Putting Disease Management Programs to Work

People with chronic health conditions can benefit from specialized healthcare outreach and self-management programs in place at CBIA’s health benefits partners, ConnectiCare and Harvard Pilgrim Health Care. These programs help patients manage their conditions more effectively, with the goal of enhancing patient knowledge about specific diseases, encouraging compliance, preventing painful or dangerous complications as much as possible, and mitigating flareups when they occur.

ConnectiCare’s Touchpoints Program offers options to help members manage specific conditions including:

  • BREATHE – Asthma: for all members with asthma.
  • BREATHE – COPD: for members with chronic obstructive pulmonary disease (COPD), which includes chronic bronchitis and emphysema.
  • DiabetiCare – for adult members with diabetes.
  • HeartCare – CAD: for members with coronary artery disease.
  • HeartCare – HF: for members with heart failure.
  • Birth Expectations — for pregnant members with a history of a previous pre-term delivery or of carrying more than one baby.

Additionally, they offer a Kidney Case Management Program designed to help ConnectiCare members and their families manage kidney disease. A registered nurse with specialized training calls members to provide guidance and support and to monitor health conditions and complications that are commonly related to kidney disease.

Harvard Pilgrim takes a comprehensive approach to disease management, focusing on patient-centered care that coordinates resources across the health care delivery system and throughout the life cycle of a disease. Harvard Pilgrim’s disease management programs include a range of components specifically designed to reinforce clinicians’ treatment plans. These include:

  • Clinical practice guidelines for effective care
  • Patient identification and outreach
  • Patient education in managing their condition in order to reduce adverse outcomes and maximize quality of life.

These programs assist patients by helping them better understand their condition, giving them useful and timely information about their disease, and providing them with assistance from clinical health educators, nurses and pharmacists who can help them manage their disease.

If you think you qualify for a disease management program, or have other questions, contact your health benefits provider directly using the customer service number on your member identification card.


 

Be sure to check out the CBIA Healthy Connections wellness program at your company’s next renewal. It’s free as part of your participation in CBIA Health Connections!