Care Management - Practice Resources
With earlier interventions and preventative care, patients can avoid readmissions to the hospital, reduce out-of-pocket expenses and improve their health outcomes. Practices can improve efficiency, patient satisfaction and adherence. THN is leading the way with convenient, patient-focused complex care management.
Through a partnership with the VBCI Population Health Care Management team, THN provides a full range of personalized chronic care management, care coordination, education, and support services.
Patient Services
Care management is helpful for high-use, high-need patients who may benefit from more intensive care coordination or care management than is typically offered in primary care, family care or a similar setting.
The Care Management team collaborates with provider teams to support high-risk patients with:
Our pharmacy assistance and services include:
- Chronic disease state management
- Medication-related quality gap closure
- Medication review and reconciliation
- Medication assistance programs: Extra Help and patient assistance programs
- Quality projects
- Drug information for providers and care managers
Patient Eligibility
Patients who are eligible to receive care management services:
- Have chronic medical problems like diabetes, heart failure, high blood pressure, chronic obstructive pulmonary disease (COPD), heart disease or other conditions.
- Live in Alamance, Guilford, Randolph or Rockingham County or part of Forsyth County (Kernersville).
- Have Medicare or health insurance through a participating plan.
Patients THN Serves
Care management provides services to eligible patients who:
- Are THN ACO flag-identified members in the following: Epic or PING
- Have primary care providers who are part of the THN network
- Participate in the following plans:
- Traditional Medicare ACO Reach
- Aetna Commercial
- Aetna Medicare Advantage
- Blue Cross Blue Shield Commercial
- Blue Cross Blue Shield Medicare Advantage
- Cigna Medicare Advantage
- Devoted Health Medicare Advantage
- HealthTeam Advantage
- Humana Medicare Advantage
- UnitedHealthcare Medicare Advantage
Patient Referrals
To make a patient referral for Care Management, you have several options:
- Epic Referral Order: VBCI Population Health (REF2304)
- Complete and fax the patient referral form to 1-844-873-9948
- Call the MD Referral Line at 336-663-5208
- Call 1-844-873-9947 to make a referral
- VBCI.PopulationHealth@conehealth.com
