Complex, Chronic Conditions Disease Management Program

These disease management programs for complex, chronic conditions are designed to help members manage 13 rare diseases.

Program Overview

The program became operational in July 1998 through an agreement between Humana and Accordant Health Services, an independent disease management company that develops and operates integrated care-management systems for individuals with certain complex, chronic conditions.

Help for members with rare diseases

Accordant offers programs for the following 13 rare diseases:

Amyotrophic Lateral Sclerosis (Lou Gehrig's Disease)
Chronic Inflammatory Demyelinating Polyradiculoneuropathy (CIDP)
Cystic Fibrosis
Dermatomyositis
Hemophilia
Lupus (Systemic Lupus Erythematosus)
Multiple Sclerosis
Myasthenia Gravis
Parkinson’s Disease
Polymyositis
Rheumatoid Arthritis
Scleroderma
Sickle Cell Disease

Accordant Health Services

Through this program, Accordant:

Identifies and stratifies individuals with applicable diseases, using patented algorithms to analyze procedure, drug, and diagnosis codes from claims data
Proactively and routinely monitors patient status through a variety of communication channels, including the telephone and the Internet
Contributes to case-management activities to minimize the effect of crisis events

Program components

Introduction of services to Humana-contracted physicians through various means, including forums and mailings
Identification of patients with rare diseases through the use of medical data, pharmacy claims data, referrals, and the interfacing of Humana’s data recovery methods with those of Accordant Health Services
Care coordination and patient education via telephone contact from Accordant
Continued communication with patients and their families, including anticipation and resolution of patients’ concerns, as well as general support
24-hour, toll-free access to specially trained nurses
Access to Accordant’s Website, www.accordant.com, to provide live forums, chats, interactive tools, links to health care resources, and other information

Accordant Health Services

The Humana disease management program for complex, chronic conditions is available to Medicare HMO and commercial HMO, PPO and POS members in all Humana markets except Puerto Rico.

For more information about the program for rare diseases or for care management profiles, please contact Accordant Health Services at 1-800-948-2497 or 1-336-315-3715 or visit their Website at www.accordant.com.

These programs and tools are not insurance products and are not guaranteed under any contract. Humana is not required to provide these services, but makes them available to eligible members.

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