Physicians Health Plan strives to collaborate with providers to accomplish our common goal of delivering great service that ensures the well-being of those we serve. PHP offers several tools to assist you in helping your patients manage their health.
Medication Therapy Management (MTM)
Patients who are chronically ill or have many health conditions can sometimes be overwhelmed by the number of medications needed to manage their care. If you have a patient covered under PHP, our free MTM program can help.
Medication Therapy Management is an innovative pharmacist-directed program that helps patients understand and manage their medication regimen, and assists prescribers in avoiding potential medication-related problems. Call our Pharmacy Department at 517.364.8545 to find out more.
Medical Resource Management (MRM)
Medical Resource Management is a highly structured and clinically intense set of processes that attempts to facilitate members’ access to healthcare resources, decrease the “hassle” factor and improve the overall healthcare experience. The Medical Resource Management Department aims to improve relationships between doctors and patients by offering more resources than traditional healthcare programs and by making it easy for patients to access the information they need about medical concerns.
These are some of the functions performed in MRM:
Hospital Review
We will facilitate access to specialists, help to make treatment plans timely – and prevent delays in patient procedures and tests whenever we can. The Medical Resource Management Department also provides services for ensuring that the discharge process goes smoothly and that all necessary equipment and supplies are available when your patients need them.
Disease Management (DM)
DM Programs are designed to improve the health of persons with chronic conditions and reduce associated costs from avoidable complications by identifying and treating chronic conditions quickly and more effectively.
PHP addresses four areas of focus:
- Diabetes
- Asthma
- Tobacco Cessation
- Prenatal Education
For more information, call PHP’s Disease Management program at 517.364.8466 or 866.203.0618
Post-Hospital Discharge Program
This provides a safe transition home after a hospital admission. After leaving the hospital, our Case Managers will call members to make sure that medication, self-care information and supplies are easily accessible, helping ensure a positive outcome from the care you provided or oversaw.
Transplant Services
Care is provided in the most appropriate setting by a designated transplant network. After leaving the transplant facility, our Case Managers will call members to assist with discharge planning, follow-up for clinical care, physicians appointments.
Complex Case Management Offers the Resources Patients Need
Chronic conditions are difficult enough to manage without worrying about coordinating long-term outpatient treatment programs. PHP makes outpatient care as easy as possible. Our Complex Case Management program focuses on stabilizing long-term outpatient care for members with complex conditions. If you have patients enrolled with PHP who would like to speak to a nurse about complex case management, please ask them to call 517.364.8560 or toll-free 866.203.0618. Access the Case Management Referral Form for more information.
PHP believes strongly in partnering with members and their healthcare providers in managing diseases, ensuring that patients understand diagnoses and develop a personalized care program.