The ParTNers for Health Wellness Program. 1 2014 Partnership Promise Updates Participation Rates:...

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The ParTNers for Health Wellness Program

Transcript of The ParTNers for Health Wellness Program. 1 2014 Partnership Promise Updates Participation Rates:...

The ParTNers for Health Wellness Program

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2014 Partnership Promise Updates

Participation Rates:

•Well-Being Assessment® (WBA)

•Biometric Screenings

Member Letters/Appeals:

•Transfer Letters

•Retraction Letters

•Appeals

Updates continued

New Hire/Member PP Deadline:

•120 days from coverage effective date

•Coverage effective dates September 1 through December 1 will not have to meet the requirements

Well-Being Connect (WBC):

•Blackout period in the month of December

•No access to WBC

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2014 Success Stories

Denise’s Story

Venus is a 46-year-old woman participating in the ParTNers for Health Wellness Program for lifestyle management.

Venus

Venus’ achievements include: •Exercising by walking 4 days per week. She has plans to wear extra warm clothes to maintain her routine during the winter

•She has lost 12 pounds since beginning the program.

•Making healthy changes to her diet by adding whole grains, vegetables, and using portion control

•Remaining tobacco free and feels very confident in her ability to stay quit

Recommendations and support from the Health Coach:

•Track daily intake of foods

•Portion control

•Benefits of exercise

•Benefits of planning ahead

“Thank you so much for the encouragement!” --Venus

JimmyJimmy is a 52-year-old man participating in the ParTNers for Health Program and working on weight management and nutrition.

Jimmy’s achievements include: •Recovering from his procedure without complications and is now cancer free

•Loosing a total of 36 pounds and has a new goal to lose 30 more

•Exercising 3 days per week doing cardio and strength training

•Setting a new exercise goal to ride his bike 10 miles 2-3 days per week

Recommendations and support from the Health Coach:

•Daily servings of fruits and vegetables

•Benefits of exercise

•Using motivation to achieve goals

“The grandchildren are my motivation to be healthier. I have a new outlook on life! -- Jimmy

DeborahDeborah is a 59-year-old woman participating in the ParTNers for Health Program and working on weight management.

Deborah’s achievements include: •She has lost 12 pounds

•Decreased her total cholesterol from 215 to 169

•Decreased her LDL(bad cholesterol) from 141 to 107

•Increased her HDL(good cholesterol) from 38 to 42

•Exercising by walking twice weekly

Recommendations and support from the Health Coach:

•Eliminating high sugar foods/drinks from diet

•Increasing soluble fiber to improve cholesterol

•Benefits of exercise

•Overcoming barriers

“I am motivated to keep working on my

goals because I enjoy my clothes fitting

better and I am excited about my success so far!”--

Deborah

Anonymous MemberA 50-year-old female with multiple chronic medical conditions participating in the ParTNers for Health Program who told her coach she recently attempted suicide and continued to have suicidal thoughts.

Member’s achievements include: •Regularly seeing a psychiatrist

•Emotional health has improved through support of her family and her coach

•Has created a depression action plan

•Seeing a new primary care physician regularly to follow up on physical care

Recommendations and support from the Health Coach:

•Immediately warm transferred her to a Magellan counselor to keep her safe from self harm

•Worked closely with her to monitor her emotional health and physical conditions

•During the following weeks there were frequent check-ins to provide continued guidance, education and support

“I feel like a weight has been lifted from my

shoulders. Your team has given me direction and support when I greatly

needed it.”ParTNers for Health

Wellness Program member

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2015 Partnership Promise

Partnership PPO Members and Covered Spouses Must:

Complete the online Healthways Well-Being Assessment® (WBA) by March 15, 2015.

Actively participate in health coaching, if you are called.

• If you are called for health coaching, you must complete a biometric screening.

• Health coaching could include a tobacco cessation program and/or case management.

Keep your contact information current with your employer.• Covered spouses must keep contact information current with

Healthways, if it changes.

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2015 Partnership Promise Requirements

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2015 Partnership Promise Requirements

New Hires/Members: (as of 1/1/15)

•Who enroll in the Partnership PPO must complete the online Healthways Well-Being Assessment® (WBA) and get a biometric screening within 120 days of their insurance coverage effective date.

2015 Communication Strategy:

•January 2015 wellness program welcome mailer

•Notification of Partnership Promise completion throughout the year.

•Reminder emails for WBA and biometric health screening

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Questions?