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= Registered Users Only |
Large Employers (>50)
Small Employers (<50)
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| Executive Summary |
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ConnectiCare has established itself among the best for customer service and
quality health improvement programs – receiving high marks for the positive
impact on our members’ health and well being.
- Customer Service – ConnectiCare earned the highest member satisfaction score for customer service of any health plan in Connecticut according to the 2010 Consumer Assessment of Healthcare Providers and Systems Survey (CAHPS®), the most widely used benchmark for health plans.
- National Accreditation – ConnectiCare’s quality has been recognized by our
industry’s toughest critic, the National Committee for Quality Assurance (NCQA).
NCQA is a private, not-for-profit organization that accredits health plans based
on a rigorous and comprehensive evaluation process. Since 1999, ConnectiCare has
been recognized for superior quality and service by being granted an “Excellent”
accreditation status.
- ConnectiCare Touchpoints – In 2008 we introduced ConnectiCare Touchpoints, a
comprehensive program of Health and Wellness tools, resources and services all
designed to help your employees – those in good health as well as those with
health conditions – take a proactive role in their health. Your employees can
access the programs, tools and information in Touchpoints online.
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Healthy Alternatives Program and Preventive Care Programs - ConnectiCare's programs are designed to encourage healthy lifestyles and preventive measures that protect against and detect serious illness. 2010 HEDIS® ((Health Plan Employer Data and Information Set) results show that our preventive care programs ranked in the top 25% or better in most categories among over 400 health plans measured nationwide.
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Worksite Wellness - Our Worksite Wellness Initiative reached 7,408 employees at
more than 300 company locations, delivering everything from back care and stress
reduction to fitness and nutrition. In addition, ConnectiCare offers
comprehensive services to help large employers develop, implement and administer
incentive and rewards programs and measure their effectiveness.
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BREATHE - ConnectiCare's program to help members with asthma and COPD (Chronic Obstructive Pulmonary Disease), including emphysema and chronic bronchitis, manage their condition. This program has led to a 22% decrease in asthma-related hospital bed days and a 55% decrease in COPD-related hospital bed days from 2009 to 2010.
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DiabetiCare - ConnectiCare's program to help members stay in control of their diabetes. Among other things, we encourage our members with diabetes to have their cholesterol checked annually. In 2007-2009 88% of our diabetic members had their cholesterol screening done.
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HeartCare - ConnectiCare's cardiac program has two components: Coronary Artery Disease (CAD) and Congestive Heart Failure (CHF). This program provides our members with heart problems the education and support they need to make the necessary lifestyle modifications to lower their risk of cardiac events. This program has shown positive results, with the number of all-cause hospital bed days for members with CHF dropping 15% from 2009 to 2010.
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Pharmacy Quality - Our Pharmacy Quality Initiatives have
shown significant impact in addressing cholesterol, diabetes, heart disease,
asthma, and drug safety in the elderly.
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QuitCare - ConnectiCare program that offers smoking cessation coaching to our members. QuitCare participants receive phone support from a Quit Coach and educational materials in the mail. Members with pharmacy benefits also receive coverage for Nicotine Replacement Therapy (NRT).
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Cancer Support - ConnectiCare's program that provides members diagnosed with cancer with a single source of personal support from an experienced cancer nurse. In addition to helping our members cope with the emotional side of cancer, the nurse can provide information about treatment options, answer questions, or guide members to a provider in their local community or within the OptumHealth® Cancer Centers of Excellence network.
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Special Care Case Management - If you are dealing with multiple health conditions or a serious health problem, we know that you will need special attention. ConnectiCare’s Special Care Case Management Program is designed to focus on chronic illnesses and their management challenges.
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Transplant Case Management - The Transplant Case Management Program is designed to provide ConnectiCare members and their families with education, support and advocacy. A registered nurse with experience in transplant management calls members to help them obtain and coordinate necessary health care services, while helping them maximize health care benefits. The nurses are information resources regarding transplants, cost issues, community resources, and care options.
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Kidney Resource Services - The KRS Program focuses on members who have been diagnosed with Stage 4 or 5 Chronic Kidney Disease (CKD) or End Stage Renal Disease (ESRD) and receiving dialysis at home or at a facility. For members diagnosed with CKD, the program is designed to delay progression to dialysis and avoid co-morbidities. If dialysis is unavoidable, the case managers provide guidance to help members choose a modality and providers that best meet their individual needs. For members with ESRD on dialysis, the program focuses on reducing medical complications associated with ESRD and provides each member with an individualized care plan and education based on national clinical treatment guidelines. The program also works with all providers involved to coordinate care including dialysis facilities and physicians.
Please note: 2010 CAHPS and HEDIS®
results are based on data collected in 2009. HEDIS® is a registered
trademark of the NCQA.
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