October Care Gap Member Outreach

  • October 6, 2022

    Evidence shows that individuals are more likely to complete important screenings and maintain regularly scheduled appointments if they have a primary care provider. Select members will receive an email or a letter reminding them to schedule a preventive examination, including resources to select and connect with a provider. Select members include those who:

    High Blood Pressure Informational Mailing
    Federal Employee Plan (FEP) members with a diagnosis of hypertension will soon receive a mailing with information about how to take 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. View the tip sheet for details.

    HbA1c Testing Care Gap Letter
    Individuals with a diabetes diagnosis should have their blood hemoglobin bA1c levels tested at least once every 12 months. Select members who haven’t yet received a test this year will receive a letter reminding them to schedule an appointment with their doctor to complete the test or discuss other options based on the member's diabetes care plan. View the tip sheet for more information about CPTII coding for HbA1c test results and tips for success.

    Well-Child Informational Mailings and Growth Chart
    The American Academy of Pediatrics (AAP) recommends that babies have at least 6 check-ups with their primary care provider by the age of 15 months. The AAP also recommends that children aged 2 and older see their doctor annually. View the tip sheet for information about patient claims and tips for success.

    The parents/guardians of eligible members will receive the following:

    • Growth chart for ages 1 to 3 months old
    • Informational mailer 4 months to 11 years old

    All mailings have relevant, age-appropriate information including:

    • Recommended vaccine schedule
    • Key milestones
    • Anticipatory guidance
    • How to find a primary care provider

    Emergency Department Utilization Informational Mailer
    This mailing provides members who have visited the emergency department 2 or more times in the past year with information about lower cost, and sometimes more accessible, alternatives.

  •    Email this article