HAP Disease Management

HAP transitional care management follows up with members after a hospital stay to coordinate their recovery at home.

HAP says a case manager calls members after they leave the hospital. The page says all members are eligible, which is a statement to verify against the group’s contract.

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What It Is

What the program is and what members do.

What the program is

HAP describes transitional care management as support after a hospital stay. A case manager calls the member to help coordinate care, answer questions and support follow-up visits with providers.

How members use it

The population health page does not describe an enrollment step. HAP says the case manager makes the call, so the member does not need to start the process. HAP also says it works with network hospitals on discharge planning.

What it covers or does not

HAP describes coordination and follow-up, not treatment. The page does not give call timing, how long the support lasts, or a cost statement.

Who Can Use It

Eligibility, funding and plan design.

Who can use it

HAP’s page states that all members are eligible. It does not name lines of business, so confirm that statement applies to your group, whether fully insured or self-funded.

How it is funded or sold

The page does not describe a price, a fee or a rider. We would treat it as a plan feature and ask HAP how it is funded for the group.

Where it fits in plan design

It sits between the hospital and primary care and supports the move home. It complements care management and the network’s discharge process.

What To Ask

What to settle before relying on it.

Does the all-members statement cover our group?

HAP says all members are eligible. We would ask HAP to confirm that in writing for our line of business and plan.

Which hospitals are part of discharge planning?

HAP says it works with network hospitals. We would ask which Michigan hospitals take part and whether that includes the systems our employees use.

How soon after discharge does the call happen?

The page gives no timing. We would ask HAP for its standard timeframe and what happens if the member cannot be reached.

Questions We Get

Common questions about this program.

Does the member have to sign up?

HAP says a case manager calls the member after discharge. The page does not describe a separate enrollment step.

Is transitional care management available to employer groups?

HAP’s page says all members are eligible but does not name lines of business. Confirm for your group.

What does the program not do?

HAP describes coordination and follow-up support. It is not a treatment program, and the page gives no cost or timing details.

Sources

Where these details come from.

This page summarizes what HAP publishes. Programs change, so confirm current details with the carrier before relying on them.

hap.org →

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