Case Management

HSAG provides disease management/case management to health plan participants with complex medical needs. Our staff includes registered nurses with an average of twenty years experience in nursing and case management. Some are credentialed Certified Case Managers and are nationally recognized experts. Experienced, credentialed physicians in multiple specialties assess medical decisions of necessity and appropriateness.

Adhering to strict confidentiality standards, while assisting the patient to a positive outcome in the most cost efficient manner, HSAG staff can:

• coordinate medical services such as home health care, durable medical equipment, hospital discharges or transfers to post-acute levels of care
• coordinate services of multiple physicians and other specialists
• evaluate/track insurance benefits for medical necessity of treatments, services, and medical equipment to determine eligibility for insurance benefits
• seek alternatives, if insurance benefits do not meet medical or psychosocial needs
• provide information about disease processes to minimize complications and, where possible, reduce acute illness and hospitalizations