WPS Health Insurance

WPS Integrated Care Management

WPS Integrated Care Management is a next-generation approach to care management featuring innovative programs designed to help control costs, engage employees, and improve outcomes.

Our program includes all the best elements of traditional medical and disease management, and takes things to the next level through a focus on innovative use of data-driven techniques to address patient needs across the continuum of health, from catastrophic and chronic illness to wellness and lifestyle management.

WPS Chronic Care Management

Sophisticated disease management program for 50+ groups that employs innovative techniques for identifying and engaging members with certain costly chronic health conditions. This program is designed to ensure appropriate, cost-effective care, resulting in reduced health care costs over time.

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WPS Wellness

A customizable program for 100+ groups that focuses on promoting healthy, active lifestyles while reducing health risks that can drive up health care costs.

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Medical Management

A set of traditional medical management services designed to improve patient outcomes while reducing health care costs. Marquee programs include:

WPS Case Management

A program targeting the one-percent of members with catastrophic, complex, or long-term conditions who generate 22 percent of health care costs. WPS Case Management helps employees, family members, and providers take action as a team to optimize patient outcomes, ensure appropriate care, and find cost-saving opportunities.

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WPS Pharmacy Services

WPS teams up with pharmacists and physicians to make sure your employees receive the right drug, in the right dosage, at the right time all the while reducing harmful and wasteful use of medications. In particular, we carefully monitor utilization of costly specialty drugs and medications used to treat chronic conditions.

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In addition, we provide behavioral health, utilization management, preauthorization, and medical review services.

Accredited pharmacy benefit management

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