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High Intensity Care Management (HICM)

MNOHS is pleased to participate in the High Intensity Care Management model (HICM), launched on Oct. 1, 2014 by Blue Cross Blue Shield of Michigan (BCBSM). Started at the national level by the Centers for Medicare & Medicaid Services, HICM refers to a suite of services offered to the Medicare Advantage population and supported in Michigan by BCBSM and Blue Care Network.

Previously the domain of national disease management organizations, the HICM model is designed to offer team based health care, with a primary care physician in the lead, to select Medicare Advantage patients in southeast Michigan who have at least six of 14 chronic condition diagnoses (co-morbidities). HICM identifies and serves patients through three levels of care:

  • Tier One: for patients who are stable and require a maximum of one primary care visit and/or one phone call per month
  • Tier Two: for patients who are moderately ill and require more regular follow-up and touch points with their primary care physician/team
  • Tier Three: for patients who are seriously ill and require weekly or daily contact with a primary care team member and/or a member of the extended team, such as an Advance Practice Nurse (AP-N), R.N., MSW, pharmacist or home care agency.

Contact info@mednetone.net to learn more about participating in the HICM model through MNOHS, whether as a provider or patient/consumer.

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