Population Health Management Support Services

Health plans that assume risk in managing a population’s health risk can benefit from partnerships with organizations that can supplement and complement a health plan’s programs and services in a broad range of areas, including the following:

• Case management services, including consultative case management and case management seminars
• Transplant management programs and/or carve-out products
• Neonatal management
• Diseases management services, including cancer services networks, congenital heart disease networks, and kidney management services
• Forensic review
• Claim recovery
• Physician consultation
• Patient advocacy
• Pharmacy services, including specialty pharmacy, pharmacy benefit management, and transplant pharmacy
• Training and education
• Ancillary product solutions
• Medical management evaluation
• National PPO networks
• Provider negotiations