Health and Wellness Programs
GHC offers comprehensive population health management programs for members which include complex case management and disease management. The goal of each of these programs is outlined below.
Complex Case Management
The goal of case management is to make sure you are getting the care that you need to be as healthy as possible. Your case manager will work with you and your providers to understand your health goals and help coordinate services to reach these goals. In addition, your case manager will educate you on treatment options, provide resources, answer questions, and help you stick to your plan of care. Case managers will also help you manage any chronic conditions you have such as diabetes, asthma, COPD, heart failure, anxiety, depression or substance abuse.
Disease Management
Disease management programs help you to understand your chronic condition and give you the tools to make changes and better manage your condition. By better managing your condition, you can prevent complications and improve the quality of your life. Group Health offers the following disease management programs.
- Perinatal (pregnancy)
- Hypertension
- Diabetes
Health Education
Emmi provides interactive content for patients to help them better understand their health care journey, increase participation in their care and inform decision making.
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Our member newsletter, keeps our members informed and provides education on important topics such as benefits, services, current health and wellness topics.
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Clinical Practice Guidelines
Case management processes and algorithms are built upon evidence-based clinical practice guidelines. All case management processes are based on the Case Management Society of America (CMSA) standards of practice. All disease management and wellness programs are based on evidence-based clinical practice guidelines as outlined below:
Diabetes |
American Diabetes Association |
Hypertension |
Joint National Committee 8 (JNC 8) |
Asthma |
National Heart, Lung, and Blood Institute (NHLBI) |
COPD |
National Heart, Lung, and Blood Institute (NHLBI) |
Heart Failure |
American College of Cardiology and American Heart Association (ACC/AHA) |
Perinatal |
American Academy of Pediatrics and American College of Obstetrics and Gynecology (AAP/ACOG |
Substance Abuse |
American Psychiatric Association (APA) |
Wellness |
United States Department of Agriculture (USDA), US Department of Health and Human Services Office of Disease Prevention and Health Promotion |
Health Promotion program |
United States Department of Agriculture (USDA), US Department of Health and Human Services Office of Disease Prevention and Health Promotion, Wellness Council of America, National Wellness Institute |
Ready to Enroll?
If you are interested in enrolling in complex case management or a disease management program or are a caregiver who would like to refer a member please call Member Services at (888) 203-7770 or (TTY 711).