At Innovative Care Management, all of our programs
seek to balance a company's risk with professional medical management
by lowering healthcare costs while at the same time seeking the
highest quality of care for the patient. Each of the following
programs contribute to this end with a variety of methods for early
risk identification and proactive, cost-effective solutions for
high-risk patients.
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Preauthorization & Utilization Management - Provides medical necessity determinations and screens
for high-risk patients.
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Case Management - Provides in-depth patient
care for patients with complex medical conditions.
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Healthy
Mother Baby Program - Maternal and newborn care
program that provides information and support to expectant
mothers
resulting in reduced incidence of premature births.
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Disease Management - Also known as Living Well with a Chronic Condition,
this program provides information, support,
and follow up for patients with certain chronic medical conditions.
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Pharmacy
Review - Screens for high-risk patients through review
of drug usage, and helps protect against
drug misuse, over-medication, over-utilization, and coordination of benefits.
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Medical
Director Services - Provides final medical determinations
for complex cases and oversees company
policies and procedure guidelines.
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Negotiated Rate Services - Reduces the cost-risk of utilizing providers outside
of a preferred provider
network.
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Online Health Resources - Offers a variety
of articles and tools for physical and mental health, stress,
finance,
and more.
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Steps for Life - A motivational pedometer walking
program focused on encouraging good health and fitness among
employees.
