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Executive Summary

ConnectiCare is one of only four health plans in the nation to receive a full, three-year accreditation from the NCQA for all of our health management programs (high-risk pregnancy, asthma, coronary artery disease, heart failure and diabetes). Our health and quality improvement programs help employers manage health care expenses and increase productivity with a variety of proven strategies:

  • Our immunization and screening programs are designed to encourage preventive measures that protect against and detect serious illness. 2003 HEDIS results show that these programs are exceeding the national accreditation thresholds and competitors’ averages in nearly every category.
  • With our Birth Expectations program, the rate of pre-term delivery among ConnectiCare members has dropped from 8.8% in 1997-98 when the program began, to 7.3% in 2001-2002. For the nation as a whole, the figure increased from 11.4% to 11.9% during the same period.
  • Since our BREATHE program for asthma began in 1995-96, emergency department visits per 1,000 asthmatics has dropped from 57.2 to 29.7.
  • Our DiabetiCare program, which began in 1997, has helped reduce the percentage of members whose blood sugar is out of control from 33.3% to 22.4%.
  • Due to our HeartCare program, the rate of hospital admissions related to congestive heart failure dropped 75% between 1998 and 2001.
  • Our Pharmacy Quality Initiatives have shown significant impact in addressing cholesterol, diabetes, heart disease, asthma, and drug safety in the elderly.
  • Our Worksite Wellness initiative delivered more than 280 onsite programs to more than 6,000 employees in 2003, a record year. These programs range from back care and stress reduction to fitness and nutrition.
  • Whether you’re managing a chronic health condition or seeking more information to maintain your healthy lifestyle, our Preventive Health Guidelines provide a wealth of resources from which to choose.