Health Plan Strategies to Improve Public Health


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  • We have brought our mission, to Improve the lives of the people we serve and the health of our communities to life, through our member and State Health Indices. Our Member Health Index is comprised of 40 specific measures of health improvement and patient safety encompassing 4 domains of care: Prevention Care Management Clinical Outcomes Patient Safety. And we have linked improvement in this composite score to the annual incentive plan to every WellPoint Associate. Our care and disease management programs, our hospital quality and safety programs, and our member engagement strategies all drive improvement in these indices. Several weeks ago we announced our State Health Index which makes a commitment to work with state public health agencies, providers and other community organizations to improve a population-based series of measures.
  • SHI is local * WellPoint was already active in promoting community health but when we committed to improving the SHI, we need to plan on how to tackle this project. * For SHI, we realized that this had to be 14 separate projects. * Each state not only has very different needs, Improvement for some measures was already on the way In some cases we are looking to start new initiatives, but in other cases we are looking to improve resources, access, or reinvigorate programs already in existence. We are seeing rates move in the right direction. It is no unfair to argue that we are ‘taking credit’ for improvements that didn’t influence. However, it is also fair to argue that WP has been supporting efforts around these topics for years. Groundwork has been laid *We shouldn’t be concerned about how are we, a health plan, going to go out there and make a difference; we are not starting from the ground up. In many of our states an ideal environment for this type of work already exists or is ripe for development. Consistency And before we leave the things we’ve discovered this year we should note that we have learned some nuances about how to make this project work and have had to make some changes. We now think we are where we need to be to do what we need to do between now and 2010.
  • In addition, we are able to link provider locations and members to quality hotspots. This allows us to reach out to the appropriate providers with the appropriate outreach.
  • This alliance is currently under development. Key goals for the intervention are to increase medication adherence and persistence to anti-hypertensive medications and to increase the percent of members who are treated to goal according to JNC guidelines. The target populations are members diagnosed and treated but not compliant and/or not at goal and members diagnosed but not currently treated.
  • Increasing Childhood Obesity Statewide, Multi-pronged Initiative; Providers, Members, Communities California Governor’s Honor Roll, October 2005 ($9 million dollar commitment over three years, 2005-2008) Public-Private Collaboration Scientific Evaluation National and State Recognition
  • National AAFP Childhood Obesity CME Expansion of California web-based CME CME bulletin in partnership with AAFP AAFP members/residents; all WellPoint primary care physicians Childhood Obesity Physician Toolkit Mailed to all network and State Preventive Health primary care physicians since 2005. 2009 provider toolkit in development Body Mass Index Program  April 2006 Promote standard Body Mass Index (BMI) screening; tailored to clinical staff 63 workshops to-date: California (51), WV (8), IN (3), NV (1) >2,400 clinical staff, health educators, school nurses trained Online BMI, CD, Train-the-Trainer Resources
  • Educational Materials Get Up and Get Moving! Family Workbook 5 languages Community Resource Centers provided with workbooks in 2008/2009 Healthy Habits for Healthy Kids English & Spanish BMI Parent Brochure English/Spanish KICK – Kids in Charge of Kalories Health Management Corporation’s health improvement program Outreach to families with children ages 6-12 through smart voice technology, KICK website, and educational materials Customized for Medicaid members (English and Spanish)
  • Live Like a Champion Tour I, II, and III Partnership with the California Governor’s Council on Physical Fitness and Sports; Corporate Communications Community outreach mobile tour; after-school settings Children 8-12 years of age; raise awareness about healthy eating/physical activity Tour III launched in 3Q 2008 Exercise is Medicine California Governor’s Council on Physical Fitness and Sports – program for primary care physicians Pledge to provide anticipatory guidance on physical activity
  • Health Plan Strategies to Improve Public Health

    1. 1. Health Plan Strategies to Improve Public Health CDC Heart Disease and Stroke Prevention Annual Meeting September 15, 2009 Lisa M. Latts, MD, MSPH, FACP VP, Programs in Clinical Excellence
    2. 2. Agenda <ul><li>Introduction to WellPoint </li></ul><ul><li>Challenges to Improving Health </li></ul><ul><li>Member Health Index </li></ul><ul><li>State Health Index </li></ul><ul><li>Health Disparities </li></ul><ul><li>Local/National Partnerships to Improve Health </li></ul><ul><li>Physician Partnerships to Improve Cardiovascular Health </li></ul><ul><li>Childhood Obesity – A Case Study </li></ul>
    3. 3. WellPoint, Inc. 34 Million Members Across the United States, 1 in every 9 Americans covered by WellPoint Plans Blue Cross or Blue Cross Blue Shield UniCare >100K members
    4. 4. The State of U.S. Population Health Obesity Physical Activity Smoking Stress 66% obese or overweight 28% inactive 23% smokers 36% high stress Key Drivers of Health Status Aging 22% > 55 years, aging population Driver Prevalence Population health status continues to deteriorate Schroeder S. N Engl J Med 2007;357:1221-1228
    5. 5. Prevalence of Chronic Illnesses More than 130 million Americans suffer from chronic conditions Population in Millions % of Population Chronic Condition Prevalence in America Annual Cost Diabetes 16 million <ul><li>$105 billion in health expenses </li></ul><ul><li>11 million lost work days </li></ul>Heart Disease 60 million <ul><li>$300 billion in health expenses </li></ul><ul><li>1 million deaths </li></ul>Asthma 14 million <ul><li>$5.1 billion in medical expenses </li></ul><ul><li>2.1 million missed work days </li></ul>Depression 17 million <ul><li>$43 billion </li></ul>
    6. 6. Inconsistent Quality in Care Delivery 64.7% Hypertension 63.9% Congestive Heart Failure 53.9% Colorectal Cancer 53.5% Asthma 45.4% Diabetes 39.0% Pneumonia 22.8% Hip Fracture % of Recommended Care Received Source: Elizabeth McGlynn et al, RAND, 2003 Nearly one-half of physician care not based on established best practices Patients do not receive care in accordance with best practices Patients receive care in accordance with best practices 45% 55%
    7. 7. Health Care Quality Defects Occur at Alarming Rates Defects per million  level (% defects) U.S. Industry Best-in-Class Anesthesia-related fatality rate Airline baggage handling Outpatient ABX for colds Post-MI b-blockers Breast cancer screening (65-69) Detection & treatment of depression Adverse drug events Hospital acquired infections Hospitalized patients injured through negligence 1 (69%) 2 (31%) 3 (7%) 4 (.6%) 5 (.002%) 6 (.00003%) Source: modified from C. Buck, GE Overall Health Care in U.S. (RAND)
    8. 8. Measuring Health Improvement: WellPoint Health Indices Mission Health Indices Domains Maternity and Prenatal Care Lifestyle Mortality and Morbidity Clinical Outcomes Care Management Patient Safety Preventive Care Prevention and Screening Member Health Index State Health Index Improve the lives of the people we serve and the health of our communities
    9. 9. WellPoint Member Health Index: Improving Population Health Screening and Prevention <ul><li>Diabetes ER visits </li></ul><ul><li>Congestive heart failure ER visits </li></ul><ul><li>Asthma ER visits </li></ul><ul><li>Select hospital admissions </li></ul><ul><li>Select 30-day readmis s ions </li></ul><ul><ul><li>Diabetes compliance </li></ul></ul><ul><ul><li>Hypertension compliance </li></ul></ul><ul><ul><li>Behavioral health follow-up </li></ul></ul><ul><ul><li>Controller medications for asthma </li></ul></ul><ul><ul><li>Appropriate treatment for upper respiratory infection </li></ul></ul><ul><ul><li>Participation in disease management programs </li></ul></ul>Patient Safety Clinical Outcomes Care Management <ul><li>Breast cancer screening </li></ul><ul><li>Cervical cancer screening </li></ul><ul><li>Colorectal cancer screening </li></ul><ul><li>High cholesterol screening </li></ul><ul><li>Childhood immunizations </li></ul><ul><ul><li>Patient safety hospital structural index </li></ul></ul><ul><ul><li>Patient safety outcome index </li></ul></ul><ul><ul><li>Persistent medication monitoring </li></ul></ul>4 Domains of health care services covering 20 Clinical Areas; comprised of 40 Measures
    10. 10. Screening and Prevention: Why these measures? <ul><ul><li>Preventive screenings decrease cancer and heart disease mortality </li></ul></ul><ul><ul><li>Early diagnosis of breast, cervical and colorectal cancer significantly decrease treatment costs </li></ul></ul><ul><ul><li>Timely colorectal cancer screening can prevent colorectal cancer </li></ul></ul><ul><ul><li>High cholesterol is major risk factor for cardiovascular disease </li></ul></ul><ul><ul><li>Childhood immunization is the most important intervention to prevent childhood illness and reduce costs </li></ul></ul>Breast cancer screening % getting mammography Cervical cancer screening % getting pap smear Colorectal cancer screening % getting screening High cholesterol screening % getting cholesterol test Childhood immunizations % getting full series for six immunizations
    11. 11. Care Management: Why these measures? <ul><ul><li>40% - 50% of health care costs attributed to five chronic diseases </li></ul></ul><ul><ul><ul><li>Diabetes, asthma, congestive heart failure, hypertension, and coronary artery disease </li></ul></ul></ul><ul><ul><li>Clinical guidelines are not consistently followed 45% of the time (RAND) </li></ul></ul><ul><ul><li>Chronic illnesses prevalence increasing </li></ul></ul><ul><ul><ul><li>More prevalent in African Americans and Latinos </li></ul></ul></ul><ul><ul><li>Established methods for measuring results </li></ul></ul><ul><ul><li>DM programs are designed to improve care guideline compliance </li></ul></ul>Diabetes compliance A1c lab testing Cholesterol lab testing Eye exams Kidney disease monitoring Hypertension compliance % on antihypertensive drugs % getting cholesterol tests Behavioral health follow up % getting follow up care Controller meds for asthmatics % getting controller meds Appropriate treatment for URI % getting antibiotics HMC participation % high intensity participating HMC Blood Pressure control % that know their BP % that have a controlled BP
    12. 12. Clinical Outcomes: Why these measures? <ul><ul><li>Immediate results from better management of chronic illnesses </li></ul></ul><ul><ul><ul><li>Common, expensive, manageable </li></ul></ul></ul><ul><ul><li>Improving compliance with evidence-based clinical guidelines results in: </li></ul></ul><ul><ul><ul><li>Better outpatient management of chronic diseases </li></ul></ul></ul><ul><ul><ul><li>Decreases ER visits and inpatient stays </li></ul></ul></ul><ul><ul><li>Care management of specific diseases after acute hospitalization reduces unnecessary readmissions </li></ul></ul><ul><ul><ul><li>Coordinated care </li></ul></ul></ul><ul><ul><ul><li>Pharmaceutical compliance </li></ul></ul></ul><ul><ul><ul><li>Follow-up visits </li></ul></ul></ul>Diabetes ER visits ER visits/1000 for diabetes complications CHF ER visits ER visits/1000 for congestive heart failure complications Asthma ER visits ER visits/1000 for asthma complications Select hospital admits Acute myocardial infarction Stroke TIA (mini-stroke) Select 30-day readmits Congestive heart failure Diabetes Asthma
    13. 13. Patient Safety: Why these measures? <ul><ul><li>Serious patient safety events increase </li></ul></ul><ul><ul><ul><li>1.18 million to 1.24 million of 40 million Medicare hospitalizations </li></ul></ul></ul><ul><ul><ul><li>Cost to Medicare $8.6 billion 2003-2005 </li></ul></ul></ul><ul><ul><li>Computerized order entry and e-prescribing reduce errors </li></ul></ul><ul><ul><li>Adequate ICU physician staffing reduces risk of death by 40% </li></ul></ul><ul><ul><li>Certain medications require monitoring of side-effects and toxicity </li></ul></ul><ul><ul><ul><li>Over-use can cause death </li></ul></ul></ul><ul><ul><ul><li>Under-use is ineffective and wasteful </li></ul></ul></ul><ul><li>Patient Safety Hospital Index </li></ul><ul><li>% publicly reporting to and meeting LeapFrog </li></ul><ul><ul><li>Critical care physicians in ICU </li></ul></ul><ul><ul><li>Required electronic ordering tests and treatments </li></ul></ul><ul><li>Patient Safety Outcome index </li></ul><ul><li>% hospital improvement 3 AHRQ measures </li></ul><ul><ul><li>Post operative infection </li></ul></ul><ul><ul><li>Post operative DVT/PE </li></ul></ul><ul><ul><li>Acquired infections </li></ul></ul><ul><li>Persistent Meds Monitoring </li></ul><ul><li>% patients getting recommended lab tests </li></ul><ul><ul><li>Seizure, digoxin for heart failure, diuretics for heart failure, ACE/ARB for diabetes and kidney disease </li></ul></ul>
    14. 14. The Member Health Index The MHI was created to demonstrate WellPoint’s commitment to health improvement and care management and to measure our success Reduction in Quality Gap MHI Timeline 2005-2006 <ul><li>MHI concept developed and implemented </li></ul><ul><li>Initial baseline determined </li></ul>2007 <ul><li>First year of enterprise-wide measurement </li></ul><ul><li>MHI/HEDIS workgroups identify and implement improvement projects </li></ul>2008 <ul><li>2007 results announced </li></ul><ul><li>770 million total impressions </li></ul>2009 <ul><li>Streamlined Reporting methodology (EDL) </li></ul>2010 <ul><li>Enhance MHI with focus on new WellPoint programs </li></ul>
    15. 15. WellPoint Health Status and State Health Index WellPoint Health Status Rankings Current Performance for the composite State Health Index is 77.6 (out of 100 points). Red Italicized Measures = SHI measures
    16. 17. State Health Index: Local Health Improvement Collaboration <ul><ul><li>Analyze state-specific results </li></ul></ul><ul><ul><li>Identify improvement opportunities with government and community leaders </li></ul></ul><ul><ul><li>Develop state-specific improvement plans </li></ul></ul><ul><ul><li>Deploy collaborative programs </li></ul></ul>“ Anthem shares our commitment to improving public health… We’ll have the greatest impact on public health when the private, public and non-profit sectors work together.” – Judy Monroe, M.D., Commissioner of the Indiana State Department of Health. “ It is important that we continue to see faster and safer access to flu and pneumococcal vaccines for Georgians...The donation of these vaccines will aid in the overall wellness of the citizens of our state.” – Georgia Lt. Governor Casey Cagle. Collaborative, Multi-Faceted Approach: Legislative Initiatives Local Initiatives and Health Departments Clinical & Health Services Research Community Partnerships Improvement in State Health
    17. 18. State Health Index Example: California <ul><ul><li>Team with the American Lung Association of California </li></ul></ul><ul><ul><li>Targeting smokers for quit smoking programs </li></ul></ul><ul><ul><li>Advocating for an increased state tobacco tax to enhance funding for prevention </li></ul></ul><ul><ul><li>Blue Cross to raise awareness of programs and support tobacco tax </li></ul></ul>Opportunities – Smoking
    18. 19. SHI Example: Georgia HealthMPowers is a unique, coordinated initiative designed to build the supportive environment necessary for students to choose health-enhancing behaviors by working in collaboration with students, school staff and families. March of Dimes – Centering Pregnancy program: A significant number of women (estimated at 11.3%) continue to receive inadequate or no prenatal care. African-American women are nearly three times as likely as non-Hispanic whites to receive late or no prenatal care. This program will improve health outcomes for all women and their children, but also has the greatest potential to reduce racial disparities in poor birth outcomes. Safe, fun, highly-supportive coaching process at the YMCA. Participants learn to start and stick to an exercise regimen, reduce health risks associated with obesity (Class II) and improve energy levels. Participants are supported by a personal wellness coach who will teach them how to exercise, eat for results and achieve long-term weight loss.
    19. 20. The Call to Address Health Inequalities “ Of all the forms of inequality, injustice in health care is the most shocking and inhumane” Dr. Martin Luther King, Jr.
    20. 21. Reducing Health Disparities: WellPoint’s Multi-Faceted Approach Associates Physicians Employers Members Coordinated Strategies Culturally-tailored approaches produce increased patient knowledge and understanding for self-care, decrease barriers to access, and improve multiple areas of cultural competence for health care providers.
    21. 22. Connecting with Physicians to Improve Community Health Geographic Information System and decision support tools enable identification of quality and disparity “Hotspots” <ul><li>Racial / Ethnicity demographic data linked to quality data to examine performance of different communities </li></ul><ul><li>Target high performing and low performing medical groups to evaluate and analyze success factors and gaps in care </li></ul><ul><li>Provide medical groups with population and patient-specific information to improve screening and outcomes </li></ul>
    22. 23. Mapping Highlights Health Disparities and Opportunities for Interventions
    23. 24. Analysis of MHI Health Disparities and Unscreened Members by Volume
    24. 25. Physician Strategies: Provider Portal Disparities Resource Center On-Line Resource for Network Physicians <ul><li>Health disparities facts and myths </li></ul><ul><li>Cultural and linguistic CME seminar and conferences </li></ul><ul><li>Health promotion and disease specific tools </li></ul><ul><ul><li>Asthma </li></ul></ul><ul><ul><li>Diabetes </li></ul></ul><ul><ul><li>Breast / Cervical Cancer </li></ul></ul><ul><ul><li>Immunizations </li></ul></ul><ul><ul><li>Arthritis </li></ul></ul><ul><ul><li>Obesity </li></ul></ul><ul><ul><li>Heart Health </li></ul></ul>
    25. 26. Collaborative Partnership: Alliance for a Healthier Generation <ul><ul><li>Three-year pilot to address prevention, assessment, and treatment of childhood obesity in clinical settings </li></ul></ul><ul><ul><ul><li>100 pediatric physicians in California and Georgia </li></ul></ul></ul><ul><ul><ul><li>3,000 children ages 2-18 at or above the 85 th percentile for BMI </li></ul></ul></ul><ul><ul><li>Focus on early identification, intervention, and support </li></ul></ul><ul><ul><ul><li>AMA Guideless for Assessment, Prevention, and Treatment of Child Obesity </li></ul></ul></ul><ul><ul><ul><li>WLP reimbursed wellness, weight management, and dietician visits </li></ul></ul></ul><ul><ul><ul><li>Regular communications to patients and physicians </li></ul></ul></ul><ul><ul><li>Empower children and families to make healthy lifestyle choices </li></ul></ul><ul><ul><li>Third party evaluation of program success </li></ul></ul>
    26. 27. Novartis Hypertension Alliance Employer based awareness, education and support for lifestyle and behavioral change Community based awareness and education HealthCore Health Economics and Outcomes Research Study
    27. 28. Collaborative Diabetes Program: Taking Action Together <ul><ul><li>Diabetes education and community health improvement program in CA “Inland Empire” where diabetes rates are 2 nd highest in the state </li></ul></ul><ul><ul><li>Focus on awareness, prevention, management, and community support </li></ul></ul><ul><ul><ul><li>English/Spanish educational outreach calls made to 11,000 members </li></ul></ul></ul><ul><ul><ul><li>Free community-based diabetes education and support sessions </li></ul></ul></ul><ul><ul><ul><li>Educational information sent to select providers </li></ul></ul></ul><ul><ul><ul><li>Mobile health screening busses to participating Anthem employer groups </li></ul></ul></ul><ul><ul><li>Services available to all, regardless of membership </li></ul></ul>
    28. 29. Physician Quality/Safety: Specialty Society Partnerships <ul><li>Society of Thoracic Surgeons (STS) </li></ul><ul><ul><li>STS Database: most sophisticated, risk adjusted surgical database in the world </li></ul></ul><ul><ul><li>Data used for surgeon and hospital improvement, recognition, and reward programs </li></ul></ul><ul><li>American College of Cardiology (ACC) </li></ul><ul><ul><li>Collaboration to develop criteria for Blue Distinction Cardiac Network </li></ul></ul><ul><ul><li>Development of the Quality-In-Sights Hospital Incentive Program (Q-HIP SM ) and Coronary Services Centers Program </li></ul></ul><ul><ul><li>Focus on evidence-based clinical indicators and published guidelines to improve quality outcomes </li></ul></ul>
    29. 30. Q-P3 SM Cardiology Program Components JC AMI Section <ul><li>Aspirin at arrival </li></ul><ul><li>Aspiring prescribed at discharge </li></ul><ul><li>ACEI/ARB for LVSD </li></ul><ul><li>Beta blocker at arrival </li></ul><ul><li>Beta blocker at discharge </li></ul><ul><li>Smoking cessation advice </li></ul>JC HF Section <ul><li>LVF assessment </li></ul><ul><li>ACEI/ARB for LVSD </li></ul><ul><li>Discharge Instructions </li></ul><ul><li>Smoking cessation advice </li></ul>ACC-NCDR Section <ul><li>Rate of serious complications – diagnostic caths </li></ul><ul><li>Door to balloon time for primary PCI <=90 min </li></ul><ul><li>Door to balloon time for primary PCI <=120 min </li></ul><ul><li>% of patients receiving Thienopyridine </li></ul><ul><li>% of patients receiving statin or substitute at discharge </li></ul><ul><li>Rate of serious complications – PCI </li></ul><ul><li>Risk-adjusted mortality rate - PCI </li></ul>Bonus Section <ul><li>Generic Dispensing - Statins </li></ul>
    30. 31. Centers of Excellence 429 Blue Distinction Centers for Cardiac Care ® 278 Blue Distinction Centers for Bariatric Surgery ® 84 Blue Distinction Centers for Transplants ® 90 Blue Distinction Centers for Complex and Rare Cancers SM Blue Distinction Centers are developed in partnership with the Blue Cross Blue Shield Association and participating Blue Plans WA OR CA AK HI TX NM AZ UT NV ID MT ND SD NE WY CO KS OK AR LA MS AL GA FL SC NC TN KY MO IL IA MN WI MI IN OH WV VA PA NY ME VT NH RI MA CT NJ DE MD PR
    31. 32. Advancing Cardiac Quality: Blue Distinction Centers of Excellence Qualified facilities demonstrate $6K - $8K lower costs per event CABG+PCI CABG AMI Median Cost Per DRG Event <ul><ul><li>Collaborate with Medical Community </li></ul></ul><ul><ul><ul><li>Identify areas for clinical improvement </li></ul></ul></ul><ul><ul><ul><li>Establish evidence-based selection criteria </li></ul></ul></ul><ul><ul><li>Evaluation Process </li></ul></ul><ul><ul><ul><li>Facilities compete via formal RFI process </li></ul></ul></ul><ul><ul><ul><li>Selection based on structures, processes and outcomes </li></ul></ul></ul><ul><ul><ul><li>Claims and cost not a selection factor </li></ul></ul></ul><ul><ul><li>Award Designation Status </li></ul></ul><ul><ul><ul><li>Designations awarded and published </li></ul></ul></ul><ul><ul><ul><li>Work with denied facilities to improve scores and potentially re-apply </li></ul></ul></ul><ul><ul><li>Ongoing Quality Assurance </li></ul></ul><ul><ul><ul><li>Re-evaluated every 18-24 months </li></ul></ul></ul>OP PCI Readmissions CABG Complications Readmissions/Complications
    32. 33. Prevention Case Study: Childhood Obesity <ul><li>Multi-faceted initiatives; providers, members, communities </li></ul><ul><li>Scientific evaluation and dissemination of best practices </li></ul><ul><li>Public-private collaboration on education, outreach, and improvement </li></ul>6-11 years 12-19 years <ul><li>Core Obesity Interventions </li></ul><ul><ul><li>Physician CME and tools </li></ul></ul><ul><ul><li>Clinical BMI Program </li></ul></ul><ul><ul><li>Member Resources </li></ul></ul><ul><ul><li>Community Outreach </li></ul></ul><ul><ul><li>Collaborative Partnerships </li></ul></ul>Source: National Health and Nutrition Examination Survey (NHANES) - 1963-65 through 2003-04.
    33. 34. Physician Training and Tools <ul><li>National AAFP Childhood Obesity CME </li></ul><ul><ul><li>CME bulletin in partnership with AAFP </li></ul></ul><ul><ul><li>AAFP members/residents; all WellPoint primary care physicians </li></ul></ul><ul><li>Childhood Obesity Physician Toolkit </li></ul><ul><ul><li>Mailed to all network PCPs since 2005 </li></ul></ul>Anthem Clinical Body Mass Index Program <ul><ul><li>Promotes standard BMI screening; tailored to clinical staff </li></ul></ul><ul><ul><li>63 workshops; 2400 clinical staff, health educators, and school nurses trained </li></ul></ul><ul><ul><li>BMI Quality measures: </li></ul></ul><ul><ul><ul><li>NCQA pilot performance measures in child/adolescent obesity </li></ul></ul></ul><ul><ul><ul><li>2009 adult and childhood HEDIS measures </li></ul></ul></ul><ul><ul><li>BMI Program Recognition </li></ul></ul><ul><ul><ul><li>“ Best of Blue” marketing and communication </li></ul></ul></ul><ul><ul><ul><li>NCQA Quality Profiles™ </li></ul></ul></ul>
    34. 35. Member Programs and Resources <ul><li>Educational Materials </li></ul><ul><ul><li>Get Up and Get Moving! Family Workbook; available in 5 languages </li></ul></ul><ul><ul><li>Healthy Habits for Healthy Kids </li></ul></ul><ul><ul><li>BMI Parent Brochure </li></ul></ul><ul><li>Weight Management </li></ul><ul><ul><li>Weight Watchers; TOPS/KOPS </li></ul></ul><ul><ul><li>OnetoWon! Nutritional and Physical Activity Counseling </li></ul></ul><ul><ul><li>High Touch Customized Case Management Pilot </li></ul></ul><ul><li>Simple Steps: </li></ul><ul><li>Choose Better Health </li></ul><ul><ul><li>Customized wellness program </li></ul></ul><ul><ul><li>Stress management, physical activity, healthy eating </li></ul></ul><ul><li>KICK – Kids in Charge of Kalories </li></ul><ul><ul><li>Outreach through smart voice technology, KICK website, and educational materials </li></ul></ul><ul><ul><li>Customized for Medicaid members </li></ul></ul>
    35. 36. Community Outreach <ul><li>Fruit and Vegetable Bar Study </li></ul><ul><ul><li>Partnered with UCLA and Los Angeles Unified School District </li></ul></ul><ul><ul><li>Disseminate findings through NIHCM </li></ul></ul><ul><li>RAND Adolescent Study </li></ul><ul><ul><li>Partnership to examine access/utilization of well-adolescent care </li></ul></ul><ul><ul><li>“ Texting” pilot to improve care </li></ul></ul><ul><li>Healthy Hoosiers </li></ul><ul><ul><li>Partnership with Eli Lilly, JDRF, ADA, IHIE, IN Dept. of Health </li></ul></ul><ul><ul><li>Website, physician and patient tools, “ Nutrition in the Fast Lane ” </li></ul></ul><ul><li>Georgia HealthMPowers </li></ul><ul><ul><li>Give students information, skills, and motivation to manage their own health </li></ul></ul>
    36. 37. Questions?