WPS Health Insurance

Disease Management

Disease Management and Shared Decision Making

Disease management is an integrated approach to health care that identifies people with, or at risk, for chronic medical conditions. Disease management supports the doctor-patient relationship and plan of care, emphasizes control of the disease and complications, and uses cost-effective, recommended practice guidelines and patient self-management.

Shared decision making is a joint process that allows patients and their doctors to make health care decisions together. WPS Health Insurance has decision tools available for you throughout our website to use when making decisions about your health and care. You and your doctor can review these tools together to get an accurate picture of the risks versus benefits of your treatment options.

Available programs

Asthma
Asthma is a chronic condition in which your airways narrow and swell and produce extra mucus. People with asthma have highly sensitive airways that become inflamed and narrow easily, leading to coughing, chest tightness, and difficulty breathing. For more information on controlling asthma, refer to this brochure, Take control of your asthma.

Additional Resources:
Centers for Disease Control and Prevention
Children’s Health Alliance of Wisconsin

Shared Decision Making

Shared Decision Making is a collaborative process that allows you and your patients to make health care decisions together.

Hypertension (high blood pressure)
People with high blood pressure are at risk for serious health problems such as stroke, heart attack, heart failure, kidney failure, and sexual dysfunction. Lowering blood pressure can help reduce these risks, extend life expectancy, and improve quality of life. The Hypertension Disease Management Program offers members information, coaching, and resources to help improve high blood pressure and enjoy better health. For more information, refer to the American Heart Association’s brochure Understanding and Managing High Blood Pressure.

Additional Resources:
American Heart Association
Centers for Disease Control and Prevention

With the Disease Management Program, patients can enjoy:

Supported Self-Care for Patients

  • A case manager designated to help patients feel better soon and coordinate their services by phone or computer.
  • Access to pharmacists that can help patients address their medication needs and concerns.
  • Simple ways to record patient symptoms and vital signs by phone or computer.

Decision Support Tools

  • Information and resources on managing disease, medication management, healthy eating, exercise, and more.
  • Additional information obtained from monitoring
    co-morbid conditions.
  • Timely alerts regarding changes in the patient’s condition and vital signs.
  • Information for self-managing effectively to prevent an emergency.

Enrollment

  • WPS Health Insurance members who saw a doctor for one of the disease conditions will receive a letter and/or phone call to determine their interest in program participation.
  • Doctor referrals are welcome. Call
    800-333-5003 for referral requests.

 

 

 

If you’re enrolled in the Disease Management program, we would like your feedback. We encourage you to take our program satisfaction survey.