Case management – lightening treatment providers’ load

Complex life situations have an impact on treatment success and increase the coordination work required. Helsana case management assists your patients in their day-to-day lives, helps with transitions and takes the admin off your plate.

Alongside medical treatment, many people with health issues also face additional professional, financial or social stressors. All of these factors influence the course of treatment and often increase the amount of coordination work required.

Helsana case management complements your medical treatment by providing targeted support during transitions – from inpatient to outpatient care, for example – and handling administrative matters. In turn, we help to prevent relapses while also reducing the pressure on your schedule.

Our Case Managers coordinate all the entities involved and provide support with complex processes – without getting involved in the medical treatment.

Depending on the situation, we support patients for 6, 12 or 18 months.

Your benefits at a glance

  • Reliable support: you’ll have a personal contact person for the duration of the support.
  • Promotion of therapeutic success: case management improves the patient’s situation day-to-day, at home and at work – for better medical results and lower relapse rates.
  • Focus on coordination: we do not perform medical tasks. Instead, we ensure clear coordination between all parties involved.
  • Greater efficiency: we help you with clarifications, insurance-related questions and forms, reducing the number of queries and duplications.

When a referral makes sense

Personal support from case management is particularly useful for patients:

  • dealing with multiple stressors (medical, social, professional, financial)
  • suffering from an existing or impending incapacity for work
  • who have difficulty navigating the healthcare landscape and social care system
  • with complex clarifications or planned reintegration
  • in the delicate transition from inpatient to outpatient care

This offer is aimed at all our basic insurance customers between the ages of 18 and 65. It is voluntary and free of charge.

How the collaboration works

  • 1. Registration via the contact form
  • 2. Initial assessment
  • 3. Start of support
  • 4. Coordination with you if necessary
  1. With the consent of the person concerned, use the contact form to pass the patient’s details on to us and describe the situation.
  2. Our case management team calls the patient and conducts the initial assessment.
  3. Case management begins, with the written consent of the person concerned.
  4. A Case Manager coordinates the next steps with the patient themselves and checks with you if necessary.

Data protection and consent

The case management service is only provided with the patient’s consent. This is governed by a power of attorney. Only the responsible Case Manager and the relevant experts have access to the information required for the support.

The data will not be added to the insurance file.

Get in touch now – with no obligation

In situations involving complex medical or social issues, case management provides your patient with targeted support and lightens your administrative load.

Would you like to learn more? Do you have patients who would benefit from personal case management support? Please fill in the form: we will get back to you soon.

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