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Wednesday, August 15, 2012 1:52:10 PM
$CHCR CompCare's Integrated Health Care Management Provides:
Stratification of outlier members into tiers for intervention, identified from health plan monthly submission of pharmacy and medical paid claims data.
Tiered intervention of members appropriate to their needs.
Coordination of care with involved primary care practitioners, prescribers, and behavioral health providers.
Electronic or paper data reports, as needed, documenting the Integrated Health Care Management services by member.
Coordination of care with community behavioral health providers on a fee basis. This will include enhancing access, obtaining release of information, treatment plan and documentation of services provided monthly.
Coordination with health plan's case management staff for medical, co-morbid conditions.
Stratification of outlier members into tiers for intervention, identified from health plan monthly submission of pharmacy and medical paid claims data. Tiered intervention of members appropriate to their needs.
Coordination of care with involved primary care practitioners, prescribers, and behavioral health providers.
Electronic or paper data reports, as needed, documenting the Integrated Health Care Management services by member.
Coordination of care with community behavioral health providers on a fee basis. This will include enhancing access, obtaining release of information, treatment plan and documentation of services provided monthly.
Coordination with health plan's case management staff for medical, co-morbid conditions.
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