Disease Management

Our disease management program focuses on helping members with their chronic conditions through early intervention and awareness of appropriate treatment and lifestyle changes. 

Disease management empowers you with condition-specific information so you can make informed decisions to improve your self-care. Our disease management programs are confidential, completely voluntary, and provided at no additional cost or obligation to members. Our team is here to motivate you with a greater understanding of ways to manage your chronic condition — giving you a voice in the delivery of their care. 

Our disease management program focuses on the following conditions: 

• Asthma
• Chronic obstructive pulmonary disease (COPD)
• Congestive heart failure (CHF)
• Coronary artery disease (CAD)
• Depression
• Diabetes
• Obstructive sleep apnea
• Spine conditions/back pain
• Hip and knee 
• Hypertension/hyperlipidemia
• Mental health
• Substance use disorder

With help from one of our disease management professionals, you will be educated about your specific health conditions and learn how to take a more active role in your health care. You will receive education, tools, and one-on-one support to help with: 

• Reducing complications
• Understanding of the members' chronic condition(s)
• Strengthening the relationship of the member with their health care team
• Feeling empowered to make informed health decisions

Our disease management team consists of:

• Registered nurses
• Heart failure specialists
• Licensed practical nurses (LPN)
• Certified diabetic educators
• Social workers
• Respiratory therapists
• Certified asthma educators
• Outreach associates
• Certified holistic health educators
• Chiropractors

Who is eligible?

All Highmark Blue Cross Blue Shield of Western New York members with the above condition(s) diagnoses are eligible for these services. Your comprehensive assessment is completed by a registered nurse. Based on the need, they may refer you to a registered dietitian, social worker, respiratory therapist, behavioral health specialist, etc. You are identified through continuous case finding efforts, welcome calls, claims, and referrals. 

Take control of your health and treat your conditions. Call our disease management services at 1-877-878-8785 option 2, to get more information or to speak with a disease manager.