Who is appropriate for referral to Triad HealthCare Network (THN) Care Management?
- THN Primary Care Provider
- THN contracted payor (Traditional Medicare, Humana Medicare, United Healthcare Medicare, Cone Health UMR, HealthTeam Advantage)
- HCC score 6 or greater, 2 or more hospitalizations in 6 months, 10 or more ED visits in one year
- Targeted diagnoses: Heart Failure, COPD/Pneumonia, Hypertension, Diabetes, and/or Depression
- Have a chronic health condition with daily management challenges
- Have poor health literacy and/or problem solving skills
- Have poly-pharmacy/medication barrier issues
- Have family health education deficits
- Lack social support
- Are not safe to remain at home
- Need referrals to community resources for social needs
To make a referral, please call 1-844-873-9947.