About Disease Management

Our Disease Management department is based on a system of coordinated care management interventions and communications designed to assist physicians and others in managing Anthem HealthKeepers Plus members with chronic conditions.

Disease Management services include

  • A holistic, member-centric approach to disease management focusing on the needs of the member
  • Motivational interviewing techniques used in conjunction with member self-empowerment
  • Disease management programs for:
  • Behavioral health conditions
  • Substance abuse disorder
  • Heart conditions
  • Diabetes
  • Pulmonary conditions

We also offer weight management and smoking cessation services.

Our programs feature:

  • Proactive population identification processes
  • Identification of chronic disease care gaps.
  • Evidence-based national practice guidelines.
  • Collaborative practice models to include physician and support-service providers in treatment planning for members.
  • Continuous patient self-management education, including primary prevention, coaching related by healthy behaviors modification programs and compliance/surveillance, and case/care management for high-risk members.
  • Process and outcomes measurement, evaluation and management.
  • Ongoing communication with providers regarding patient status.

Disease Management and our programs do not advertise, market or promote specific products or services to members or providers. Disease Management and our programs do not have any financial ownership arrangements with anyone who advertises, markets or provides the goods and services we offer.

Hours of Operation

  • Our case managers, who are licensed nurses, are available from 8:30 a.m. to 5:30 p.m. local time Monday through Friday.
  • Confidential voice mail is available 24 hours a day.
  • The 24/7 NurseLine is available 24 hours a day, 7 days a week for our members.

Contact Information

Please call 1-888-830-4300 to reach one of our case managers.

Your patients can get information about disease management programs by visiting our website or calling 1-888-830-4300.

How can you use
Disease Management

Maximize your time

As a valued provider, you can increase your efficiency by referring...Read More your patients with asthma, bipolar disorder, CAD, CHF, COPD, diabetes, HIV/AIDS, hypertension, MDD, schizophrenia and substance use disorder who could benefit from education or care management to our Disease Management team. Read Less

Get help with treatment plans

To assist in managing patients, our Disease Management team requests your input for patient...Read More treatment plans. Disease management information and the most up-to-date Clinical Practice Guidelines are provided to assist you in creating an individualized plan of care. Read Less

Receive feedback on your patient

Providers can access Patient360 to obtain feedback on their members regarding their care plans and condition management while enrolled in Disease Management...Read More programs in member status letters, care plans and telephonic communications. Feedback includes assessment of how well the condition is being managed, adherence to treatment plans, patient goals, and psychosocial and safety issues while enrolled in a disease management program. Feedback is provided weekly, monthly, quarterly, annually or as needed based on the severity of the member’s condition. Read Less

    If you wish to refer your patient for Disease Management services, please use the