Chronic Care Management

According to the Centers for Disease Control and Prevention (CDC), chronic diseases, such as cardiovascular disease, chronic obstructive pulmonary disease (COPD), diabetes and asthma, affect six in 10 U.S. adults and account for 90% of all healthcare costs.^{1, 2}

Carenet Health’s Chronic Care Management solution addresses the problem with a NCQA-accredited Population Health program that provides personalized interventions to help individuals better manage chronic diseases and reduce costs. Carenet has years of experience implementing care management programs that get results.

We use the Pathways Engine, our predictive analytics and machine learning platform—which utilizes over 600 data points, incorporating medical and prescription claims history and socio-economic factors—to select the most appropriate members to target. Our Care Pathways framework positions individuals along a disease trajectory, from first being diagnosed with a condition to being at serious risk for a critical event and all of the stages in between. We support members along four major Care Pathways—cardiovascular, diabetes, asthma and COPD, pinpointing which stage an individual is at in their healthcare journey in order to tailor clinical interventions and action plans to address the member’s needs.