Care Management

Our Care Management Program provides specialized support to members with specific health needs. We're dedicated to supporting your journey toward better health with personalized care to help manage your conditions effectively.

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What is the Care Management program

Our Care Management program offers targeted support to members with conditions such as asthma, diabetes, behavioral health concerns, and more. By partnering with a dedicated care manager — a nurse or social worker — you’ll benefit from:

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Take your medicines as prescribed
  • Know exactly how and when to take your medications.
  • Take your meds on time. Use notes or a smartphone app.
  • Have your medication with a small meal or snack to avoid side effects.
  • You may need to take the medications for a long time.
  • Talk to your doctor before stopping medications.
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Fill your medications on time
  • Set up automatic refills or refill reminders at your pharmacy,
  • Consider using our mail order pharmacy to get a three month supply of medications mailed to your home. Contact Cornerstone Health Solutions at 844-319-7588 to get started.
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Monitor your blood sugar levels
  • Blood sugar testing shows how well your medications are working or how your food intake, exercise or illnesses are affecting your blood sugar levels.
  • Check blood sugar levels using a blood glucose meter. Follow your doctor’s advice on how often you need to check your blood sugar level. Keep a record of your levels to discuss with them.
  • If you take insulin, check your blood sugar before meals and snacks as well as before and after exercise.
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Know your target blood sugar range

The American Diabetes Association recommends the following target blood sugar levels:

  • Before meals: 80-130mg/dl
  • Two hours after meals: Less than 180mg/dl
These goals vary based on your age and personal health. Ask your doctor what your specific target goal should be.

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Individualized care plans

Individualized care plans ensure that your unique health challenges are fully addressed, and help you better manage and understand your specific diseases or conditions.

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Regular health check-ins

Regular interactions with your care manager allows for adjustments in care plans and interventions, ensuring that your health is closely monitored and supported. This may even include in-home nursing services or visits by a social worker.

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Care coordination and assistance

By partnering with your doctors, healthcare providers and community, we’ll connect you with the resources you need including assistance in accessing housing, food, transportation and more.


Who can benefit from Care Management

The Care Management program is open to members with a variety of health conditions, offering specialized support for:

  • Chronic conditions including asthma, diabetes, hypertension and more.
  • Behavioral health including support for mental health needs and substance use disorder.
  • Complex health challenges like cancer, high-risk pregnancies, weight management and more.
  • Care coordination when you have complex needs and are having difficulty getting what you need, such as prior authorizations for medications or durable medical equipment.

Eligible members are encouraged to participate in this voluntary program to enhance their health and improve their quality of life.

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Get started today

To enroll, call our Care Management team at:

Massachusetts: 866-853-5241
New Hampshire: 855-833-8119

 

Additional health topics

For information and support on other health topics such as behavioral health, diabetes, pregnancy and much more, click here.