Our Health Case Management (HCM) program is designed to assist plan members who have been prescribed specialty medications to treat complex, chronic conditions like rheumatoid arthritis and Crohn’s disease.
HCM provides support and education to those who are enrolled, addressing one of the primary dilemmas facing many group benefit plans: how to help plan members access vital drug therapies while ensuring the cost of the plan is sustainable.
Plan members who have been prescribed a certain specialty medication will be connected with a health case manager, who is a qualified health care professional. Health case managers work with plan members and their physicians to help identify the most effective and appropriate treatment as well as provide ongoing support and monitoring.
Through our designated pharmacy network, plan members taking certain specialty medications will also benefit from competitive pricing, and work with pharmacists who can provide expertise on those medications.