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Wednesday, August 15, 2012 12:43:42 PM
$CHCR Planned Interventions and Care Management Tiers
CompCare's model consists of four action plans utilizing four approaches for at-risk members identified from health plan pharmacy usage and CompCare utilization data. The first three action plans, Awareness, Prevention, and Behavioral Support affects all at-risk members while the fourth action plan, Behavioral Care Management, affects the most at-risk members. Within Care Management are four tiers based on severity of risks associated with Cost, Utilization, Compliance, and Quality.
CompCare's model consists of four action plans utilizing four approaches for at-risk members identified from health plan pharmacy usage and CompCare utilization data. The first three action plans, Awareness, Prevention, and Behavioral Support affects all at-risk members while the fourth action plan, Behavioral Care Management, affects the most at-risk members. Within Care Management are four tiers based on severity of risks associated with Cost, Utilization, Compliance, and Quality. 
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