Case Management

Ensures Appropriate Care While Maximizing Cost Savings

Arizona Foundation, in conjunction with American Health Holding, offers URAC-accredited Case Management services designed to improve the quality of patient care while maximizing cost savings. Case Management provides individuals a better understanding of specialized care needs, access to centers of excellence and specialty care facilities, education on alternatives to costly inpatient care, and direction toward in-network discounts. The program works with members to educate and help them make choices that contribute to a healthier lifestyle, thus reducing the incidence of complications and future medical costs.

The integrated program provides triggers that automatically refer cases that may benefit from Case Management intervention, helping to facilitate early identification, prevent rehospitalization, and significantly reduce costs.

A Solution for Life
Case Managers are registered nurses or licensed social workers who function as advocates, facilitators, and educators, assuring that members make smooth transitions from inpatient settings to alternate care and home care when appropriate. Other benefits and services include:

Program Highlights

To learn more about Arizona Foundation's Case Management program or AFMC's Network Products and Services, call 800-624-4277 or e-mail.