We provide a wide range of medical management programs designed to support our members at any stage of health. These programs are targeted to specific conditions or are designed to improve or maintain overall health.
The goals of our medical management programs are to:
- Ensure our members receive appropriate care
- Assist our members with managing a limited benefit
Enable us to be responsible stewards of the cost of health care
Strive Health is the approved vendor for our kidney health management program, which improves care and outcomes for eligible members with chronic kidney disease (CKD) and end-stage renal disease (ESRD). The program focuses on early detection, proper care and treatment as the most effective approaches to delay the disease’s progression, enabling patients to live better, longer lives. Strive will routinely engage participating members to support their overall health and well-being. Participating members will receive information about dialysis center treatments, in-home dialysis and kidney transplant options.
Note: To ensure best practice and compliance with HIPAA, we have entered into a Business Associate Agreement with Strive. Strive may contact your office to request or share protected health information (PHI) about patients to facilitate these care coordination services and close care gaps. We have authorized Strive to do this, and these requests are permissible without patient authorization under HIPAA.