CIGNA Well Informed Program
Information to help Bridge Gaps in Care
Purpose of the CIGNA Well Informed Program
At CIGNA HealthCare we are taking significant steps to build a solid foundation of clinical support. The CIGNA Well Informed program aims to help you deliver quality health care to your patients. Timely and actionable information will help support the management of patient care and empower patients to take an active role in their personal health. This commitment to providing you with the best possible service and information is intended to benefit you and your patients by meeting the following objectives:
- Increase patient compliance with physician's treatment plans
- Identify potential adverse drug reactions
- Inform a physician about prescriptions and services provided by other physicians that could impact treatment plans
- Alert physicians of potential divergence from common or accepted standards of care
- Bring together disparate pieces of clinical information for physicians' use
- Encourage members to be involved and informed about their health status
- Increase preventive health activities
- Support physicians in chronic disease management
- Flag specific patient health issues and/or concerns that may be urgent in nature
How Well Informed Works
Using rule-based software, together with our integrated medical, pharmacy, and lab data, Well Informed identifies possible health issues and/or concerns that can be used in managing your patient's health.
- The Program will focus on 31 chronic illnesses, acute conditions and disease prevention including diabetes, COPD, hypertension, depression, cholesterol, etc. The program will address over 300 potential clinical gaps and opportunities.
- Each month, our integrated data will be analyzed at the patient/member level, using clinical rule-based software.
Well Informed then communicates this information to you and your patient whenever a potential issue is identified:
- Mailings are sent to you containing a clinical data profile for any patient that has been identified as having a potential treatment improvement opportunity. This view of your patient's health is intended to help you determine whether to initiate any interventions or adjustments to the prescribed treatment plans for those patients. This information is also available electronically beginning in late August 2010, under a pilot program for New Jersey based primary care physicians and specialists who use the NaviNet all payer portal.
- Simple, easy to understand profiles are sent to patients, to increase their understanding of potential gaps, and improve adherence to existing therapies.
- The same information is shared with the clinical staff of our medical management programs, including case management, CIGNA Well Aware for Better Health® disease management, Health Advisor, Pharmacy outreach, and CIGNA Behavioral Health. This enhanced information helps our clinical staff reach out to patients more successfully, increasing the effectiveness of our outstanding medical programs.
For more information on the Well Informed program, visit the secure CIGNA for Health Care Professionals website at www.cignaforhcp.com or call 800.88CIGNA or 800.882.4462.
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