Disease Management
Partnering with each consumer in their health and wellness
Quickly deploy effective, personalized disease management programs by fully leveraging existing data and consumer and provider touch-points. This module seamlessly operates with the Case and Utilization Management solutions, creating one platform for your entire membership.
Member identification – Prospectively identify members who can most benefit from your disease management programs by leveraging Casenet’s stratification solution, embedded branching logic, health risk assessments, third-party predictive models, and other internal and external referral channels.
Collaborative Care – Automate existing business rules to form multi-disciplinary care teams to support your members ongoing management, including both internal clinical staff as well as outside vendors. Give users and super-users the ability to share members, load-balance, and cross-cover -- driving quality and avoiding gaps-in-care.
Care planning – Use the template-based care planning module to effectively address all of your members’ conditions and co-morbidities. Give clinical users the ability to modify plans based on the specific needs of members, while simultaneously driving program consistency. Automatically monitor ongoing adherence to care plans, enabling the timely address of deviations in protocol.
Ongoing monitoring – Leverage Casenet’s structured task management module and embedded data capture tools, including web forms, assessments, progress notes, and tasks, to monitor clinical improvements, as well as identify deteriorations or opportunities to reengage members.
Documentation & letter generation – Streamline the creation of accurate, comprehensive, internally- and externally-oriented documentation with template-based forms and letters.
Third party integration – Exchange data in real-time and via batch processes with eligibility, claims, pharmacy, predictive modeling, and lab systems, creating a true payer-based personal health summary.

