For Providers

Today's complex health care system can put significant constraints on the time and resources of health care providers. Care Improvement Plus understands the challenges faced by health care providers, and offers services within its Medicare health plans to support provider efforts to manage their Medicare patients.

National Guidelines Used in Care Management Programs.

Within its Model of Care, health plan offerings and programs, Care Improvement Plus provides comprehensive care management services to support the health of Medicare beneficiaries. All interactions with members and providers are based on well-established, national clinical guidelines. Providers are encouraged to incorporate these guidelines into their practice and may access the Care Improvement Plus Model of Care training through our vendor training site.

In order to comply with all applicable laws, including requirements that we must ensure that all entities that provide health, prescription and administrative services meet annual education and training requirements related to compliance and fraud, waste and abuse (FWA), we have provided a slide presentation for health care providers that addresses the compliance requirements only. You may satisfy this requirement by completing the presentation provided on our vendor training site.

American Diabetes Association (ADA) Standards of Medical Care in Diabetes.
National Institute of Health, National Heart, Lung, Blood Institute (JNC7) (2004), JNC 8 12/2010, released Spring 2011.
National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults.
American Heart Association (AHA) AND American College of Cardiology (ACC) Guideline Update for the Diagnosis and Management of Chronic Heart Failure in the Adult.
Global Initiative for Chronic Obstructive Lung Disease (GOLD).
Coalition organizations American Academy of Hospice and Palliative Medicine (AAHPM), Center to Advance Palliative Care (CAPC), Hospice and Palliative Nurses Association (HPNA), National Hospice and Palliative Care Organization ( NHPCO) on Clinical Practice Guidelines for Quality Palliative Care.
The American Geriatric Society (AGS) guidelines on pharmacological management of persistent pain in older persons (2009).

Care Improvement Plus -- Specialized Care for Medicare Beneficiaries.

Care Improvement Plus offers unique Medicare Advantage plans designed to meet the specific needs of underserved Medicare beneficiaries and those living with chronic conditions such as diabetes and heart failure — people whose wellbeing can be very dependent on the good health decisions they make.

By contracting with Care Improvement Plus, providers can gain a partner dedicated to the needs of their Medicare patient’s health and committed to the support of their practice. The advantages of working with Care Improvement Plus include:

Open access network: Within most services areas, we offer our members the freedom to receive care from any Medicare-approved provider who accepts payment from our plan and Medicaid.
Limited authorization requirements: We’re easy to work with.
Provider relations team: We have experienced, locally-based provider relations representatives to work with you and address your questions.
Care management programs: Comprehensive support tailored to fit individual member health needs.

For more information on contracting with Care Improvement Plus, please visit the provider section of the plan website, www.careimprovementplus.com