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Programs & Initiatives

Programs & Initiatives

Programs & Initiatives

CCNC and Carolina Community Health Partnership utilizes programs and initiatives to help meet its goals of managed health care for its Medicaid population. These programs and initiatives provide guidelines based on medical best practices to help ensure this population receives quality, cost-effective care while reducing costs to the Medicaid program.

Care Management provides registered nurse care managers who help clients navigate the medical system in a way that will ensure they receive quality medical care as well as other needed services.

The Medical Home Concept helps ensure Medicaid recipients have a dedicated primary care medical provider to oversee all their medical needs. These providers use medical best practices to ensure recipients receive quality, cost effective medical care.

The Chronic Disease Management Initiatives include Asthma, Diabetes, Chronic Obstructive Pulmonary Disease (COPD), Congestive Heart Failure, and Ischemic Vascular Disease (IVD). Care of these diseases by medical providers is based on medical best practices and improves patient outcomes.

The Pharmacy Management Initiative is designed to help manage the medication needs of patients with complicated medical problems while managing drug costs. This is done through medication reconciliations to eliminate errors related to use of multiple medications. Costs are also managed by encouraging the use of lower cost generic medications when possible.

The Behavioral Health Integration Initiative supports an integrated approach where behavioral health providers and primary care providers’ work together to ensure that both physical health needs and behavioral health needs are met successfully.

Emergency Room Utilization focuses on helping clients understand the difference between a true emergency and something that can be treated by their primary care provider.  Use of Medical Home as first choice is encouraged.

The Opioid Safety Initiative focuses on appropriate assessment, management, and treatment of chronic pain.

The Transitional Care Initiative focuses on a safe transition from the hospital to home or other interim care facility after discharge.

The Quality Improvement (QI) Initiative develops processes that make health care delivery more effective and less costly working closely with network primary care providers and network staff.