Disease Management definition

Disease Management means a system of coordinated healthcare interventions and communications for populations with conditions in which patient self-care efforts are significant.
Disease Management means a comprehensive system that incorporates the patient, physician, and health plan into 1 system with the common goal of achieving desired outcomes for patients.
Disease Management. System of coordinated healthcare interventions and communications for populations with conditions in which patient self-care efforts are significant.

Examples of Disease Management in a sentence

  • The Plan Participant may qualify for Disease Management programs, at the Plan’s discretion, based on various criteria, including a diagnosis of chronic illness, severity, and proposed or rendered treatment.

  • The goal of Disease Management is identification of areas in which the staff may assist you with education and/or resources to maintain your health.

  • Disease Management covers those illnesses identified to be chronic, high cost, impact quality of life, and rely considerably on the patient’s compliance with treatment protocols.

  • If you are being treated for certain conditions which have been initiated under this program, you will be contacted by the Disease Management staff with further information on the program.

  • The MCO must provide a comprehensive disease management program or coverage for Disease Management (DM) services for asthma, diabetes, and other chronic diseases identified by the MCO, based upon an evaluation of the prevalence of the diseases within the MCO’s membership.


More Definitions of Disease Management

Disease Management means health care services, including patient education, monitoring, data collection and reporting, designed to improve health outcomes of medicaid recipients in defined populations with selected chronic diseases;
Disease Management means a strategy of delivering health services using interdisciplinary clinical teams, continuous analysis of relevant data, and cost-effective technology to improve the health outcomes of Members with specific diseases. MCOs must provide for a disease management program for Members through close coordination with and assistance from PCPs and seek to adopt uniform key health status indicators. Examples of chronic diseases that may be included are diabetes, cardiovascular disease, chronic obstructive pulmonary disease, asthma, and obesity. This list is not exclusive. [See, XXXX 0000, §27-2-12].
Disease Management means an approach to healthcare that teaches beneficiaries how to manage their chronic disease(s). Disease Management consists of a group of interventions designed to prevent or manage one or more chronic conditions so that beneficiaries may learn to take responsibility for management of their health condition(s).
Disease Management means the development and implementation of management strategies and associated actions to eliminate the threat of Disease transmission from Diseased to Disease-free bison herds.
Disease Management means education and support
Disease Management. An integrated treatment approach that includes the collaboration and coordination of patient care delivery systems and that focuses on measurably improving clinical outcomes for a particular medical condition through the use of appropriate clinical resources such as preventive care, treatment guidelines, patient counseling, education and outpatient care; and that includes evaluation of the appropriateness of the scope, setting and level of care in relation to clinical outcomes and cost of a particular condition. Disenrollment: Action taken by the MAA to remove a member's name from the monthly Enrollment Report following the MAA's receipt of a determination that the member is no longer eligible for enrollment. District of Columbia Healthy Families Program (DCHFP): District of Columbia Healthy Families Program is the District's combination of the Medicaid program and the State Children's Health Insurance Program (SCHIP).
Disease Management means a program that provides members with educational materials about chronic conditions such as asthma, diabetes, and heart disease. The educational materials have information about the chronic condition, nutrition, exercise, and lifestyle choices that help members live better with a chronic condition. Members may also get care reminders and information about community educational programs. Our current disease management programs are the Asthma program, Chronic Obstructive Pulmonary Disease (COPD) program, Coronary Artery Disease/Cholesterol Management, Diabetes program, Depression program, Low Back Pain program, Maternity Management, and a Tobacco Cessation program. We may add to, or change, these programs at any time. You and your dependents must participate in our disease management program if you are identified by us as a person that would benefit from disease management services. You must participate to engage in the Wellness Reward Program. ENGAGEMENT PERIOD is the twelve (12) month period beginning on the date you and your dependents complete the first set of wellness requirements. It ends twelve (12) months later. During this time period, you are enrolled in the Wellness Reward Program.