Common use of Disease Management Program Clause in Contracts

Disease Management Program. a. Disease management programs provided by the Managed Care Plan shall address co-morbid conditions and consider the whole health of the enrollee. b. Disease Management programs provided by the Managed Care Plan shall include, but are not limited to, the following components: (1) Education based on the enrollee assessment of health risks and chronic conditions; (2) Symptom management including addressing needs such as working with the enrollee on health goals; (3) Emotional issues of the caregiver; (4) Behavioral management issues of the enrollee; (5) Communicating effectively with providers; and (6) Medication management, including the review of medications that an enrollee is currently taking to ensure that the enrollee does not suffer adverse effects or interactions from contra-indicated medications. c. The Managed Care Plan shall have policies and procedures regarding disease management programs provided that include the following:

Disease Management Program. a. Disease management programs provided by the Managed Care Plan shall address co-morbid conditions and consider the whole health of the enrollee. b. Disease Management programs provided by the Managed Care Plan shall include, but are not limited to, the following components: (1) Education based on the enrollee assessment of health risks and chronic conditions; (2) Symptom management including addressing needs such as working with the enrollee on health goals; (3) Emotional issues of the caregiver; (4) Behavioral management issues of the enrollee; (5) Communicating effectively with providers; and (6) Medication management, including the review of medications that an enrollee is currently taking to ensure that the enrollee does not suffer adverse effects or interactions from contra-indicated medications. c. The Managed Care Plan shall have policies and procedures regarding disease management programs provided that include the following:or