Disease Management

The TriSurant definition of Disease Management is a program which proactively identifies patients with certain chronic conditions including:

• Diabetes
• Asthma
• Congestive Heart Failure (CHF)
• Chronic Obstructive Pulmonary Disease (COPD)
• Coronary Artery Disease (CAD)
• Depression
• Hypertension (High Blood Pressure)

and provides early and consistent interventions to make a significant difference in the health of the person while reducing the costs related to such conditions.

TriSurant has collaborated with a vendor partner to offer our clients a URAC Accredited Disease Management program. This URAC certified program uses a predictive modeling tool to identify the members with these chronic conditions and stratify their risk level to identify the appropriate level of intervention for each member. Management of the member’s condition happens through member education, counseling and continued assessment to improve their health status. Results are evident in improved clinical outcomes and member feedback. These actions help to avoid costly emergency room visits and inpatient admissions, and they work to lower overall claims costs. With an increased understanding of their condition, an ongoing individualized program, and improved compliancy of their medical regimen, each member can achieve improved outcomes and reach the goal of maintaining maximum health.

Diabetes is a significant health issue in our country. In addition to the diabetes support programs available in the information center and our disease management program, TriSurant provides a comprehensive and integrated program for the care and control of diabetes. The program identifies, manages, measures, and improves patient outcomes. Medical, educational, and nutritional interventions are targeted to the prevention of diabetes and to improvements in diabetes health and wellness. On-site retinal, foot, and cardiology care complement comprehensive medical, educational, nutritional, exercise and lifestyle programs.