Care management programs
For members with acute, chronic, or complex health conditions, Fallon Health’s care management programs may help you improve your quality of life and your health. These programs are free of charge, and you can choose to participate or not at any time―it won't affect your benefits.
What are acute, chronic, and complex health conditions?
Acute health conditions are short-term conditions. They come on suddenly and don’t last long (a few days to several weeks). Examples include colds, viruses, infections, or injuries.
Chronic health conditions develop gradually, last for months or years, and may get worse over time. Examples include asthma, cardiac conditions, congestive heart failure, COPD, and diabetes.
Complex health conditions consist of more than one health condition—chronic and/or acute —and require multiple types of care or care providers.
Programs for members with acute health conditions
- Case Management is provided by our team of registered nurse case managers and social workers, who will teach you about your conditions and work with your medical and behavioral health providers to make sure you’re getting the services you need.
- Care Coordination is provided by our team of Navigators, who will teach you about your health plan benefits and help you find community resources, like transportation facilities, and other benefits available in your plan.
- Special Deliveries is provided by our team of registered nurse case managers who can help to coordinate care and services for you during your pregnancy and afterward.
- Social Care Management is provided by our team of social care managers, who will work with you to find the resources and help you need.
For members with chronic and complex health conditions
Help is available for those who have asthma, cardiac conditions, congestive heart failure, COPD, and diabetes. We can also assist you in managing any complex medical and/or behavioral health needs.
Our nurses and social workers will work with you to help you manage the challenges of your health condition. They will:
- Help you learn more about your condition
- Give you information about online resources and local programs
- Provide you with educational materials about living well with your condition
- Arrange for equipment if you need it
- Assist in finding specialists to manage your complex care
- Work with your medical and behavioral health providers to develop and implement a plan to meet your personal health goals
Learn more
To learn more about our programs and how you can participate, call us at: 1-508-799-2100, ext. 78002, Monday through Friday from 8:30 a.m. to 5:00 p.m.