Large Medical Case Management | Prairie States

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Services Claims Administration Utilization Management Disease/Condition Mgmt. Large Case Management Optimal Health Program Consumer Directed Accts FiveStar Health Technology / Reports Register Here Request a Quote Webinars EOB Options		Large Case Management For patients coping with catastrophic or severe illnesses, we provide the best in Case Management services. Case management nurses guide patients and their families through the complexities of the health care system, answering questions, offering support and expertise. The intensive intervention and monitoring of a patient’s care is extremely effective in assuring the best treatment while controlling costs Large case and chronic disease management also reduce escalation in the cost of your stop loss coverage. Claims administration and chronic disease management Diagnoses that may require large case management are identified early through predictive analysis. We do not wait until the individual has incurred huge claims before intervening. At the time an employee or family member has been identified as a potential candidate for case management, we will contact your clients for permission to proceed. Your clients stay informed at all stages of claims administration The need for case or chronic disease management is reaffirmed regularly and we consult with your customer's Human Resources Department to obtain permission to continue to work with the patient. Documentation as to the results of the case management is provided throughout the process. The program is a great success by any measure, with employees especially valuing its impact. Some of the most gratifying letters we receive are from appreciative patients and family members, thanking us for the personal attention and compassion demonstrated by our nurses.