Fall Care Gap Member Outreach

  • Eligible members in Washington and Alaska received communications in September about clinical gaps in care, preventive care opportunities, or information related to chronic conditions. 

    Home Test Kits for HbA1c and Colorectal Cancer Screening 

    Eligible members in Alaska and Washington were sent home test kits on or around September 20. This annual program aims to meet our members where they are and make it easier for them to receive these important screenings. There is no cost to members.

    Based on eligibility, members were sent either a FIT (fecal immunochemical test) kit and/or a diabetic HbA1c test kit.

    Individuals aged 50-75 should be screened for colorectal cancer at regular intervals, for early detection of abnormalities.

    • Individuals aged 18-75 with a diagnosis of type 2 diabetes, should receive a Hemoglobin A1c test once every 12 months.

    Members will receive up to two reminder phone calls or one reminder letter to complete their test kit.

    Well-Child Informational Mailer or Well-Child Growth Chart

    The American Academy of Pediatrics (AAP) recommends that babies have at least 6 checkups with their primary care provider by the age of 15 months.

    The parents/guardians of Federal Employee Plan (FEP) members who are 1-3 months old will receive a growth chart and parents/guardians of FEP members who are 4-15 months old will receive an informational mailer. The growth chart and the informational mailer both have the well child and vaccine schedules recommended by the AAP and the CDC for children from birth to 15 months, key milestones, as well as topics discussed at each well-child visit.

    High Blood Pressure Informational Mailing

    Federal Employee Plan (FEP) members with a diagnosis of hypertension will receive a mailer about taking care of their hearts, including information about a free blood pressure monitor, the importance of regular visits, taking medication as prescribed and making healthy lifestyle changes to improve blood pressure readings.

    Care Gap Letters or Member Scorecard

    FEP members will receive either:

    A letter about the cancer screening they’re due for, if they are due for only one of the following screenings:

    Breast cancer screening 

    • Cervical cancer screening
    • Colorectal cancer screening

    OR

    A scorecard if they’re due for 2 or more of the following screenings/tests:

    Diabetic HbA1c testing

    • Breast cancer screening
    • Cervical cancer screening
    • Colorectal cancer screening

    The scorecard has personalized messaging. If members have not received a screening or test, more information will be noted. Likewise, if members have received a screening or test, a quick “congratulations” message will be noted.

    Asthma Informational Mailing

    FEP members with a diagnosis of persistent asthma who have been prescribed medication for their condition will receive an informational mailer about how to control their asthma. Members will be encouraged to "take medications as prescribed," among other tips including avoiding triggers, getting a flu shot, scheduling regular visits with a provider, exercising safely, and developing an asthma action plan.

    Diabetes Informational Mailer 

    Members with a diagnosis of diabetes, should receive the following once a year:

    Hemoglobin A1C test

    • Cholesterol and triglycerides test
    • Retinal eye exam
    • Urine test

    The purpose of this initiative is to educate and remind our members of the importance of following their diabetes care plan, regular exercise, and important tests. The call to action is to schedule an appointment with their doctor to complete the test or discuss other options based on the member’s diabetes care plan.

    For questions or comments please email MemberEngagement@Premera.com


     

     

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