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Proving What’s Possible in Healthcare <br />This document contains important terms and conditions which are incorporated by reference into and becomes <br />part of the terms of your contract with us. ©2024, Healthcare Management Administrators, Inc. <br />Condition Management and Nurse Line <br />Product Description Price <br />Omada for <br />Musculoskeletal <br />Omada for Musculoskeletal is digital physical therapy for <br />joint and muscle health that pairs members with a 1 :1 <br />physical therapist and leverages Advanced Computer Vision. <br />By shifting care upstream in a member’s care journey, <br />providing clinical quality at a lower cost, and driving clinically <br />meaningful member behaviors, Omada for MSK improves <br />health and cost outcomes for members and employers. <br />Patients secure an appointment within 48 hours of sign-up. <br />Omada integrates behavioral health support into MSK and <br />PTs can consult with a behavioral health coach as <br />necessary. <br />URAC top clinical accreditation for telehealth. <br />Self-guided recovery phase and preventive program <br />available at no cost to members. <br />$200 initial consultation <br />$550 case rate for <br />Recovery Phase (covers <br />12 months per <br />injury/issue) <br />Billed as medical claims <br />Member cost share <br />applies <br />No cost for Prevention <br />program <br />Disease <br />Management <br />Nurse coaching and outreach for the following chronic <br />conditions: asthma, depression, diabetes, coronary artery <br />disease (CAD), congestive heart failure (CHF), chronic <br />obstructive pulmonary disease (COPD), and hypertension <br />and hyperlipidemia. Client must provide and update accurate <br />member phone numbers on eligibility file. <br />$3.00 PEPM first year <br />clients only <br />$3.50 PEPM upon <br />renewal <br />Maternity <br />Management <br />MommyTrax.com is a maternity and new parent benefit <br />package that features both evidence-based health content <br />and telehealth case management with maternity nurses. <br />Includes a welcome kit (prenatal vitamins and a parenting <br />book) and a $50 gift card upon program completion as <br />incentives for participation. <br />$350.00 Per Case <br />24-Hour Nurse <br />Line <br />Nurse advice line to answer health questions and assist <br />members in selecting where and when to seek care for <br />a particular health concern. This service is offered through <br />our nationally acclaimed partner, CareNet. <br />$0.65 PEPM <br />7