How We Help

Care Management

Integrated clinical solutions designed to fit your populations

HealthSmart Care Management TeamHealthSmart’s Care Management Solutions offers fully integrated, comprehensive care management products and services. With tailor-made solutions, our clients can provide the most appropriate and cost-effective healthcare for their entire population — not just the healthy individuals who need to stay that way, but those at risk who need to improve their health and those who need to effectively manage their chronic conditions.

Our HealthSmart Care Management team are experts at managing populations with unique risk profiles and socio-economic concerns that influence health. By integrating our services, clients can optimize communication and effectiveness in moving the member through the care continuum to receive the right care at the right place at the right time.

  • Minimize healthcare costs
  • Improve health and productivity of members
  • Improve member moral
  • Custom solutions that are flexible and scalable

We all know improving member health and keeping members healthy is the key to lowering costs. With our integrated approach and commitment to achieving high employee engagement, we help clients stay ahead of the ever-rising costs of healthcare. 

When plan
sponsors choose HealthSmart Care Management, Benefit Solutions and HSRx Solutions, member data is shared
to provide an integrated, holistic approach to manage all aspects of their healthcare.

HealthSmart Care Management Solutions

 
 

Utilization Management

Evaluate medical necessity and length of medical care to assure appropriating utilization

 

Case Management

Collaboration and advocacy program to manage costs and coordinate care with evidence-based clinical guidelines

 

Specialty Case Management

Manage members with chronic conditions with risk stratification and forecasting tools

 

Transplant Case Management

Our proprietary and unique solution to address the costs of organ transplantation and maximize clinical outcomes

 

Population Health Initiatives

Our approach to disease management for better member engagement

 

Diabetic Education Program

Manage costs associated with diabetes through intensive and interactive education

 

Mother and Child Program

Manage potential risks in pregnancies and help with the stresses mothers-to-be face

 

Dialysis Management

Our proprietary dialysis care management program proven to drastically reduce costs to the plan

 

Wellness Advocate

Convenient, onsite employee-sponsored clinics to decrease use of costly urgent care and manage members with chronic illnesses

 

Nurse Advice Line

Members have direct phone access to experienced, caring nurses as a first point of contact for medical concerns

 

HealthSmart Primary Care Clinics

Collaboration and advocacy program to manage costs and coordinate care with evidence-based clinical guidelines

 

Telemedicine

Phone consultations with a licensed, credentialed MD for treatment of minor conditions and ailments. In partnership with Teladoc.

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