ActiveHealth Management

Our high-touch, advocacy-driven medical management solution can lower health care costs, improve health outcomes and increase member satisfaction. With our chronic condition management, case management and utilization management programs, you can:

• Reduce unnecessary utilization - Practitioners can serve differing needs of specific members while also following the latest medical evidence and the treatment guidelines.

• Promote high-quality services - Promote care in settings that deliver high quality outcomes while connecting members underutilized benefits such as second opinion programs.

• Coordinate post-acute care - Assigned nurse case managers help members navigate discharge planning, provider visits, lab tests and medications. They can help avoid costly ER visits and unnecessary readmissions.

• Improve the health of members with chronic conditions - Offer highly personalized digital and live coaching focused on conditions such as diabetes, asthma, heart disease and chronic kidney disease.

• Improve member satisfaction - A unified member experience treats every interaction as an opportunity to advocate for the member, including their social determinants and non-medical barriers to care.

Our medical management solutions have held NCQA and URAC accreditation for nearly two decades.