Care Management & Model of Care

These are two ways iCare helps to provide quality care for your patients!

Aurora CompleteCare

Care Management

Care management at iCare includes a best practice, evidence-based strategy for managing the health of our members. The physician is part of the multidisciplinary team. This team-based, patient-centered approach is designed to assist patients and their support systems in managing their medical conditions more effectively.

We recognize that in order to treat complex populations, we have to address social and behavioral health issues in order to treat medical conditions. Other disciplines that are part of the iCare team include: Behavioral Health experts, RN Case Managers, Pharmacy staff as well as Care Managers and Care Coordinators with varied educational and work experience backgrounds.

Model of Care

A model of care defines the way in which health care is delivered, with an ultimate goal to address the needs of people across the course of their illness. iCare's Model of Care provides members with a fully integrated package that includes a Care Coordinator, a Registered Nurse Case Manager and our teams provide members with extensive support services. Each member receives a comprehensive, integrated assessment accompanied by a comprehensive member-centered individualized care plan.

Conduct a comprehensive assessment to identify members’ medical, behavioral and social needs.
Create a dynamic care plan with the member that addresses and prioritizes their needs and goals.
Monitor member progress toward goals.
Identify resources to meet member needs.
Coordinate service provision with providers and members.
Assist members with accessing services.
Work with members to promote behavioral change and self empowerment to achieve improved quality of life.
Monitor hospital experiences for treatment progress and appropriate discharge planning.
Coordinate provision of appropriate care following acute care experiences.
Facilitate provision of services along the continuum of care needs.
Engage members in health promotion through education about resource utilization, disease management and self care.
Monitor service provision for quality of care.
Implement quality improvement initiatives.

For a complete description of iCare's Model of Care, view the Model of Care Guide.

Ultimately, the iCare process helps ensure patient compliance with treatment plans, a challenge when working with special needs populations. Besides serving as a resource for both members and providers, iCare is here to support physicians who need help with challenging cases. The support system for providers is multi-disciplinary, which includes pharmacy, behavioral health, translation services, as well as member data.

iCare can facilitate the use of alternative delivery options for the provider to use when treating challenging cases. Since iCare follows members on a continuous basis, we can advise the provider as to whether treatments have been tried and if they have been successful. By providing this level of collaboration and resources, iCare lends providers another mechanism to "nudge" members into compliance with their treatment plan.

With iCare, providers have extra tools to ensure something as simple as more members attending appointments, or as complex as providing multi-disciplinary support in a comprehensive treatment plan.

iCare's Purpose: to measurably improve the health of iCare members through personalized, sustained and integrated care coordination.

Questions? Comments? Ideas?

We'd love to hear from you! At iCare, we celebrate the successes of shared responsibility, and we're always looking to build partnerships that achieve health outcomes. That starts with open communication, and we make it easy for you to connect with the right people.