Well360 Choice

Case and Care Management:

• Utilization management (UM): Comprehensive programs optimize support and costs across inpatient, outpatient and specialized services, including radiology, cardiology, musculoskeletal and oncology. UM can assist with discharge planning and facilitate the correct use of benefits. It can also identify members who may benefit from additional services, including support for chronic conditions and behavioral health services.
• Case management: Members get help managing their admissions and transition of care, so they feel supported through their health care journey.
• Wellness coaching: Personalized wellness plans address member needs, focusing on areas like weight loss, stress management and smoking cessation.
• 24/7 nurseline: Provides your members with immediate medical advice and guidance for urgent situations.
  

Condition Management:

• Mental well-being: Using in-depth patient assessments, Well360 Choice screens for over 12 different mental health conditions. This helps to identify member needs and creates a customized treatment plan.
• Telemedicine: Members can connect virtually with an expert anytime, anywhere for virtual care. Members can also access urgent care needs and behavioral and mental health support.
  

Workforce Support:

• My Highmark: Our exclusive app and online experience can simplify member health management. It provides 24/7 virtual access to experts, as well as access to obtain virtual ID cards and get help with finding resources and program suggestions.
  

Value added services:

Well360 Choice also offers employers the flexibility to add premium level services that provide extra value to their members and families.

• Seamless pharmacy integration: Integrating your pharmacy benefits through Highmark unifies the pharmacy experience between members and employers. This can result in lower costs and improved outcomes.
• Telemedicine enhanced: In addition to your regular telemedicine benefits, members can also access primary care and schedule appointments with specialists, including dermatologists.
• Integrated care program: Nurse case managers coordinate care for your highest risk, highest cost members admitted to the hospital.
• Kidney care management: Your members get team support for kidney health. The team can assist with appointment scheduling, medication questions and accessing community resources.
• CHF/COPD Management: Your members receive personalized, one-to-one support for managing congestive heart failure (CHF) and chronic obstructive pulmonary disease (COPD).
• Virtual physical care: Members can make use of in-depth treatment plans at home or on the go for muscle/joint pain and pelvic issues.
• Diabetes prevention coaching: Members receive virtual or in-person coaching to help prevent diabetes.
• Diabetes management: Members get one-on-one support with individually tailored care plans and strategies for A1C reduction and management.
• Virtual second opinion: This service taps in to leading Cleveland Clinic specialists to give your members expert guidance for complex conditions from some of the world’s leading health care experts.
• Premier member service: You members get access to a specially trained Member Experience Specialist team with extended hours for world class phone and chat-based support.
• Fertility & family building management: Offers a unique combination of expert clinical guidance, modern technology and inclusive family solutions. This supports your employee’s family building efforts while creating cost savings for you.
• Comprehensive Employee Assistance Program (EAP): This service for members offers expanded access to behavioral health providers through employer sponsored sessions. These come in addition to self-services resources available through the digital experience.
• Wellness rewards program: Your members can better reach their goals through tailored member experiences, positive health challenges and expert advice.
• MyHighmark enhanced/AllMyHealth Enhanced: This digital experience can be personalized to display employer specific programs, campaigns, and benefits to further drive member engagement.