Harvard Pilgrim Health Care Home
  HPHConnect
 
  Learn more.
  Sign up for HPHConnect.
Medical Management
E-Transactions
HPHConnect
Pharmacy
For Your Patient
News Center
Network Matters
Newsletter Archives
Newsletter Registration
Newsroom
Office Support
Products
Provider Manual
Medicare Advantage
Research & Teaching
Resources & Links
 
Print    Text Size

Network Matters
News and Information for the
Harvard Pilgrim Health Care Network

March 2016

Disease Management Programs that Reinforce Physician Treatment Plans


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 programs assist patients with conditions such as asthma, COPD, heart failure, diabetes, and transgender issues by helping them better understand their condition, giving them new information about their disease, and providing them with assistance from clinical health educators and pharmacists who can help them manage their disease.

Patients identified as having a chronic condition such as diabetes, heart failure, or asthma are automatically enrolled in Harvard Pilgrim’s disease management programs through the following:

  • Referrals by their physicians, case managers, and specialty care providers
  • Census reports from hospital or ER visits
  • Medical and pharmacy claims analysis that identifies patients with appropriate diagnoses
  • Self referral
  • Health risk appraisal

For a full list of all of Harvard Pilgrim’s disease management programs, visit our Disease and Health Risk Management webpage. To enroll a Harvard Pilgrim member into one of our programs, e-mail healthandwellness@harvardpilgrim.org or call 866-750-2068.

Email this article to a colleague   


Network Matters Archives

Download printer-friendly version

HPHCURRENT EVENTS

Medicare Prescriber Enrollment Deadline Updated

CLINICIAN CORNER

Reducing Preventable Readmissions in Medicare Advantage Population

Clinical Policy and Prior Authorization Updates

Update to Formulary Exception Request Process

Verify Coverage Before Dispensing Medication Samples

Massachusetts Providers: Enroll in Online Prescription Monitoring Program

Complex Case Management Services

Disease Management Programs that Reinforce Physician Treatment Plans

Self-Harm and Alcohol Abuse Risks After Bariatric Surgery

OFFICE ASSISTANT

Reminder: Keep Panel Status Up to Date

PUBLICATION INFORMATION

Eric H. Schultz,
President and Chief Executive Officer

Robert Farias,
Vice President, Network Services

Annmarie Dadoly,
Editor

Joseph O'Riordan,
Writer

Kristin Edmonston,
Production Coordinator