversified Group Sales Representative at (888) 322-2524 or email us at This email address is being protected from spambots. You need JavaScript enabled to view it..

 

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