Common use of Care Management Programs Clause in Contracts

Care Management Programs. a. We have established (and from time to time establish) various Member-focused health education and information programs as well as benefit Utilization Management Programs and utilization review programs. These voluntary programs, collectively called the Care Management Programs, are designed to: i. provide you with information that will help you make more informed decisions about your health; ii. help us facilitate the management and review of the coverage and benefits provided under our policies; and iii. present opportunities as explained below, to mutually agree upon alternative benefits for cost-effective medically appropriate Health Care Services. b. Please note that we reserve the right to discontinue or modify our Prior Authorization requirements and any Care Management Programs at any time without your consent.