Each identified member is assigned a registered nurse with extensive experience in renal disease. The VillageHealth nurse monitors the member's health status, facilitates compliance with the physician-directed goals, communicates with the member's physicians and serves as a liaison and advocate for the member and his or her family.
Patient assessment and care planning within the member's interdisciplinary team are coordinated by the nurse. This team includes the primary care physician, nephrologists, other care specialists and case manager.
Case management and care coordination are overseen by a panel of experienced nephrologists.
Member education includes, but is not limited to, compliance in taking medications as prescribed, management of comorbidities, management of lifestyle issues and identification of member-selected goals.
Adherence to national evidence-based protocols and guidelines helps prevent the development of other serious conditions.
Eligibility and Cost
The program is available to members in all Medicare lines of business, commercial fully insured groups and administrative services only groups that purchase Humana's clinical programs. Village Health contacts eligible members and offers them the opportunity to enroll in the program. Village Health will notify you if one of your patients agrees to enroll.
The program is available to members and providers at no cost. Puerto Rico members are not eligible for the Renal Disease Management program. Market participation may vary and is subject to change.
If you have questions or would like more information, please contact VillageHealth at 1-800-767-0063. Assistance is available 24 hours a day, 7 days a week. You can learn more about VillageHealth at www.villagehealthdm.com.
These programs and tools are not insurance products and are not guaranteed under any contract. Humana is not required to provide these services but makes them available to eligible members.