Matria and Medical Mutual of Ohio to partner in diabetes disease management programme

Marietta 02 November 2000Matria Healthcare Inc. and Medical Mutual of Ohio, the largest health insurance company in Ohio, reached an agreement for Matria to provide population-based diabetes disease management services for Medical Mutual members. The agreement spans all of Medical Mutual's health insurance products, covering approximately 2.1 million members, which represents more than 30.000 members with diabetes. This is the fourth disease management agreement between the companies since 1997.


In advance of the agreement, Matria completed the development of TRAX, a new proprietary patient management and clinical record system, to support the Medical Mutual agreement, and other disease management contracts. Frank Powers, President of Population Health Management for Matria, stated: "Our agreement with Medical Mutual is validation of Matria's disease management diversification. We now serve Medical Mutual members with programmes for asthma, chronic obstructive pulmonary disease (COPD), high-risk pregnancy and diabetes."

Matria care managers will call all Medical Mutual members who have been diagnosed with diabetes. After agreeing to take part in the programme, each member will be evaluated so that a patient-specific course of treatment can be determined. Interactive health profiles will be completed at the time of enrollment. Each participating member ordering through Matria, will also receive, free of charge, supply requirements, such as glucometers to measure blood sugar and test strips.

At regular intervals, participants receive proactive care calls during which each participant's compliance with the provider recommendations and adherence to the diabetes self-care programme are monitored. Members will also receive diabetes patient education and have telephone access to a Matria care management team which includes certified case managers, registered nurses and certified diabetes educators.

"We are committed to improving the health of our members through proactive management of health conditions", stated Paula Sauer, Vice President of Care Management at Medical Mutual of Ohio. "We have experienced excellent results from all of the disease management programmes provided in collaboration with Matria. We are confident this diabetes disease management programme will provide the same positive results."

Parker H. Petit, Matria's Chairman, President and CEO, added: "We are pleased to expand our relationship with Medical Mutual. Matria and Medical Mutual share the same commitment to provide members with the most cost efficient and clinically effective programmes possible. Our recent agreement with Medical Mutual is a strong indication of health plans' desire to partner with companies who offer a comprehensive approach to their disease management and telemedicine solutions. Matria is the only provider in the United States with programmes operating in four distinct areas of disease management."

Mr. Petit continued: "Our new system, TRAX, was designed by Matria specifically for disease management and allows case managers to identify at-risk health plan members with diabetes, cardiovascular disorders or an associated co-morbidity. Once identified, Matria case managers can utilise the system to manage clinical interventions. TRAX is a Web-based process automation platform that connects patients, care co-ordinators, health plans and providers through a virtual private network. Individual plan members and entire health plan populations can be managed through the TRAX system."

Matria is the leading provider of comprehensive population-based disease management programmes, health services and supplies to health plans and employers for women's health and the chronic conditions of diabetes, cardiovascular disease and respiratory disorders. Headquartered in Georgia, Matria has more than 40 offices in the United States and internationally.

Founded in 1934, Medical Mutual is the largest and the oldest insurance company in Ohio. The company offers a variety of high-quality, affordable health insurance products through point of service, preferred provider organisation, health maintenance organisation, major medical, and traditional indemnity plans to its 2.1 million members. Based in Cleveland, Medical Mutual has offices in Columbus, Cincinnati, Toledo, Akron, Dayton and Youngstown.

Leslie Versweyveld

[Medical IT News][Calendar][Virtual Medical Worlds Community][News on Advanced IT]