Priority Health lists remote condition monitoring as device-based telemonitoring for members who meet clinical criteria.
Priority Health describes remote condition monitoring as a program that provides illness-specific devices to members who need close clinical monitoring. This page is the Priority Health provider manual, so it is written for physicians and office staff and not for employers.
What the program is and what members do.
What the program is
The carrier says it provides devices specific to an illness for members who need close clinical monitoring. Examples it names are a blood pressure cuff, a scale and a pulse oximeter.
How members use it
Members are given the devices and are monitored clinically, per the carrier. The page does not explain who watches the readings, how often, or what happens when a reading is out of range.
What it covers and does not
The page names congestive heart failure, COPD and diabetes as examples of conditions that can meet clinical criteria for telemonitoring. It does not list a complete set of conditions or the criteria themselves.
Eligibility, funding and plan design.
Who the carrier says it is for
This page is the Priority Health provider manual, so it is written for physicians and office staff and not for employers. It states the program is for members who meet clinical criteria for telemonitoring, with congestive heart failure, COPD and diabetes given as examples. It does not name a line of business.
How it is funded or sold
The page does not say how the program is paid for or whether members owe anything for the devices. Cost is something to confirm.
Where it fits in plan design
It supports members with serious chronic conditions between visits. It is a care tool and not a change to the benefit schedule. We would pair it with the carrier’s care management offering.
What to settle before relying on it.
What are the clinical criteria?
The page gives examples only. We would ask for the criteria in writing and who decides whether a member qualifies.
Who monitors the readings?
The page does not name the vendor or the clinical team. We would ask who reviews data, how fast they act and how that links to the member’s own doctor.
Is it available to our commercial group?
No line of business is named. We would ask Priority Health to confirm for the group and tell us any cost to the member or employer.
Common questions about this program.
What devices does the program use?
The carrier names a blood pressure cuff, a scale and a pulse oximeter as examples.
Which conditions qualify?
Priority Health gives congestive heart failure, COPD and diabetes as examples of members who meet clinical criteria. It does not list everything.
Who is eligible?
Members who meet clinical criteria for telemonitoring, per the carrier. The page does not name a line of business.
Where these details come from.
This page summarizes what Priority Health publishes. Programs change, so confirm current details with the carrier before relying on them.
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