CMS provides a comprehensive one-on-one approach to disease management with services provided by experienced clinicians. Nurse Care Managers build strong relationships with your members to promote and teach self-management skills and coordinate their healthcare treatments. Whereas many companies promote a “population management approach”, CMS encourages a one-on-one relationship with the member managing all of their disease processes and health factors that could be negatively affecting their well-being. Care managers assess each participant individually and focus on behavior change over time as participants are taught to manage their disease state(s) more effectively.
Common conditions often counseled in disease management include:
Congestive Heart Failure
Coronary Artery Disease
Our clinician’s focus their attention on educating, communicating and promoting compliance with physician prescribed care plans. CMS incorporates an “integrated care model” where members are referred to case management for acute intervention, or to health coaching for wellness instruction.