AIMSM	Download PDF
The Active Intervention ModelSM

A revolutionary way to increase ROI, improve outcomes and
ensure member satisfaction using evidence-based medicine.

The Need
The need for disease management continues to grow. The 2001 study, Crossing the Quality Chasm by the Institute of Medicine, documented that there are substantial gaps in the healthcare individuals receive. Additionally, in an independent study of health payors in 2003*, 42% believe that their participating physicians do not practice evidence-based medicine and 91% agree that disease management can directly work to solve this problem. To meet these challenges, disease management must continue to evolve.

LifeMasters understands that a successful disease management partnership has to provide a significant return on investment, improved clinical outcomes and higher member satisfaction. And a successful program also has to address your needs in key areas that include:

Identification and Stratification

• Identifying individuals most likely to change to improve outcomes
• Anticipating individuals who might become high risk even though they may be low risk today (risk factor management)
• Ensuring low risk participants remain low risk

Service Delivery

• Catching things early to minimize or avoid exacerbations
• Ensuring the intervention is focused on the right things at the right time
• Ensuring the intervention targets those individuals where there can be a measurable impact
• Coordinating with existing care and medical management programs without duplicating efforts
• Increasing population-based clinical guideline compliance
• Supporting sustained behavior change
• Ensuring physician buy-in and support

Confidence in Your Disease Management Partner

• Accurately measuring cost savings
• Accurately measuring quality improvement and clinical outcomes
• A flexible and respectful partnership

Introducing AIM^SM

Incorporating the latest research findings, the needs of our partners and the understanding that no two people are alike even if they have the same chronic condition, LifeMasters has fundamentally shifted the way we deliver disease management by creating a platform that uses evidence-based medicine as its foundation.We call it AIM^SM — the Active Intervention Model^SM.

Rather than just focusing on individuals’ chronic conditions, AIM^SM integrates their claims, clinical and self-reported data and regularly assesses all of their healthcare and psychosocial needs. Customized interventions are then created that are continuously updated and participant-focused, not static and diseasebased like traditional disease management. The AIM^SM technology proactively and dynamically, in real-time, identifies each individual’s modifiable risk factors and cost drivers, using deviations from the most up-to-date research-based best practices and nationally recognized standards of care. AIM^SM places the individual at the center of the program and leads to a more targeted intervention, true co-morbidity management, increased savings and greater participant satisfaction.

Traditional Disease Management

AIMSM-Empowered Disease Management (Individuals)

How it Works
AIM^SM evaluates each individual against important criteria such as psychosocial risk factors, clinical indicators, modifiable risk behaviors and utilization on an ongoing basis to develop the most appropriate intervention that shifts dynamically as his/her needs change. A Participant Status Report^SM is automatically generated for each individual, which creates an up to date summary of his/her status based on the continuous reassessment of AIM^SM criteria. This translates to a Member Action Plan^SM, a customized plan prioritizing the actions our nurses and health educators need to take based on the severity and importance of each risk factor and deviation from best practices and nationally recognized standards of care. Coaching, education, and support are more targeted making interactions more efficient yet more personalized and satisfying for the participant.When necessary, a Health Alert is faxed to the participant’s personal physician enabling him/her to proactively modify the treatment plan and avoid exacerbations. These innovative tools help our health professionals provide the best intervention possible to ensure the best possible outcomes.

The customization provided by AIM^SM along with LifeMasters’ proven integrated approach to proactively engaging physicians in our disease management program sets us apart from traditional disease management organizations.We have revolutionized the process ensuring that our partnerships are focused on the right things at the right time.

To learn more about AIMSM and to make sure you’re investing in the right disease management program to meet your needs, call 1-800-777-1307 or info@lifemasters.com.