Disease Management
Disease management programs are designed to improve the health of persons with chronic conditions and reduce associated costs from avoidable complications. These goals are accomplished by identifying and treating chronic conditions more quickly and more effectively, slowing the progression of those diseases. Disease management is a system of coordinated healthcare interventions tailored to your conditions where self-care efforts can be implemented.
We have programs for our members who have asthma breathing trouble (such as bronchitis, emphysema), diabetes, heart problems and many other conditions. Our health coaches may contact you to invite you to participate in one of these programs when we see an insurance claim with one of these conditions. Disease management empowers you, working with your healthcare providers, to manage the disease and prevent complications.
Employer Group Members
Opt in or out of the program by calling 888.360.1555 or visiting the Member Information Center.
Case Management
We have case managers available to help members who have been diagnosed with complicated health problems. A nurse case manager will work with members, families and the physician to create a plan to meet the member's ongoing complex care needs. Case managers advocate for members and assist them with setting goals and making a personal plan to improve their health. They also can assist with arrangements for necessary services and community supports. Case managers answer questions and provide education to help members have a better understanding of their condition and plan of care.
For more information or to request a Case Manager, email CaseManagement@BSWHealth.org or call the Customer Service number on the back of your member ID card and ask for a Case Manager.