General Questions and Answers
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What is ActiveHealth Management?
ActiveHealth is a life and cost saving, technology-driven, health management, data analytics company committed to minimizing costs for health plans and self-insured employers. Through the use of technology, ActiveHealth is improving healthcare while reducing healthcare costs one patient at a time.
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What does ActiveHealth try to accomplish?
Limit medical errors. Prevent hospitalizations. Correct communication lapses that occur between patients, doctors and health plans. It's catching life-threatening issues like these that ActiveHealth solves everyday.
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Where is ActiveHealth located?
ActiveHealth's headquarters are located in New York, NY. Other offices are located in Chantilly, VA, Chicago, IL, Rolling Meadows, IL, Greenwood Village, CO and Beachwood, OH. ActiveHealth employs over 500 people.
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What services do you provide?
All of our health management solutions either: 1) pinpoint the right patients and clinical issues that will make the most impact for each patient, 2) drive improvements in care through smarter communication and engagement with patients and doctors, or 3) formulate cutting-edge analytics to understand what drives plan performance. Learn more about our suite of services by clicking here.
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Do you own HDMS - Health Data Management Solutions? What do they do?
Health Data Management Solutions (HDMS) is a wholly owned subsidiary of ActiveHealth. Learn more in the solutions section under HDMS or HDMS DARTSM. You can also visit their website at hdms.com.
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Was ActiveHealth recently acquired?
ActiveHealth Management was recently acquired by Aetna. However, we will remain a completely separate entity and continue to provide our wide range of complex technologies and solutions to health plans, employers, unions and government payers.
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CareEngine Questions and Answers
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What is the CareEngine System?
The CareEngine System is our patented technology that monitors our clients' populations. Currently, the CareEngine is scanning over 12 million members nationwide. Our CareEngine technology powers all of our health management solutions and services and has the capacity to find that one member in your population who needs better care. Learn more in the solutions section under CareEngine Clinical Decision Support.
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Is there proof the CareEngine works?
A recent prospective, randomized clinical trial proved the effectiveness of our CareEngine. The study scanned approximately 40,000 members of a midwestern plan's population. The findings, published in The American Journal of Managed Care, showed that ActiveHealth saved their health plan clients $8 per member per month. That includes 8.4% fewer hospitalizations. To learn more, click here.
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Where can I learn more about the CareEngine?
ActiveHealth recently created a three-minute animated video that shows the CareEngine at work. Here, you'll see how the CareEngine saved David's life. Click here to learn his story.
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Who maintains the CareEngine?
At the foundation of all of our clinical solutions is the ActiveHealth Clinical Development Center. This clinical team is made up of a team of 14 full-time board-certified physicians, one pharmacist and one registered nurse. The team supports our programs by developing and maintaining evidence-based rules, algorithms and matrices. They also perform a formal annual review of all programs and clinical guidelines.
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Will your technology work with our technology?
Yes. All of our solutions are tailored to seamlessly integrate with insurers' existing care management systems.
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Informed Care Management Questions & Answers
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What is Informed Care Management?
Informed Care Management (ICM) is a voluntary program provided by your employer as part of your health plan that is designed to help individuals with chronic health conditions understand their condition and work with their doctor(s) to better manage their care. ICM supports the relationship between the doctor and the patient by providing information regarding treatment options, which includes Care Considerations. ICM is offered to you as part of your health benefit plan and is designed to help you better manage your health and take active steps to work with your doctor to improve your care.
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Is Informed Care Management a traditional disease management program?
Yes. Just like traditional disease management programs, Informed Care management is staffed by experienced registered nurses and is URAC-accredited. Our nurses educate, empower and motivate members to better understand their conditions and take actions to improve their health. Informed Care Management differentiates itself by actively engaging physicians and members, communicating targeted, patient-specific information, and addressing multiple conditions in one care plan. Learn more in our Disease Management section.
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What is a Care Consideration?
A Care Consideration is a personalized, specific piece of information about a potential issue regarding your health care. We encourage you to discuss any Care Consideration with your doctor.
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How did you get my name and personal health information?
As part of the quality initiatives included in your health plan, your medical information is sent to us so we can run it through a sophisticated process to identify care concerns and areas in which your health care may be improved.
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Will you share my personal health information with anyone?
We maintain the confidentiality of your personal health information in compliance with the Health Insurance Portability and Accountability Act (HIPAA) privacy regulations. Your information is shared only as permitted or required by law.
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Will I be charged extra, at any time, for participating in this program?
No. This program is offered as part of your health benefits and comes at no extra cost to you.
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If I choose to participate in the program, how often will I be contacted?
If you choose to participate in this program, you will be contacted about four times a year, or more frequently if we have specific information or follow-up questions to discuss.
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Can I talk to my doctor before agreeing to participate in this program or talk to an ICM Nurse Care Manager?
Absolutely. Your doctor may have already received information about our program and may be able to help you decide whether or not you would like to participate. After you've spoken to your doctor, please feel free to call us, or we can contact you.
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If I place a call to a Nurse Care Manager, how much time will it take?
We just need a few minutes of your time to get you started. We are flexible and will work with your according to your availability.
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Why wouldn't my doctor know about any health issues identified by ICM?
Physicians don't always have access to all components of a patient's clinical profile, especially if the patient is seeing more than one doctor. The clinical data provided by your health plan allows us to identify if you may be at risk for certain medical conditions or may benefit from certain treatments or preventive screenings and to communicate this information to you and your doctor.
In addition, by joining the program and speaking with our ICM Nurse Care Manager, he or she can provide you with a list of questions to take to your doctor's visit.
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Is talking to an ICM Nurse Care Manager a substitute to a doctor's visit?
No – in fact, quite the contrary. Our ICM Nurse Care Managers serve as your personal health coach and provide you with important health information for you to share with your doctor that can enhance the relationship you have with your doctor.
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Will an ICM Nurse Care Manager make treatment recommendations?
No. Our ICM Nurse Care Managers identify potential health issues and provide information about your health care and may provide treatment options for you and your doctor to consider.
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