Proactive Prevention Case Management

Traditional case management focuses on members who are costing the plan the most money. CoreCare Focus expands the scope of traditional case management to plan members at highest risk for future costs, regardless of the costs they're incurring today.

Using the advanced data mining and analytic power of D2Hawkeye®, CoreCare registered nurses identify plan members for whom early intervention could save significant costs down the road.

We then work with the member and their doctor(s) to ensure that they are entered in the most appropriate and cost-effective treatment plan for their condition. From there, our nurses stay engaged to monitor the member's care, coordinate communication among multiple providers, proactively certify services to expedite treatment, and identify opportunities for specialty medical services.

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