WellCare of Texas Launches Field-Based Care Management Program
TAHP Operational Member WellCare Health Plans has launched a new field-based care management program that delivers personalized, cost-efficient care for medically-complex Medicare Advantage Members.
“Field-based care management allows us to engage with members who are dealing with multiple chronic illnesses, behavioral health issues and other challenges, including a lack of access to needed social services, to better address gaps in care,” said Michael Radu, WellCare’s senior vice president of clinical operations and business development. “Face-to-face interaction is one of the most effective ways for us to assist members with complex health conditions to achieve and maintain optimal health.”
By making home visits, WellCare care managers interact with members to address gaps in care, survey home environments for potential hazards, and develop collaborative care plans to help manage their chronic conditions and access the right level of care in the most appropriate setting. Care managers also connect members to community-based agencies to fill social service needs that may be barriers to their ability to prioritize their health. Members who receive care management have had recurrent hospitalizations or emergency room visits, or have several chronic conditions. Read more here.