WPS Health Insurance

Disease Management

Disease Management and Shared Decision Making

Disease Management is an integrated approach to health care that identifies patients with chronic medical conditions. This management program encompasses a number of initiatives designed to help patients reach and maintain good health, such as supporting the doctor-patient relationship and plan of care that emphasizes the control of their disease and its complications, and use of cost-effective, recommended guidelines and self-management tools.

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

For more information on supported self-care for patients, decision support tools for physicians, and enrollment/referral information, visit our Member’s Disease Management page.

Shared Decision Making

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

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.

 

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