Optimal outcomes through the right programs

Coventry Health Care's comprehensive medical management services encompass four integrated programs that work together for optimal outcomes.

Contact us  to learn more about how Coventry uses the right information at the right time to connect members to the right setting of care and the right tools.

Wellness

Coventry WellBeing focuses on keeping your employees healthy. Members access tools online and create personalized self-improvement programs that promote healthy living and disease prevention. We also help employers create customized programs for their workforces.

Disease Management

We make a difference to the 10-20% of members with chronic conditions through:

• Timely interventions fueled by integrated medical management, claims, prior authorization, eligibility and member service information
• Coordinated support for high-risk members by a single nurse case manager
• Educational resources that teach members about self-care

Complex Case Management

We address the serious health care needs that affect less than 5% of your employees. Our nurse case managers serve as a single point of contact with members, their physicians and families to improve compliance with the physicians' treatment plans and achieve favorable financial and clinical results.

Utilization Management

Coventry focuses its review activities on opportunities that impact the most prevalent and costly services. Our unique advantages include:

• Customized programs allowing employers to choose varying levels of review for select services
• Medical Directors representing a full range of specialties are closely involved in the review process