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Disease Management

HMSA is committed to help members with chronic diseases or conditions through a system of coordinated health interventions and communications. Our disease management programs and services provide the education, support and encouragement needed to help affected members better manage their health and motivate them to make positive, lasting lifestyle changes.

Care Connection
HMSA’s Care Connection program provides members with support and disease management tools to help them manage their chronic conditions. Care Connection does not replace a physican’s care, but it can help members understand their condition better and follow their doctor’s treatment plan.

In 2009, 108,800 members received support for:

  • Asthma and chronic obstructive pulmonary disease.
  • Behavioral health conditions, such as stress, anxiety, depression or substance abuse.
  • Diabetes.
  • Heart disease.
  • Chronic kidney disease.

Integrated Case Management Services

Certain medical conditions require ongoing care after a hospitalization or to prevent unnecessary hospitalization. The staff of HMSA’s Integrated Case Management Services works with hospitals and physicians to help members get the care they need.

Services include assistance for members and their families, such as:

  • Understanding health care and coverage options.
  • Finding the appropriate care providers.
  • Accessing additional community resources.
  • Coordination of care.
  • Palliative/comfort care coordination services.