What can Healthy Solutions do for your organization?
Healthy Solutions, by Gateway Health Alliance, Inc. SM is a fully integrated, HIPAA compliant, Wellness and Disease Management Program focusing on improving member quality of life and reducing unnecessary utilization of high cost medical services. Our Registered Wellness Nurses partner one-on-one with members as personal health coaches to maximize results.
Gateway’s proprietary software platform, Healthgram, combines medical data from multiple sources in real time to effectively identify and stratify members according to specific level of risk. Gateway’s Medical Director and Medical Management Committee have developed a Care Management System and protocols according to stringent AMA guidelines. Healthy Solutions offers an extensive reporting package with regularly scheduled on-site reviews.
Worksite Wellness and Disease Management
By identifying moderate-to-high risk employees, particularly those with chronic medical conditions, through review of medical claims and prescription drug card usage patterns (if available); we have taken the initiative to better manage healthcare utilization through disease management and genomics. The important premise is that chronic medical conditions and serious illnesses generate the majority of employers’ claims. Early intervention assures proactive case management of patients most likely to incur high levels of resource utilization. Furthermore, with proper analysis of prescription drug usage, a patient’s propensity for illness can be measured and early intervention recommended, thus achieving quality care and cost containment. Presently, our Healthy Solutions nursing staff addresses the following chronic, moderate-to-high risk medical conditions:
- Congestive Heart Failure
- High-Risk Maternity