Disease Management (DM)  
 

If you think the best time to address chronic conditions is before they become, well, chronic …then think about Avidyn Health.

Although only 15 percent to 20 percent of the population has one or more chronic medical conditions, this segment of the workforce accounts for a majority of health care costs.

And that doesn't include the indirect costs of absenteeism, declines in productivity, worker's compensation, training and replacement expenses that are estimated to be three times direct costs! The situation may only get worse as a greater percentage of baby boomers reaches 50-plus years -- the age when most people develop at least one chronic condition.


The Avidyn Health cure

Avidyn Health is a fully integrated care management provider. ONLY Avidyn Health integrates utilization management, case management, maternity management, disease management and health and wellness.

We manage these chronic conditions that account for the majority of your claim costs:

• Asthma
• Chronic obstructive pulmonary disease
• Congestive heart failure
• Coronary artery disease
• Depression
• Diabetes
• Hypertension


How does the program work?

The Avidyn Health Disease Management program is based upon skilled nurse educators delivering evidence-based information in a one-on-one setting to plan members. As a result, plan members’ compliance with their treatment plans improves…and so do employer savings.

The combination of the right medical content and a strong partnership between an informed plan member and physician make a difference to your employees’ health and your bottom line.

As an opt-out program, more than 98 percent of people with a chronic condition will participate. And, more than 95 percent of participants report solid satisfaction with the program.

The power of technology

Our technology platform and data are proven, accurate and timely. Clinically sophisticated algorithms allow us to flag those members who may be at the highest risk. Registered nurses help them avoid serious medical consequences. Case managers quickly analyze data and report outcomes.

A single, secure data warehouse puts member claims and health information at our nurses’ fingertips. We use our collective intelligence from leading stop-loss carriers as triggers and alerts to find potential disease management participants. We continually refresh the data to identify eligible members.

Members can assess their conditions and monitor their health via online, interactive Health and Wellness and Chronic Conditions Centers. Printing the charts and graphs gives them a chance to share relevant information with their physicians and make the most out of their office visits. Computer-generated warnings alert members immediately if their data entry signals a potential risk.

The result—responsible, empowered members.

The compassion of humanity

While our technology is an important tool, all of us at Avidyn Health understand the human connection is critical. We provide secure Web messaging for our nurses, all who have expertise in behavioral change, in addition to telephone coaching. We supplement those relationships with continually updated educational materials and Internet tools. We also contact physicians, providing them the right information to better manage the people in their care.

The time to save money is before you spend it

Avidyn Health knows if you get the right care, at the right time, in the right place, you’ll not only feel better, you’ll save money. It’s a win for plan members AND plan sponsors. Our services are available as fully capitated or by an hourly rate with optional services.

 
New! Personal Care Note: Better Health Information is In Your Hands

Avidyn Health believes that our members, especially those with a chronic illness, can make improvements in their health via timely, personalized health care findings and recommendations. The Personal Care Note (PCN) offered by Avidyn Health provides such clinical findings and recommendations for members eligible for our Disease Management program. More specifically, each PCN details a member's most recent healthcare and pharmacy claims history and provides customized recommendations regarding how the member can improve their health and save money via smart healthcare and lifestyle choices.

PCNs are generated based on each member's medical and prescription drug claims data and address a wide range of medical issues, including but not limited to the seven chronic conditions supported by the Avidyn Health Disease Management program. In addition, general wellness PCNs remind members of appropriate age and gender specific health screenings that may be appropriate for them.

A member may receive more than one PCN per year, especially if that member's healthcare status changes (e.g., a member with hypertension that has received a PCN may receive another PCN if it is subsequently determined that the member also suffers from coronary artery disease). In a single Personal Care Note, a member can expect:

• Printed care messages with specific clinical findings and recommendations that the member is asked to consider with his or her physician

• Instructions on acquiring more information regarding why a recommendation is considered important

• Cost savings tips on prescription drugs and other healthcare services

• Information regarding the most recent twenty-five medical and prescription drug claims

The PCN is a vital educational tool in our Disease Management program for managing a member's chronic condition(s). In conjunction with the support provided to members via our Disease Management nurses, the PCN thereby assists Avidyn Health in our quest to significantly improve the quality of life for our members while at the same time reducing the overall healthcare costs for our clients.

 




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