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Provider Outreach
Did you know? |
Healthy Living Informed Care Management offers more than
just condition management. The program uses advanced technology from
ActiveHealth
Management, called the CareEngine® System, that monitors data
from your medical,
pharmacy and lab claims to help make sure you’re
getting
the best and safest care.
Technology that promotes better
care and patient safety
The CareEngine systems scan 100 percent of the population 100 percent
of the time – comparing
member health information with more than 1,000 evidence-based guidelines
of care. It can identify potentially dangerous drug-drug interactions,
drug-disease interactions and the need for preventive screenings
or other care.
The system works by:
- Examining medical, laboratory and pharmacy claims and other clinical data
- Comparing your health data with current guidelines of care
- Identifying gaps, errors, omissions and duplications in care
- Notifying your treating doctor about opportunities to improve care
Plus, your condition management nurse can add information into the CareEngine for a more complete health view.
Outreach that helps improve your care and
safety
If the CareEngine notices a situation that might harm
you or that a more effective treatment may be available,
the
system
issues
a Care Consideration. Care Considerations notify
your doctor to consider:
- Stopping a treatment
- Adding a treatment
- Trying a procedure or test not yet given
- Preventive care or wellness options
A nurse may also contact you, depending on the situation.
No one doctor can be expected to know a patient’s information from across so many spectrums of care. Your physician will benefit from improved information about each patient, and members and doctors can share that information to make the best decisions concerning their health care.