8/20/2013. Agenda. Preventive Care Disease Management Employee Assistance Program Wellness Program
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1 Agenda Disease Management Wellness Program 1
2 Services recommended by US Preventive Services Task Force Immunizations recommended by the Advisory Committee on Immunization Practices Preventive care and screenings for infants, children, adolescents and women supported by the Health Resources and Services Administration Annual physical exams Well man, woman and child Routine lab and x rays One exam per calendar year Additional visits may be provided for women 2
3 Cancer Screenings Mammograms, Pap Smears and Prostate One per year with no age limit Colorectal Screening Detailed benefits online Flu vaccination 100% coverage in network Reimbursement up to $25 out of network Shingles vaccination 100% coverage in network Age 60+ in 2013 Age 50+ in 2014 Breast pumps covered at 100% Purchase of bilateral electric breast pump Rental of hospital grade breast pump Further details under preventive benefits on website 3
4 Disease Management Chronic Conditions: Coronary Artery Disease Diabetes Asthma Depression Congestive Heart Failure Chronic Obstructive Pulmonary Disease (COPD) Hypertension Disease Management Regular phone conversations with nurse Nurse communicates with provider Participation can continue after session completion Discounted prescriptions Disease Management Reduced Non Formulary Prescription Copayments One to 30 day supply: $55 31 to 60 day supply: $ to 90 day supply: $
5 ComPsych Organization ID MCHCP Available 24 hours a day/7 days a week Available Member Services: 6 free counseling sessions per episode Legal and financial solutions Identity Theft & Consumer Fraud Protection Possible reasons members may access: Personal issues Grief, depression, substance abuse, relationship concerns Legal concerns Divorce, child custody, estate planning Financial concerns Credit card debt, identity theft, retirement planning, budgeting assistance 5
6 Call ComPsych Counselor determines eligibility Brief consultation Contact medical if needed Referrals: Self referral Employee recognizes need for assistance Informal referral Employee is steered towards program Formal referral Supervisor/manager recommend as part of discipline process Signs to watch for in your employees: Personality changes Work behavior changes Employee relations on the job Physical changes Out of the office/away from desk High accident rate Drinking/Drug use 6
7 Available Human Resources Services: Support and consultation Critical Incident Stress Management Services (CISM) Management consultation Training and consulting for workplace development Benefits to your department: Increased productivity Retention of trained employees Reduced absenteeism, accidents and grievances Improved employee morale Interactive Online Tools: Articles, tutorials, videos and self assessments Relationships, work, school, children, wellness and more Ask the Expert Personal response to questions Attorney and financial planner searches 7
8 Healthy living programs and health education opportunities to help improve quality of life Reduce health risks On Site Weight Management Classes Pilot projects currently running Expansion after successful completion of pilots Ambassador Program: Regional reach program Unconventional project to reach employees with limited access to wellness programs Food service workgroup beginning Inaugural 5K Run/Walk 8
9 Member Education Video series to raise awareness of health risks Webinars Healthy eating videos Lunch and Learn Health Education presentations webpage Future Initiatives Two innovative pilot programs to begin in 2014 Contact Information Missouri Consolidated Health Care Plan mymchcp 9
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