According to the Centers for Disease Control, chronic diseases are responsible for 7 out of 10 deaths each year, and treating people with chronic diseases accounts for 86 percent of our nation’s healthcare costs.
Through our Vital Care program, we partner with you to help your high-risk patients navigate the healthcare system by providing:
Education/counseling
Urgent referrals
Set up of home/social service or placement when needed
Vital Care case managers who become your patient’s best ally
Case management services offered to patients include:
Transitions of care – followed closely for 30 days post-discharge
Authorization processes and DME
Establishment with primary care physician/referrals to specialists
Medication reconciliation by pharmacists
Referrals to social workers
Identification of the need for home visiting providers
Information about the Rite Aid Pharmacy educational program
Assistance with OP blood transfusions
Direct admin or transfer to skilled nursing facility
Assistance with referrals to mental health
Information about local urgent care centers
Engagement of palliative (supportive) care
Home IV infusion for hydration or antibiotics
Arrangement of specialty services and community services (CBAS, IHSS, ADHS)
What are the patient criteria for the Vital Care program?
Any senior or commercial patient who is at risk for multiple admissions/emergency room visits, specifically:
Two chronic medical conditions + one high risk criteria (poor social support, functional status, psychological condition, substance abuse, and multiple admissions)
One poorly-controlled chronic medical condition + two high risk criteria
WHEN IN DOUBT, refer your patient (submit an authorization)
For more information, call the provider assistance line and ask for on-call case management at (888) 787-1712.
If you think your patient (senior or commercial) need these services, you may submit an authorization request. If the patient is at risk of presenting to the emergency room or the services are needed urgently, please call the number listed above.