Enhanced Case Management Program Overview

This document is a guide detailing the Enhanced Case Management program offered by Premera. The program focuses on providing comprehensive support to members facing physical and behavioral health challenges, as well as addressing social determinants of health. It identifies high-risk or complex health conditions and offers intervention through a personal health support clinician. The guide outlines how the Enhanced Case Management program utilizes innovative predictive technology and digital resources to mitigate rising healthcare costs. Key features include a mobile app that facilitates secure communication between members and clinicians, navigation support for healthcare needs, and access to a resource center with health articles and self-management programs. The program aims to enhance member experience by providing early intervention strategies and increasing access to support for a broader range of members. Feedback from Premera members indicates a positive reception of the mobile app, highlighting its usability and helpful features.