disease management

Disease Management | Utilization Management | Case Management | Nurse Line

trusted. proven. effective.
SHPS disease management programs provide a full-service solution for our partners, from enrollment through fulfillment and reporting. They include a coordinated system of interventions and communications for chronic conditions in which good self-management plays a significant role in improving health, preventing hospitalizations and lowering costs. Participants receive valuable education, support and encouragement as they strive to improve their health and make wise healthcare decisions. And our flexibility allows us to integrate these programs with other SHPS solutions – or external sources – seamlessly. So SHPS disease management is the perfect addition to your organization’s care management portfolio.
take-charge approaches lead to better care
Providing chronic populations with relevant tools and education empower them to become active participants in their healthcare. This “take charge” attitude can then extend to each component of your consumer-driven strategy. In addition, promoting evidence-based guidelines allow individuals to analyze the competence and effectiveness of the frequent care they’re receiving – and abandon providers who don’t measure up. As more of your clients turn to consumer-driven healthcare, disease management will become a necessity. Rather than invest extensive time and resources to create an in-house offering, SHPS can partner with you to fill that need with our consumer-friendly solutions – saving you assets and satisfying your customers’ demands.
consumerism isn’t “one-size-fits-all”
Our population-based approach to managing chronic health conditions engages the 95 percent of a disease population that total nurse-managed programs miss. This extensive reach is possible through our flexible identification methods. Claims data, health risk assessments and referrals allow us to reach out to a greater share of your chronic population. Our proprietary stratification models and sophisticated technology deliver personalized education and interventions tailored to individual risk status and health profile. And because our interventions are flexible, you can add incentives, change stratification criteria and incorporate SHPS nurse line – or your own vendors. So you’ll have a turnkey disease management offering tailored to your organization’s needs and goals.
SHPS disease management offers its partners:
- comprehensive, effective programs. Seven of the most common – and most costly – chronic diseases are targeted, including diabetes, coronary artery disease (CAD), heart failure, high blood pressure, high cholesterol, asthma and chronic obstructive pulmonary disease (COPD). The result is an improvement in clinical, financial and quality of life measures within chronic populations.
- superior engagement and enrollment. We utilize behavior modification models and psychological techniques at all risk levels, influencing participants to engage in their health and become better healthcare consumers. And our industry-leading enrollment rates ensure you achieve the greatest impact.
- stratification – not simply identification. SHPS disease management doesn’t just identify names from claims and offer cookie-cutter interventions like others in the marketplace. We use a proprietary algorithm to stratify participants based on different factors that influence their current health and future risks. Then, we provide tailored interventions that meet individual needs and create the best chance for success.
- unparalleled communications. SHPS’ team of writers, designers and medical professionals provide award-winning patient education materials that are effective and engaging. Our messaging is consistent across all participant interactions. And we provide ready-made sales and awareness materials to help you successfully sell and promote these programs to your customers and participants.
- clinical improvement reporting. A standard package of secure online reports for all groups – at all size levels – is available monthly, quarterly and annually. So you can track program outcomes, from participation results, to risk stratification and compliance to evidence-based medical guidelines.
- seamless, personalized experiences. Our programs can be branded to your organization and integrated with outside vendors to create a seamless, personalized experience for participants. This not only increases the likelihood they utilize your other health and benefit programs, it increases the likelihood their participation will produce bottom-line results.
- speed-to-market. By partnering with SHPS, you’ll quickly close the disease management gap in your care program portfolio – bringing our ready-made, best-in-class solution to bear in managing your chronically ill members.
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