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BUILDING RELATIONSHIPS THAT EMPOWER PEOPLE TO ACHIEVE OPTIMAL HEALTH Wellness Conditions Management Pharmacy Case Management Utilization Management

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Page 1: BUILDING RELATIONSHIPS THAT EMPOWER PEOPLE TO … · OUR HEALTH BABY Health babies born to healthy moms. One 1st trimester ultrasound . One 2. nd. trimester ultrasound . One free

B U I L D I N G R E L AT I O N S H I P S T H AT E M P O W E R P E O P L E TO A C H I E V E O P T I M A L H E A LT H

Wellness

Conditions Management

Pharmacy

Case Management

Utilization Management

Page 2: BUILDING RELATIONSHIPS THAT EMPOWER PEOPLE TO … · OUR HEALTH BABY Health babies born to healthy moms. One 1st trimester ultrasound . One 2. nd. trimester ultrasound . One free

AUDIENCE PARTICIPATION

To be ready to answer poll questions during our presentation, do one of the following:

Go online to pollev.com/sdbhr or

Text SDBHR to 22333*

* T e x t m e s s a g e r a t e s a p p l y

Page 3: BUILDING RELATIONSHIPS THAT EMPOWER PEOPLE TO … · OUR HEALTH BABY Health babies born to healthy moms. One 1st trimester ultrasound . One 2. nd. trimester ultrasound . One free
Page 4: BUILDING RELATIONSHIPS THAT EMPOWER PEOPLE TO … · OUR HEALTH BABY Health babies born to healthy moms. One 1st trimester ultrasound . One 2. nd. trimester ultrasound . One free

QUESTIONS?

Email questions: [email protected]

Page 5: BUILDING RELATIONSHIPS THAT EMPOWER PEOPLE TO … · OUR HEALTH BABY Health babies born to healthy moms. One 1st trimester ultrasound . One 2. nd. trimester ultrasound . One free

HEALTH MANAGEMENT PARTNERS

An experienced medical management company

URAC Accreditation

Case Management

Conditions Management Utilization Management

Page 6: BUILDING RELATIONSHIPS THAT EMPOWER PEOPLE TO … · OUR HEALTH BABY Health babies born to healthy moms. One 1st trimester ultrasound . One 2. nd. trimester ultrasound . One free

Accreditation process that promotes industry best practices, encourages quality improvement and protects

and empowers customers.

Page 7: BUILDING RELATIONSHIPS THAT EMPOWER PEOPLE TO … · OUR HEALTH BABY Health babies born to healthy moms. One 1st trimester ultrasound . One 2. nd. trimester ultrasound . One free
Page 8: BUILDING RELATIONSHIPS THAT EMPOWER PEOPLE TO … · OUR HEALTH BABY Health babies born to healthy moms. One 1st trimester ultrasound . One 2. nd. trimester ultrasound . One free

QUESTIONS?

Email questions: [email protected]

Page 9: BUILDING RELATIONSHIPS THAT EMPOWER PEOPLE TO … · OUR HEALTH BABY Health babies born to healthy moms. One 1st trimester ultrasound . One 2. nd. trimester ultrasound . One free

CONDITIONS MANAGEMENT Preventative maintenance for individuals with targeted conditions.

Cardiac

Asthma

Diabetes

Pain

Kidney Care

Programs

Page 10: BUILDING RELATIONSHIPS THAT EMPOWER PEOPLE TO … · OUR HEALTH BABY Health babies born to healthy moms. One 1st trimester ultrasound . One 2. nd. trimester ultrasound . One free

CONDITIONS MANAGEMENT Preventative maintenance for individuals with targeted conditions.

Improved Wellbeing

Goal Setting Health Coaching

Educational Material

Benefits

Page 11: BUILDING RELATIONSHIPS THAT EMPOWER PEOPLE TO … · OUR HEALTH BABY Health babies born to healthy moms. One 1st trimester ultrasound . One 2. nd. trimester ultrasound . One free
Page 12: BUILDING RELATIONSHIPS THAT EMPOWER PEOPLE TO … · OUR HEALTH BABY Health babies born to healthy moms. One 1st trimester ultrasound . One 2. nd. trimester ultrasound . One free

QUESTIONS?

Email questions: [email protected]

Page 13: BUILDING RELATIONSHIPS THAT EMPOWER PEOPLE TO … · OUR HEALTH BABY Health babies born to healthy moms. One 1st trimester ultrasound . One 2. nd. trimester ultrasound . One free

CONDITIONS MANAGEMENT Preventative maintenance for individuals with targeted conditions.

Incentives Covered office visits Condition specific lab

work

Wellness Points

Engaged members will earn 25 beneFIT Wellness points per month, up to 75 points

25 50 75 100

Page 14: BUILDING RELATIONSHIPS THAT EMPOWER PEOPLE TO … · OUR HEALTH BABY Health babies born to healthy moms. One 1st trimester ultrasound . One 2. nd. trimester ultrasound . One free

EXAMPLE

Page 15: BUILDING RELATIONSHIPS THAT EMPOWER PEOPLE TO … · OUR HEALTH BABY Health babies born to healthy moms. One 1st trimester ultrasound . One 2. nd. trimester ultrasound . One free

CONDITIONS MANAGEMENT Preventative maintenance for individuals with targeted conditions.

How do I enroll?

Contact during office hours: (866) 330-9886 Monday – Thursday: 8am-7pm cst Friday: 8am–5pm cst

Visit our member portal: https://sosd.hmpsdportal.com/

Page 16: BUILDING RELATIONSHIPS THAT EMPOWER PEOPLE TO … · OUR HEALTH BABY Health babies born to healthy moms. One 1st trimester ultrasound . One 2. nd. trimester ultrasound . One free
Page 17: BUILDING RELATIONSHIPS THAT EMPOWER PEOPLE TO … · OUR HEALTH BABY Health babies born to healthy moms. One 1st trimester ultrasound . One 2. nd. trimester ultrasound . One free

QUESTIONS?

Email questions: [email protected]

Page 18: BUILDING RELATIONSHIPS THAT EMPOWER PEOPLE TO … · OUR HEALTH BABY Health babies born to healthy moms. One 1st trimester ultrasound . One 2. nd. trimester ultrasound . One free

CASE MANAGEMENT Collaborative process of assessment, planning, facilitation and advocacy for options and services to meet an individual’s health goals.

Meaningful case manager interactions

Resources and benefit education

Health education to influence behavior change

Meaningful case manager interactions

Provider and health-care team collaboration

High-quality, cost-effective care coordination

Direction to in-network providers

Pharmacy case management

On-site capability

Page 19: BUILDING RELATIONSHIPS THAT EMPOWER PEOPLE TO … · OUR HEALTH BABY Health babies born to healthy moms. One 1st trimester ultrasound . One 2. nd. trimester ultrasound . One free

OUR HEALTH BABY Health babies born to healthy moms.

One 1st trimester ultrasound

One 2nd trimester ultrasound

One free book related to pregnancy and/or motherhood

$250 contribution to Health Reward and Wellness Account

Education on pregnancy and health coaching to provide support

Page 20: BUILDING RELATIONSHIPS THAT EMPOWER PEOPLE TO … · OUR HEALTH BABY Health babies born to healthy moms. One 1st trimester ultrasound . One 2. nd. trimester ultrasound . One free

SEND US YOUR THOUGHTS ON THE LUNCH & LEARN PROGRAM OR TODAY’S PRESENTATION

Email: [email protected]

Page 21: BUILDING RELATIONSHIPS THAT EMPOWER PEOPLE TO … · OUR HEALTH BABY Health babies born to healthy moms. One 1st trimester ultrasound . One 2. nd. trimester ultrasound . One free

JANUARY 9 LUNCH & LEARN

New Year, New You! Health Coaching & other complimentary services to

help you be your best in 2019