HealthLink’s Health Care Management Program is an extensive suite of health promotion and
wellness information, case management and care coordination services to help physicians
help their patients achieve optimal health outcomes. The program includes three levels
of services: HealthLink Signature; HealthLink Wellness Plus; and HealthLink Member Extras.
HealthLink Signature Services
Medical Management – HealthLink Medical Management is comprised of two components:
Utilization Management and Case Management.
The URAC-accredited Utilization Management program provides clinical review of the medical
necessity for medical care to help clients determine eligibility in accordance with health
benefit plan provisions and includes the following components:
- Pre-Admission Certification of Planned Hospital Admission
- Notification of Emergency Hospital Admission
- Concurrent Hospital Stay Review
- Discharge Planning
- Pre-Certification of Selected Ambulatory/Outpatient Services
- Pre-Certification of Selected Ancillary Services
HealthLink’s Case Management program is a collaborative process among HealthLink
and other health professionals who manage the resources necessary to support individuals
with catastrophic or chronic medical conditions. Case Management helps the treating
health care professional(s) help the patient achieve optimal and timely medical outcomes.
HealthLink Signature Services also include the following:
- Condition Management Programs – Individualized programs for members
with Asthma, Chronic Obstructive Pulmonary Disorder, Coronary Artery Disease, Diabetes
and Heart Failure.
- Maternity Management – Maternity management
program helps participants make informed decisions during pregnancy and after childbirth.
- 24-Hour Nurse Line – 24/7 nurse hotline and audio library
of more than 300+ health topics.
HealthLink Wellness Plus
The following programs are available on a fee-for-service basis. Please contact a
sales account representative for pricing information:
- Employee Assistance Program – Employers know that
an employee’s emotional well-being can significantly affect his or her work
performance, impacting a company’s bottom line. By offering an employee
assistance program, organizations reap the benefits of a happy, healthy, and productive workforce.
- Preventive Reminders –Our Preventive Reminders program can be a powerful strategy for improving
health and reducing costs through HIPAA-compliant, preventive reminders for targeted populations.
- Worksite Wellness Programs – Health educators and
registered dietitians visit your workplace to share knowledge on a variety of health
and lifestyle topics.
- Lifestyle Management Programs – Engaging online programs and inspiring coaches use
proactive outreach activities and support strategies to help employees in the areas
of: tobacco cessation, weight management, stress management, physical activity and
diet/nutrition.
HealthLink Member Extras
The following value-added electronic member resources are available at no cost to
clients and members:
HealthLink Health Care
Management programs are effective cost containment tools and empower participants
to make better health care choices.
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