Our Disease Management approach includes:
Disease Management’s mission is to provide a fully integrated health solution that encompasses a multi-faceted approach to educate, coach, support, and empower individuals to assume responsibility for their own health status, for resolving knowledge gaps, and to take action in improving their quality of life and health outcomes.
Our DM program emphasizes education in order to incorporate self-management strategies, promote regular Practitioner follow-up, and increase Member understanding of his/her condition. Disease Management goals include the following:
Early detection – You can help
It is important that the medical profession play a significant role in critically evaluating the use of diagnostic procedures and therapies as they are introduced and tested in the detection, management, or prevention of disease states. Rigorous and expert analysis of the available data documenting relative benefits and risks of those procedures and therapies can produce helpful guidelines that improve the effectiveness of care, optimize patient outcomes, and favorably affect the overall cost of care by focusing resources on the most effective strategies.
At Volunteer State Health Plan, Inc. we remain committed to working with our Providers to ensure quality service to our Members. It is our intent to make resources available to our Providers that will help in this endeavor.
Provider participation and adherence to Volunteer State Health Plan adopted Clinical Practice Guidelines (CPGs) is important to the overall success of the DM programs. Providers can access these CPGs in the BCBST Healthcare Practice Recommendations Manual located on the company website at http://www.bcbst.com/providers/hcpr/.