Condition Management

Offering a Variety of Clinical Support Programs


Tufts Health Plan offers a variety of clinical programs to support adult, pediatric and pregnant members with preventive health, chronic conditions and complex medical needs. Eligible members are primarily identified for disease management through medical and pharmacy claims, physician referral or via self-referral. Members can also be identified through their participation in our Complex Care Management program. The programs are designed to encourage a collaborative partnership between our members and their providers and include the following:

Program components include:

  • Personalized care plan promoting self-care, self-reliance and prevention
  • Access to nurses and other members of the health care team
  • Disease-specific educational materials and online self-help tools
  • Education on how to recognize and alleviate warning signs and symptoms of disease
  • Support for complying with physician's plan of care and medications
  • Availability of biometric self-monitoring equipment, as appropriate
  • Education and support regarding diet and/or medication adherence
  • Screening for depression
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