Intervention Programs Sample Clauses

Intervention Programs. Landacorp will apply management programs to the Intervention Group using the following structured methodology. [*] Certain information on this page has been omitted and filed separately with the Commission. Confidential treatment has been requested with respect to the omitted portions. LANDACORP, INC. SECOND AMENDED AND RESTATED SERVICES AND SYSTEM AGREEMENT NUMBER XXXXXXXX

Intervention Programs. Landacorp will apply management programs to the Intervention Group using the following structured methodology. All members will be assigned to a case- or disease management program provided by Landacorp's Intervention Partner (CareAdvantage). Landacorp will contact, or attempt to make contact, with all the target members identified for intervention by Landacorp who are not assigned to the Control Group. The number of contacts with a patient and their timing will be the responsibility of Landacorp. Each contacted member will initially be screened through Landacorp's proprietary Managing for Tomorrow survey instrument to determine disease self-management skills and establish a base-line. The survey will be conducted directly with the member, via telephone. Member risk status will be further determined by the survey and professional judgment of the nurse-interventionist. Upon completion of the survey, those members who are assessed as being at continued risk will receive a tailored booklet detailing the results of the survey, and educational materials to help the member improve disease self-management skills. In addition, the contacted member may also receive additional disease-specific fulfillment kits (i.e. home laboratory tests for HbA1C analysis and microalbumin analysis, or one-time samples of low-dose aspirin, or medical devices such as peak flow meters, depending on diagnosis). The specific contents of the fulfillment kits will be subject to mutual agreement between Landacorp and Customer. The Intervention Partner will provide case-management services to those members who, in the judgment of the [*] Certain information on this page has been omitted and filed separately with the Commission. Confidential treatment has been requested with respect to the omitted portions. LANDACORP, INC. FIRST AMENDED AND RESTATED SERVICES AND SYSTEM AGREEMENT NUMBER 01071003 SECTION II Intervention Partner, are eligible for and will benefit from these services. The Intervention Partner will assess the ability of the member to manage their disease-burden and will set progress goals for the member to work toward in the management of their disease(s). The risk status of members who are receiving interventions from the Intervention Partner will be changed from time-to-time based on continued evaluation of the member status, at the sole discretion of the Intervention Partner. The Intervention Partner will also routinely assess the member's progress against the goals, using int...