Condition-Specific Solutions for Members

Oncology Management

Through our cancer management and support program, we assign an oncology nurse to provide patients with an individual care management plan. The nurse is a resource to caregivers and provides the patient and his or her family with support that helps them navigate the maze of providers and appointments that are typical during cancer treatment.

This kind of support is not just good for cancer patients and their families, it’s also key in helping to control costs for members and employers alike by reducing detrimental and costly gaps in care. Our clients experienced a total program ROI of 14.1 to 1.1
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Maternity Management

Luminare Health's maternity management solution educates and supports pregnant and adopting members while identifying and proactively managing high-risk pregnancies to reduce costs through improved outcomes through:
  • One-on-one support
  • No cost carrier to utilization
  • Clinical understanding of pregnancy risk factors
  • Personalized, proactive outreach
The Maternity Management program pairs pregnant and adopting members with trained maternity nurses to proactively reach out to potential participants based on available data. Nurses first perform a key initial risk assessment and then offer ongoing support and education tailored member-by-member, based on risk factors.

Nurses provide guidance and can answer all pregnancy and infant care-related questions about critical topics:
  • Potential pregnancy risk factors and how to minimize them
  • Gestational diabetes
  • Safe diet and exercise routines
  • Travel during pregnancy
  • Post-partum concerns and support
  • Childcare issues
  • Available community resources
  • And more
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Gene Therapy

The Gene-based, Cellular and other Innovative Therapies (GCIT) solution through Aetna offers employers an opportunity to improve access and cost management for FDA-approved and pipeline drugs by providing a designated network of facilities and procedures vetted for quality and value at no additional fee. The result? An average savings of 17% below the listed average wholesale price (AWP).2

The program offers:
  • Access to an increasing array of therapies at 76 facilities nationwide
  • Quantifiable discounts
  • Member care coordination and support from an expert clinical team3
  • Optional travel and lodging benefit so patients receive care at quality and cost optimized centers4
  • A single facility directory
  • GCIT product manufacturer approval
  • Annual review program
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Connect with your Luminare Health sales executive or client manager to learn more about our condition-specific solutions.













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