Chronic Care Guidelines
Licensing the evidence-based Chronic Care Guidelines provides a robust framework for disease or care management of chronic, complex, or multi-diagnosis members. In addition, each of the 24 chronic conditions covered includes a set of patient education materials that are written at a fourth-grade level, designed to be sent to a member as part of an intervention. This valuable material is available in both English and Spanish, to serve more members.
The Chronic Care Guidelines can be used to help meet your chronic care management goals:
- Facilitate outpatient care for chronic/complex members
- Offer printable fourth-grade level member education materials
- Manage secondary prevention, post transplant care, and end-of-life care
- Promote quality through consistent care and integrated HEDIS® measures
- Easily create a nursing plan of care for 24 chronic conditions
- Provide evidence-based support for both internal and outsourced programs
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Download Chronic Care Guidelines Brochure |
Important Information About the Milliman Care Guidelines: The Care Guidelines can be used by qualified, healthcare professionals as a tool in making medical necessity decisions, but they should not be used as the sole basis for denying coverage of payment. The Care Guidelines must be applied to the individual patient on a case-by-case basis and always in the context of a qualified, healthcare professional’s clinical judgment.