Disease Management Programs
A Healthier Solution for Everyone
Improve health. Lower costs. Increase satisfaction.
As more employers come to understand that
healthier employees not only increase their
workplace productivity, but also decrease
their medical benefit costs, disease management
programs will continue to play a prominent
role in health benefit plan design.
But how do employers know which disease
management programs will work best for them?
And how do they know that these programs
will actually “improve health and lower
costs?”
CIGNA believes that the CIGNA Well
Aware for Better Health® programs
stand apart for three important reasons:
- Continual improvement. We
are committed to ongoing program improvement
in content, delivery and outcomes – making
sure the programs are effectively addressing
the management of chronic conditions and
their related issues most prevalent in
today’s society and workplace.
- Intervention/integration. The
programs are built around the concept of
effective outreach – from aggressive
engagement to full-service support and
interaction. CIGNA engages the employer
as well as members – to ensure that
everyone involved is using our programs
to their full advantage.
- Ongoing evaluation. We
understand outcome measurement. Well Aware
analytics, methodology and reporting are
industry-leading – a distinct advantage
over alternative programs – because
they enable employers to understand a
program’s impact on clinical outcomes,
utilization and medical costs.
Well Aware is delivered through a long-standing
relationship between CIGNA and Healthways,
Inc. Our management team, with more
than 10 years' experience in the disease
management field, provides clinical program
design and strategy, data management and
analysis, and overall program implementation
and management. As an industry leader
in call center operations and program delivery,
Healthways provides the clinical intervention,
information and assistance members need to
better manage their health.
Program Improvement
CIGNA continually examines workplace health
trends, evaluates outcomes and talks with
our customers and members. We are
always looking for opportunities to improve
our existing disease management programs,
as well as develop new programs.
- Program enhancements are ongoing. The
asthma program has just gone through an
extensive review and the cardiac program
review is under way. Our objectives
are to ensure continued alignment with
evidence based standards of care, and to
seek out opportunities to support ongoing
improvements in patient outcomes and appropriate
utilization of the health care system.
- With issues related to obesity and depression
having more impacts on America’s
workforce, Well Aware has introduced two
new programs to help employers help their
employees cope with health complications
due to obesity and depression.
Program Engagement
An effective disease management program must
identify and actively get members to participate.
That is why Well Aware is particularly
focused on high-touch engagement. Most
programs identify members who may benefit
from disease management program, mail them
information and an invitation to join,
and then passively wait for the member
to respond. CIGNA is more directed
and assertive in our outreach efforts.
- We’re proactive in our telephonic
outreach, and directed in our educational
mailings that complement program objectives.
And our calls are made by specialists and
nurses trained to foster member empowerment,
and the application of evidence based medicine
standards to activities of daily living.
- We work closely with employers to promote
program value and services to their employees
and encourage their active participation. And
we are available to serve as consultative
resources on incentives to employees who
participate in our Well Aware programs.
- We also offer employers opportunities
to promote better health in the workplace
through onsite seminars and health-related
events.
Why CIGNA?
So, why would an employer choose Well Aware
over the many other disease management
programs available? There are several
reasons:
- We start with a comprehensive analysis
of a client's situation before Well Aware
is purchased. This enables us to sit down
with the customer and take a critical look
at what they truly need as opposed to just
guessing.
- We continually track improvements and
provide regular reports on metrics, including
quality, utilization and costs. Program
results, for example, have shown that more
participants than non-participants are
getting recommended exams, tests and screenings. As
a result, there is less need for costly
inpatient stays and emergency room visits.
- The Well Aware management team at CIGNA
has a tremendous amount of experience in
disease management. In fact, our Well Aware
team is the original team that helped Healthways
build and launch many of its disease management
products. We have a dedicated Business
Unit within Healthways that exclusively
supports CIGNA business. And
we conduct regular site reviews of all
aspects of program delivery.
- The Disease Management Association of
America awarded CIGNA the 2005 Health Plan/Managed
Care Organization Disease Management Leadership
Award, recognizing CIGNA’s leadership,
including our commitment to disease management,
excellence and innovation in program design
and implementation, outcomes research and
measurement, and positive impact.
With nearly one million participants, Well
Aware consistently demonstrates positive
results – reducing costs and improving
members’ quality of life. Through
programs like CIGNA Well Aware for Better
Health, CIGNA continues to reach out to employers
and their employees to help everyone reach
their full health potential. Because
when employees are healthy, the business
is healthy.
|