CoreCare Monitoring
Numerous studies show that people diagnosed with a chronic condition, like diabetes or asthma, do better physically and spend less on their treatment when they follow evidence-based standards of care for their illness. That’s what CoreCare Monitoring is all about.
If your health plan participates in the CoreCare program, we analyze your employer's medical and pharmaceutical claims data to see if you have been treated for any of nine common chronic conditions. If we determine that you have one of these conditions, we will look at your claims data to see if you are receiving medical treatment consistent with evidence-based standards of care. If we identify a potential gap in your care, like a missed annual blood test, we will send you and your doctor a letter alerting you both to a possible missed opportunity for your keeping your condition in check.
CoreCare Monitoring identifies plan members with these chronic conditions:
Asthma
Asthma is a chronic condition that can be life threatening. When a person has asthma, their air passages become very sensitive and swollen. Certain triggers can cause constrictions of the muscles around the airways, leading to shortness of breath, wheezing, tightening in the chest and coughing. Treatment consists of taking medications prescribed by a physician, learning how to avoid specific triggers and self-monitoring your asthma every day. Your quick response to the signs of an attack is the key to your better health.
For more information about asthma, visit:
Coronary Artery Disease (CAD)
Coronary Artery Disease (CAD), also known as coronary heart disease, is the number one killer in the United States. CAD is caused by the hardening of the coronary arteries which restricts blood flow to the heart. Arteries become clogged and narrowed because of fatty deposits or plaque. During increased exertion or stress, the arteries may not be able to supply enough oxygen rich blood to the heart muscle. Monitoring and managing cholesterol levels through diet, exercise, and medication are lifestyle changes that can assist you with preventing further plaque formation and heart damage.
For more information about CAD, visit:
Congestive Heart Failure (CHF)
Congestive Heart Failure (CHF) is a condition in which the heart cannot pump enough blood to the body's other organs. The "failing" heart keeps working, but not efficiently. Symptoms of heart failure include: constant fatigue or feeling of being very tired, chest pain, weight gain caused by fluid retention, swelling (called edema) of a person's legs, and shortness of breath. CHF requires a treatment program of medications, modified daily activities and diet considerations.
For more information about CHF, visit:
Chronic Obstructive Pulmonary Disease (COPD)
Chronic Obstructive Pulmonary Disease (COPD) refers to two lung diseases, chronic bronchitis and emphysema. With chronic bronchitis, the lining of a person's bronchial tubes get inflamed and full of mucus. This mucus blocks the airway and makes it difficult to breathe. With emphysema, the alveoli (air sacs) are irritated and become stiff, making it nearly impossible to hold air. This condition makes it difficult to get oxygen into the lungs and push the carbon dioxide out of the lungs.
For more information about COPD, visit:
Depression
Depression is a complex mood disorder than can originate from a variety of causes. Symptoms of depression include: sad or empty feeling; decreased interest or pleasure in daily activities; noticeable changes in sleep, appetite; the inability to think clearly, and feelings of low self esteem and self worth. Anyone, regardless of age, gender, race or socioeconomic status can suffer from depression. Dealing with depression can be challenging, but it is treatable with medication and talk therapy.
For more information about depression, visit:
Diabetes
Diabetes is a condition in which the body does not produce or properly use its insulin. Insulin is a hormone that is needed to convert sugar, starches and other food into energy needed for daily life. The cause of diabetes continues to be a mystery, although both genetics and environmental factors such as obesity and lack of exercise appear to play roles. If left untreated, diabetes can be damaging and costly; people with Diabetes are more susceptible to other illnesses. Diabetes is a condition that can be controlled by healthy lifestyle changes such as diet, exercise and prescription medication.
For more information about diabetes, visit:
Hyperlipidemia (High Cholesterol)
Hyperlipidemia refers to elevated blood levels of lipids or fats, including cholesterol and triglycerides. High lipid levels can cause atherosclerosis or hardening of the arteries, which increases your risk of heart attack and/or stroke. Your doctor may recommend prescription medication, if diet, exercise and weight loss efforts have not lowered your cholesterol to an acceptable level.
For more information about Hyperlipidemia, visit:
Hypertension (High Blood Pressure)
Blood pressure is created by the force of the blood pushing against the walls of the arteries as blood circulates throughout the body. If blood vessels are narrow, the pressure against the walls of the vessels increases where by elevating the blood pressure (hypertension). If your blood pressure is 140/90mm Hg or higher, you are at risk for heart attack, stroke or organ damage. Your systolic pressure, top numbers, is the pressure created when your heart beats. The diastolic number, bottom number, is the pressure that is pushing on the blood vessel walls when the heart is at rest.
For more information about Hypertension, visit:
Chronic Muscular Pain (Back Pain, Neck Pain & Osteoarthritis)
Chronic Muscular Pain is pain that affects muscles, ligaments, tendons, and bones. This pain can be caused by normal wear and tear of daily activities, repetitive movements, overuse, prolonged immobilizations or trauma. Symptoms vary from person to person, but common symptoms include: pain, fatigue, and sleep disturbances. Treatment options very depending on the underlying cause of pain.
For more information about Chronic Muscular Pain, visit:
* Your coverage for these services depends on the terms of your benefit plan. Call Customer Service at the toll free number on your CoreSource identification card to determine if a service is covered.
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