Disease Management Programs
The Health Plan’s Disease Management and Health Promotion Programs are developed to proactively identify populations with, or at risk for, chronic medical conditions. We currently manage members with diabetes, chronic obstructive pulmonary disease (COPD), chronic heart failure (CHF), and coronary artery disease (CAD).
Our disease management programs support the practitioner-patient relationship and plan of care. We emphasize the prevention of exacerbations and complications using evidence-based practice guidelines and patient empowerment strategies. The Health Plan programs continuously evaluate clinical, humanistic, and economic outcomes with the goal of improving overall health status.
If you have questions or would like more information, in addition to the material provided on this website, please feel free to call Customer Service at 740.695.7902 or 1.888.847.7902. Health Plan members who have been diagnosed with diabetes, CHF, or COPD can enroll in the appropriate disease management program by accessing the Disease Management Enrollment Form. A Health Plan nurse will call you.
The Health Plan's asthma initiative, “Knowledge is Power/Take Control,” is an effort to help improve the quality of life for people with asthma. The goal of the project is to help members or parents and guardians of members learn about asthma, how to control it, and what to do during an asthma attack.
When a member is identified with a diagnosis of asthma, they are called by a Health & Wellness Outreach Representative. After an initial assessment, members are mailed a letter regarding the project along with a request for their participation, educational information, a coupon, and an asthma action plan.
We are a proud sponsor of:
- Camp Catch Your Breath
A week-long, overnight, summer educational camp for boys and girls (8-13) with asthma. The camp is located in Jackson's Mill, WV. Download and print the brochure to know more or fill out an application online. You can also visit the website for more information about the camp and the sponsors.
This multi-faceted initiative has helped us to achieve the lowest asthma-related emergency department visit rate in the state of West Virginia for participating managed care companies.
Chronic Obstructive Pulmonary Disease (COPD) Program
This program is designed to help slow the progression or stabilization of symptoms of COPD, optimize functional capacity, improve quality of life, reduce the frequency of hospitalizations, and enhance the patient/doctor relationship.
Congestive Heart Failure (CHF) Program
This program is designed to modify cardiovascular risk factors and slow disease progression by promoting treatment plan compliance through education, counseling and support. The goals of this program include reversal of or stabilization of chronic heart failure symptoms, optimization of functional capacity, improvement in the quality of life, reduction in the frequency of ER visits or hospitalizations and the enhancement of the patient-doctor relationship.
This program is designed to assist members with diabetes in understanding their disease and the self-management skills needed to live well with diabetes. The Health Plan provides certified diabetes educators who perform telephonic and face-to-face education based on nationally recognized American Diabetes Association Standards of Care. Members are identified through claims analysis, health risk screening, physician, and member self-referral. Help is available for members with either Type 1 or Type 2 diabetes, as well as gestational diabetes. The program partners with patients, physicians, caregivers, school personnel, government agencies, pharmaceutical companies, and community organizations to promote optimum disease management and quality of life.
We are a proud sponsor of:
- Camp Kno Koma is a summer camp for children, ages 7-15, with diabetes, in and around West Virginia. For over 60 years, campers have come to the Greenbrier Youth Camp in Monongahela National Forest, near Anthony, WV to experience adventure, education, and friendship. Register for the camp online or view the 2018 brochure.
Coronary Artery Disease (CAD) Program
This program is designed to modify cardiovascular risk factors and slow disease progression by promoting how to understand the treatment plan through education, counseling and support. The goals of this program are to promote stabilization of symptoms and prevention of future coronary events; optimization of functional capacity, improvement in quality of life, reduction in the frequency of ER visits or hospitalizations, and the enhancement of the patient-doctor relationship.