Disease Management Program definition

Disease Management Program means a multi-disciplinary, continuum-based approach to improve the health of Enrollees that proactively identifies populations with, or at risk for, certain medical conditions: that: 1) supports the physician/patient relationship and place of care; 2) emphasizes prevention of exacerbation and complications utilizing cost-effective evidence-based practice guidelines and patient empowerment strategies such as self-management; and 3) continuously evaluates clinical, humanistic, and economic outcomes with the goal of improving overall health.
Disease Management Program means a program that employs a set of interventions designed to improve the health of individuals, especially those with Chronic Health Conditions. A Disease Management Programs is typically part of a Care Management program. Disease Management Program services include:‌
Disease Management Program means a program that employs a set of interventions designed to improve the health of individuals, especially those with Chronic Health Conditions. A Disease Management Program is typically part of a Care Management program. Disease Management Program services include:‌

Examples of Disease Management Program in a sentence

  • During operation of the Comprehensive Hemophilia Disease Management Program, the Managed Care Plan shall coordinate the care of its enrollees with Agency-approved organizations and shall not be responsible for the distribution of hemophilia-related drugs.

  • Hemophilia factor-related drugs identified by the Agency for distribution through the Comprehensive Hemophilia Disease Management Program are reimbursed on a fee-for-service basis.

  • The Disease Management Program is especially beneficial for Members who have complex health care needs or who require additional assistance and support.

  • This process is referred to as “opting out” of the Disease Management Program.

  • Disease Management Programs Participation in a Disease Management Program may be required.

  • A Disease Management Program may be a part of a Care Management program.

  • During operation of the Comprehensive Hemophilia Disease Management Program, the Managed Care Plan shall coordinate the care of its enrollees with Agency-approved organizations.

  • The Joint Committee on Health Benefits will work with the State to implement and oversee a Healthy Back Disease Management Program.

  • The goals of Keystone Health Plan Central’s Disease Management Program are to maintain and improve the overall health status of Members with specific diseases through the provision of comprehensive education, monitoring and support for healthy self-management techniques.

  • Participation in Keystone Health Plan Central’s Disease Management Program is voluntary and involves no additional cost to our Members.


More Definitions of Disease Management Program

Disease Management Program means an integrated population based system approach to deliver health care services. Disease management programs use information based processes to improve the entire continuum of care, from prevention and patient education, to diagnosis and treatment, to follow‑up and ongoing maintenance, with the intention of producing the best clinical outcomes. A disease management program performs the following functions: (i) classifying patients by disease state; (ii) identifying patients with specific chronic diseases in a covered population, (iii) encouraging intervention at the most beneficial medical junctures, (iv) offering long‑range strategies to prevent and control each disease, (v) providing feedback on outcome to physicians, and vi) emphasizing preventive care and patient education.
Disease Management Program means a program adopted to guide and care
Disease Management Program means a Utilization Management Program designed to benefit Enrollees diagnosed with specific conditions, such as diabetes or congestive heart failure, with the goal of producing and implementing a plan tailored to each Enrollee’s unique circumstances for managing the Enrollee’s health status.
Disease Management Program means a coordinated, confidential program designed to manage a Member’s chronic disease so that action can be taken to improve outcomes in the future.
Disease Management Program. A program that employs a set of interventions designed to improve the health of individuals, especially those with Chronic Health Conditions. Disease Management Program services include: (i) a population identification process; (ii) use and promotion of evidence-based guidelines; (iii) use of collaborative practice models to include Physician and support service Providers;
Disease Management Program means an integrated population based system

Related to Disease Management Program

  • Case management means a care management plan developed for a Member whose diagnosis requires timely coordination. All benefits, including travel and lodging, are limited to Covered Services that are Medically Necessary and set forth in the EOC. KFHPWA may review a Member's medical records for the purpose of verifying delivery and coverage of services and items. Based on a prospective, concurrent or retrospective review, KFHPWA may deny coverage if, in its determination, such services are not Medically Necessary. Such determination shall be based on established clinical criteria and may require Preauthorization.

  • Nutrient management plan means a plan developed or approved by the Department of Conservation and Recreation that requires proper storage, treatment and management of poultry waste, including dry litter, and limits accumulation of excess nutrients in soils and leaching or discharge of nutrients into state waters.

  • Utilization management section means “you or your authorized representative.” Your representative will also receive all notices and benefit determinations.

  • Health plan or "health benefit plan" means any policy,

  • Adaptive management means reliance on scientific methods to