Health Ownership 365
is an analytically driven, primary carefocused program that integrates employee medical, behavioral health, and prescription drug management into a comprehensive Whole Person Care approach.
Employers prioritize workforce well-being but struggle with efficiently managing employee health data, especially during medical claim trend analysis and gaps in care chronic disease management. Outsourcing wellness programs can cause delays, higher costs, and data disconnects, leading to lost information.
A streamlined process is urgently needed to enhance the management of medical and behavioral health plans, enabling quick trend analysis and prompt healthcare plan adjustments to improve employee well-being on a yearly basis.
- Improve the health of employees and dependents
- Identify health improvement and savings opportunities
- Implement improved practices
Health & Productivity Team
The Health Ownership 365 solution forms a Health & Productivity team composed of employer and hospitaladministration, HR and benefits staff, providers, nurses,dietitians, and pharmacy professionals. This approach shiftsthe focus from traditional sick care to Whole Person Care,increasing employee value in their health plans.
Team Objectives:
- Team gathers in a structured, regular forum.
- Identify and implement health improvement and cost-saving opportunities.
- Set clinical and financial goals.
- Implement action plans based on detailed claims data analysis.
Employee Value:
- Determined by care quality and effective plan design.
- Aims for a comprehensive benefit program and improve employer-employee relationships.
- Analyze and monitor health screenings to reduce absenteeism, imporive health, and boost productivity.
Health Home
At the core of Health Ownership 365 is the Health Home, where members’ primary care and health data are centralized and accessible 24/7 through electronic medical records. The program works by facilitating coordinated care and involving members in creating action plans with their Primary Care Practitioners (PCPs). These plans include:
- Annual Preventive Eams: Required for all adult members.
- Tailored Screenings: Based on members’ health needs.
- Action Plans: Developed collaboratively by PCPs and members, involving specialists, dietitians, and behavioral health professionals as needed.
- Facilitated Transitions: Ensured coordinated and cost-effective care for members with high-cost or complex conditions.
Creating a Culture of Health
Member engagement is vital for the success of Health Ownership 365. By promoting health responsibility and preventive care, the program fosters a culture of proactive medical and behavioral health management.
- Care Plans: Developed by PCPs and members to address high-risk concerns, ensuring compliance and enhancing health and reducing long-term care costs.
- Online Personal Health Chart: Displays medical services and costs. Enables communication with Health Home, access to self-management tools, and important health resources accessible 24/7.
Actionable Analytics
The Health & Productivity Team uses claims data from third-party administrators and hospital records to gain insights into the population’s demographics and health risks. This analysis helps identify high-cost encounters, encourage screenings, improve chronic condition care, and prevent unnecessary emergency visits.
Goals:
- Improve health outcomes and reduce costs through quality care.
- Focus on individual-centric, people-first population health.
- Benchmark health services achievements and implement actionable assessments.
A coordinated team approach is essential in today’s fast-paced and analytic-driven world. Keeping the patient and the PCP at the center of healthcare to improve outcomes as well as provide a lower cost of care on a per member, per month basis.
Managed Care Partners teams with critical access hospitals, small rural hospitals, and physician groups to create superior managed care financial performance.
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Managed Care Partners, Inc.
875 N. Addison Avenue
Suite 200
Elmhurst, IL 60126
630.936.4211 - phone
630.617.4222 - fax
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