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High Touch Personal Assistance
Reaching Out to Those in Need
CareAllies Health Advisors proactively identify and reach out to members who are at risk for significant health issues but are not eligible for chronic or acute disease or case management programs. Our team of health and wellness professionals includes registered nurses, behavioralists, health educators and nutritionists, supported by doctors and pharmacists. Using the team approach, our health advisors reach members earlier in their health care experience and provide valuable health and wellness coaching and resources.
One Powerful Program
This program increases early identification and proactive engagement of the at-risk population through completion of a Health Risk Assessment; predictive modeling; and customer service identification and direct-to-member communication that heightens awareness of the program and promotes self-identification. Once contacted, health advisors assess each member's overall health status, health attitudes and behavior, and readiness to change. We then assign a resource from our team that best matches each individual's needs.
Instant Access to Tools & Resources
Health Advisors have member-specific information at their fingertips, allowing them to focus more effectively on members' unique needs and preferences. Tools include:
- Integration with our Well Informed program, offering valuable information and promoting appropriate, seamless care.
- Preference-sensitive coaching techniques, allowing our nurses to coach members to successful clinical outcomes more often.
- An integrated care management system, enabling nurses to track and manage all member health care activities: medical, pharmacy, behavioral, disability and more.
- Our Health Risk Assessment, identifying members for wellness and behavior modification programs. Predictive modeling and claims, triggering further opportunities for wellness and health coaching.
What Can This Program Do For Me?
For Employers: Through proactive engagement, the program reaches the member earlier in the treatment decision-making process, increasing CIGNA's ability to help members make informed decisions regarding cost, quality and healthy behaviors.
Which Employers Benefit the Most?
Employers who want to engage at-risk members earlier to prevent future illness and associated expenses. Employers who want to increase engagement across disease, behavioral, pharmacy and other programs by having a preferred member resource that can assist in identification and referral.
For Employees: A personalized single point of contact for health-related information and advice based on their specific benefits, needs and preferences. The program also identifies resources for advice and guidance to help navigate the complex health care system.
An Example of How it works:
Jane Doe has osteoarthritis of the knee, and her doctor has told her that she may need knee surgery. Jane calls the Health Advisor program seeking advice on her treatment options. Jane's Health Advisor provides her with treatment decision support and pertinent information regarding her treatment choices, in the benefits and risks. Jane's Health Advisor also provides her with provider cost and quality information as she considers surgery. After consideration, Jane goes back to her doctor with some additional questions. Jane decides to use drug therapy (simple pain relievers) with some outpatient physical therapy to treat her osteoarthritis as opposed to having surgery.
John Doe has high cholesterol, is sedentary, and has lots of stress in his life. John completes an HRA that identifies all these risk factors, and indicates that his HRA score is well below average for his age. Based on these HRA results, a Health Advisor speaks to John about his risks and provides him with information on how to reduce his cholesterol to a healthy level (which includes increasing physical activity). The Health Advisor also informs John of the stress management program available to him and transfers him for enrollment at the end of their conversation.
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