| ||Amerigroup: Coordinated Case Management|
Amerigroup works with the State of Tennessee and community partners to coordinate long-term care services for elderly and disabled Medicaid members in their own homes. Larry was first in Tennessee to return home under this program.
| ||Amerigroup: Dedicated Doctors and Nurses|
One in eight babies in the U.S. is born too soon, a leading contributor to the nation's high infant mortality rate.To address the problem, Amerigroup created the "Taking Care of Baby and Me®" program for prenatal and postpartum care.
| ||BCBS Massachusetts: The Alternative Quality Contract |
Blue Cross Blue Shield of Massachusetts has developed a new approach to paying for health care, The Alternative Quality Contract, which is intended to improve the quality of care that patients receive and slow the rise in health car costs. Doctors and hospitals are rewarded for keeping patients healthy and for effectively managing chronic illnesses.
|Working closely with patients, their families, and other health professionals, Cigna's case managers help patients access the medical, behavioral, health, and social services they need. They also educate patients about their health conditions and provide coaching to help them reach personal health goals.|
Cigna: A Cigna Member with Diabetes Tells How the Health Plan's Wellness Program Turned Her Life Around
Cigna: A Cigna Member Tells How the Health Plan Helped Her Following a Car Accident
| ||Group Health Cooperative: Living Well with Chronic Conditions|
Through Group Health's Living Well with Chronic Conditions program, patients with chronic conditions participate in six-week group workshops in person or online to gain support and learn how to manage their conditions effectively.
| ||Group Health Cooperative: The Medical Home|
Members of Group Health Cooperative receive primary care through the Medical Home initiative. Physicians lead teams of nurses, clinical pharmacists, physician assistants, and case managers to address all of patients' preventive, acute, and chronic care needs.
| ||Humana: Humana Cares|
The Humana Cares program goes beyond traditional disease management. Humana Cares staff provide extensive, one-on-one support, both in person and by phone, to improve the health status and quality of life for patients with complex and chronic conditions.
| ||Molina: Shots for Shorties and Check Up or Check Out|
Molina's Shots for Shorties program provides outreach and incentives to improve immunization rates among African American children in Detroit. From the time of the program's launch in 2004 to 2010, the percent of children under age 2 who received recommended immunizations rose from 38.3 percent to 70.2 percent.
In 2006, Molina Healthcare partnered with the Michigan Department of Community Health to create the Check Up or Check Out program to encourage African American men to have annual preventive care visits. From 2006-2010, rates of cholesterol and blood glucose testing, as well as colorectal and prostate cancer screening, more than tripled.
| ||SCAN Health Plan: A Better Way to Care|
SCAN Health Plan serves more than 130,000 seniors and the physically disabled in California and Arizona. Nurses and social workers arrange for all of the medical, social, and behavioral health services that beneficiaries in SCAN's Special Needs Plans (SNPs) need to live safely in their own homes.
| ||Sentara/Optima Health: The Wellness Payoff|
In 2008, Sentara Healthcare implemented an incentive-based health and wellness program for employees. Over the past two years, health indicators for participating employees have improved significantly, and the program has achieved a net savings of $3.4 million.