7 Reasons Why: Belong's Care Management Offers Outcomes and Experience
By Natasha VanWright, RN, MBA, MS, MA, CCM and Ramon Jacobs-Shaw, MD, MPA
A 60-year-old woman living with a multitude of chronic conditions, Patricia felt weighed down by guilt. She was convinced she’d become a burden to her daughter, on whom she relied to navigate her various medical needs.
Patricia was on dialysis, and a kidney transplant was unavoidable. Her future, she was certain, was trending downward.
Unsurprisingly, when Belong Health’s care management team first met Patricia, we found her hesitant to engage with a personal health plan. After all, she had reminded us, a care manager was already helping her with dialysis. What more could be done?
Plenty.
Patricia had unknowingly been sitting on numerous untapped benefits for which she, as a dual-eligible member, qualified.
One such benefit was access to her very own care management team — including a registered nurse (RN), a licensed clinical social worker (LCSW), a community health worker (CHW), and pharmacist. Together, these experts began answering questions about Patricia’s health, helped get her the resources she needed, and worked closely with her in setting achievable personal health and wellness goals for the long term.
Just as important: Patricia’s care management team members understood the hopelessness and fear she’d begun to feel about her future. Together, they reviewed her medication and connected her with a trusted behavioral health specialist.
With the expertise of Belong’s Chief Clinical Officer at the ready, they also directed Patricia and her daughter to a primary care provider for comprehensive discussion of a long-term treatment plan.
And, in the spirit of collaboration, they alerted her provider that Patricia had been receiving dialysis for a year — a detail she had not previously shared with her doctor.
Thanks to the LCSW on her personal care team, Patricia was even set up with home health services — resources that enabled her and her daughter to explore additional caregiver support options without stress. Together, mother and daughter benefited from the guidance of a Consumer Directed Personal Assistance (CDPA) agency, whose experts assisted in the submission of all necessary paperwork.
At its best, effective care management for patients with complex needs forges invaluable relationships with physician networks. It simplifies and eases each member’s unique healthcare journey.
That’s exactly the kind of care management Belong Health is designed to facilitate.
“This program and the care management team really knew how to help me,” Patricia later told us. “I’m glad you would be there for me.”
Belong Health is proud to offer a differentiated care management experience that consistently draws the very best from members, providers, and from our own care team. Here are seven ways our care management offers better outcomes and experience: