Healthcare Management

CoreSource’s Healthcare Management programs go far beyond what traditional pre-certification, utilization review and large case management programs can accomplish. Our Healthcare Management solutions, according to Milliman USA, are more effective at achieving hard dollar savings than national benchmarks for HMOs and PPOs.

We monitor all levels of inpatient and home healthcare to make the best use of all medical and financial options. For complex medical cases, we coordinate communication among healthcare providers. And, we continually evaluate the necessity and effectiveness of medical care.

Disease Management

For clients looking for traditional disease management, CoreSource offers programs to improve the health of members with asthma, coronary artery disease and diabetes, while holding the line on healthcare costs.

Maternal and Neonatal Health

Our Special Delivery program safeguards the health of each member who is pregnant, promotes a full-term pregnancy and gives babies a healthy start.

Cancer Management and Support

Our cancer support and treatment management services take a clinically based, patient-centric approach using our Healthcare Management team and Oncology Certified Nurses from Biologics, a cancer treatment management company. By focusing on quality medical care for members diagnosed with cancer, we are able to manage the exploding costs of care. Our services adhere to evidence-based medicine and mitigate care disruptions while offering support and a personal care plan for members.