An Overview

ConnectiCare defines health management as a method for identifying a population of members with a specific disease or condition, and helping to manage that population in the context of an integrated, multi-disciplinary approach.

The objectives of the Health Management Programs include: promoting measurable improvement in members’ health status through self-assessment and management of symptoms, promoting physician compliance with nationally recognized treatment guidelines, and ultimately reducing the overall costs associated with chronic disease.

ConnectiCare members with asthma, chronic obstructive pulmonary disease, diabetes, heart failure, or coronary artery disease will receive mailings describing our Health Management Programs and the benefits of participation.

Members enrolled in one or more of our Health Management Programs are also eligible for QuitCare, ConnectiCare’s program to help members who want to quit smoking. QuitCare includes ongoing phone support with a quit coach, educational materials in the mail and coverage for Nicotine Replacement Therapy as long as the member continues participation in quit coaching and has a pharmacy benefit with ConnectiCare.

ConnectiCare Health Management Programs

Programs developed and implemented to date include:

ConnectiCare develops its Health Management Programs in consultation with local physicians. As programs are developed, ConnectiCare distributes program documentation to physicians who, based on their specialty, may have patients who would benefit from these specific programs. These routine program updates may include periodic reports, updated guidelines, or notification of a member’s participation. Any confidential member information received should be filed in the member’s medical record. If you do not want to receive these mailings, please contact our Health Management Programs Department at the number below.

Updates of a more urgent nature may be deemed necessary by the Health Management Program nurse case manager in the event a member's health condition has changed. In this instance, the nurse case manager will attempt to contact the physician by phone.

If you would like to know more about specific program content, visit the Health Management Center.  Printed copies of program descriptions, educational materials and mailings to members are available upon request.

To enroll one of your patients in a program or if you have any comments or complaints about a Health Management Program, contact the Health Management Programs Department, Monday - Friday, 8 a.m. - 4 p.m., at 1-800-390-3522.

Practitioner Rights

Practitioners who participate in ConnectiCare’s Health Management Programs have the right to

• have information about ConnectiCare’s programs and services, including the staff, the staff qualifications, and any contractual relationships related to Health Management Programs.
• be informed of how ConnectiCare’s programs coordinate interventions with treatment plans for individual members.
• know how to contact the person responsible for managing and communicating with the practitioner's patients.
• be supported by ConnectiCare’s programs to make decisions interactively with members regarding their health care.
• receive courteous and respectful treatment from ConnectiCare staff.
• communicate complaints to ConnectiCare.
• decline participation in Health Management Programs.