AkesoCare Disease Management Programs
The AkesoCare Difference
ACM’s Disease Management program encompasses all of the components that the Disease Management Association of America designates as required for a successful program. These include:
- Population identification process
- Evidence-based practice guidelines
- Collaborative practice models to include physician and support-service providers
- Patient self-management education
- Process and outcomes measurement, evaluation and management
- Routine reporting/feedback process
AkesoCare Disease Management Programs
AkesoCare Disease Management takes it a step further through Custom Solutions for both the employer/insurer and the participants. Custom Solutions focus on the employer/insurer’s goals and the participants needs.
Employer/Insurer
In a collaborative effort between AkesoCare and the employer/insurer, a unique and individualized DM program is developed. AkesoCare analyzes multiple data sources looking for outliers specific to the group’s individual insureds, then develops a unique, tailored approach which best meets the group’s needs.
Data sources examined include:
- Claims data
- Precertification and Case Management reports
- Pharmacy data
- Employer/TPA interviews
Data outliers may include:
- Extraordinary claim costs associated with specific conditions
- Higher than expected incidences of specific conditions compared with age/sex demographics
- Identification of a condition the employer/insurer wishes to target