High-Impact Health Management Solutions
MedCost’s comprehensive suite of Care Management products offers cost-effective, high-impact health management services and health and wellness solutions for clients and members that cover the entire continuum of care. Whether a member needs information on staying healthy, help managing a chronic condition, or support following a life-altering event, MedCost has a program designed to meet his or her needs. It’s total population health management
with a focus on quality patient care.
The core components in our Care Management product suite include:
Complex Case Management – Board-Certified case managers oversee medical care for those with life-altering injuries or illnesses to enhance quality of life and ensure the best use of available resources.
Inpatient Utilization Management – Nurses perform pre-admission, concurrent, and retrospective reviews of inpatient services for medical necessity and to safeguard members’ health and also assist with transitional care.
Outpatient Utilization Management – Nurses review the medical necessity of outpatient procedures, including those that have been identified as most frequently overutilized.
Maternity Management – Prenatal nurses provide expectant mothers with maternity education to encourage full-term delivery, with special attention given to high-risk maternity cases.
Health Coaching – Proactive telephonic personal nurse coaching available for members at risk of developing costly health issues, as well as self-directed online programs and tools that provide information for all members.
Chronic Disease Education – Educational mailings are sent to at-risk members diagnosed with any of eight specific conditions.
Nurse Advice Line – Members can speak with a registered nurse for health questions 24/7 and have access to an audiotape library on numerous health and wellness topics.
Health Screenings – On-site and remote screening options give employers a snapshot of their employee population’s overall health and alert members of possible health risks.
Health Risk Assessments – Online questionnaires measure members’ current health status and readiness to change and refer them to appropriate programs for lifestyle changes.
Gaps in Preventive Care – Mailed or e-mailed reminder options encourage members to comply with recommended guidelines for routine preventive tests.
Personal Health Record – Members create their own secure and easily accessible online record for important medical information (available as part of the Personal Health Suite).
Lifestyle Programs – Thirteen online programs guide participants in making improvements in nutrition, fitness, disease prevention, smoking cessation, and more (available as part of the Personal Health Suite).
Online Health & Wellness Resources – A variety of tools and resources, including our Personal Health Suite, Employer and Employee Health & Wellness Toolkits, and links to trusted sites for health information, support members as they seek to improve their health.