Your Care Plan is developed specifically using the answers you gave us on the Disease Specific Assessment. From those answers you are placed into one of three “tiers”.
Tier 1 and Tier 2
Members who are placed in one of these two tiers are managed through Medical Home Office by your Primary Care Physician (PCP). Care Plans are provided to him/her as a reference document and (along with professional judgment) can be used as a resource tool to help you reach your health goals.
Members in Tier 3 are managed through Medical Home Office by your PCP, but this Tier also includes help from a Nurse Case Manager. These Care Plans are developed after further assessment by your Nurse and are shared with you and your PCP. The Nurse will coordinate your care in communication with your doctor(s) and a Social Worker if needed.
Examples of Care Plans