More than 40 percent of the American population, or 130 million people, have a chronic illness such as diabetes, congestive heart failure, depression or asthma and account for the majority of U.S. healthcare expenditures. In fact, the Milken Institute recently estimated that the most common chronic diseases cost the economy more than $1 trillion annually, mostly from lost worker productivity, which could balloon to nearly $6 trillion by the middle of the century.

These healthcare costs are usually driven by situations – such as hospitalizations, emergency room visits, poor medication compliance, deviations from treatment plans – that can be prevented when the appropriate steps are taken at the right time.

The Prevention Plan CM™ brings intensive care management resources to those individuals afflicted with costly chronic conditions. And we do it one person at a time.

The goal of The Prevention Plan CM™ is to prevent the progression of an existing condition and to detect other potential conditions before they cause harm. We have long understood the primary role chronic disease plays in rising health care costs, and over the last decade, we have been one of the few companies to produce real savings. So, instead of just throwing money at the problem – or by just mailing a brochure or two – we have concentrated where we can have a real impact: on people.

The Prevention Plan CM™ targets the approximate 20 percent of the population with chronic health conditions who are responsible for about 80 percent of the health care costs. The Prevention Plan CM™ provides a 360° care management model in an intensive program that helps people with chronic illnesses comply with their medical protocol, manage their health better to lower their risks, and improve their overall health. The customized approach includes coordinating medical care, referral to community resources, and educating and coaching each member to help them modify their lifestyle behaviors and patterns.  This proprietary approach to care management improves health outcomes, while reducing medical costs.

Wellness plus chronic care management
Our most comprehensive plan is The Prevention Plan PLUS™ which combines The Prevention Plan with Prevention Plan CM: wellness plus disease management. Most research shows that 80% of health costs and resources go toward 20% of the population. This program brings you preventive wellness measures along with evidence-based strategies that change behaviors.

The Prevention Plan PLUS™ allows you to address the total needs of your organization by keeping the “healthy” healthy and keeping those with existing conditions in optimal health. Every member of your team or population can participate in the same program regardless of their specific health condition…thus bringing prevention to everyone.

The modular structure of The Prevention Plan™ allows an employer or sponsor the flexibility to select where and how they would like to begin their initiative…by focusing on the healthy population, the chronically ill, or both. Regardless of their initial choice, it becomes effortless for them to add the  appropriate module and address the entire organization.

Customization brought to every case
In every case, we understand are not just treating diseases, we are helping people get on a path to “more good years.” So, for every disease state we have tailored a care management program best suited for that condition and then customized it to the needs of each individual. This is accomplished through the coaching relationship between our nurses and the members of The Prevention Plan CM™. The end goal is a better outcome for the member and a lower cost of care for the sponsor.