Our approach to condition management

Priority Health offers proactive, ongoing help for members with chronic conditions, such as:

• Asthma
• Diabetes
• Cardiovascular disease
• Congestive heart failure
• Childhood attention-deficit/hyperactivity disorder (ADHD)
• Chronic obstructive pulmonary disease
• Chronic pain

All members are eligible for this service, also known as disease management, when they enroll in a Priority Health plan. As soon as a member is identified as needing help, our in-house team takes action, providing educational tools, telephone support and face-to-face assistance. We also work with physicians to coordinate care.  The result? Members get the care they need, when they need it.

A closer look at condition management

• Educational information about specific conditions, including links to online tools, condition support groups and more
• Telephone counseling with a registered nurse - request a call from one of our nurse case managers
• Clinical pharmacy management that ensures members are taking the best medications for their conditions
• Care coordination and advocacy to help members navigate the health care system
• Success stories about how we've helped members receive the best health care possible

*HEDIS®, 2008. Healthcare Effectiveness Data and Information Set is a tool used by more than 90% of America's health plans to measure performance.