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Health Improvement Programs (HIP)
 

Optional Health Improvement Programs (HIP) are available to all health plans that access the NCPPO networks of physicians, hospitals and other health care professionals. The programs offer an innovative, interdisciplinary approach to helping enrollees manage their chronic disease. Unlike traditional disease management programs that offer a “one-size-fits-all” outreach and focus on a standardized educational approach, HIP uses a concept known as “health coaching” to focus more on outreach targeted at the individual’s personal lifestyle. Further, NCPPO HIP is intended to enhance the patient/physician relationship through enrollee education and health awareness.

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Each HIP includes health coaching and educational materials for high-risk enrollees and educational mailings to low-risk enrollees. Eligible enrollees are identified through medical and prescription drug claims, hospital discharge reports, physician referrals if available and NCPPO Medical Case Management. Participation is strictly optional.

“Health Coaching” for Enrollees with Chronic Illness. By involving enrollees in their own care management process through interaction and participation, health coaching aims to reduce emergency room visits and hospital admissions, reduce absenteeism, increase productivity and promote proper use of the health care system as a whole.

Asthma Health Improvement Program. The Asthma HIP was developed to help enrollees better understand and self-manage their conditions. Poorly managed asthma can result in unnecessary visits to the hospital or emergency room. Health coaches work closely with each participant to avoid these outcomes by developing an effective self-management regimen, including trigger avoidance and medication.

Diabetes Health Improvement Program. Poorly managed diabetes can result in serious health complications including heart disease, stroke, blindness and kidney failure. These complications significantly impact the costs associated with the disease, which in the U.S. are nearly $100 billion a year. Diabetes management is complex and often overwhelming. HIP dieticians, registered nurses and exercise physiologists all play a role in helping enrollees avoid health complications through effective lifestyle changes. Regular outreach ensures that participants get proper screenings and follow-up care.

Cardiovascular Disease (CVD) Health Improvement Program. The CVD HIP was designed to provide support to enrollees who suffer from heart-related diseases. The program provides access to a multi-disciplinary team of health coaches who help enrollees live successfully with their condition. The CVD HIP focuses on four cardiovascular diseases – Congestive Heart Failure (CHF); Coronary Artery Disease (CAD); Hypertension and Hyperlipidemia.

Musculoskeletal. With the development of the musculoskeletal HIP a team of health professionals including nurses, registered dietitians, exercise physiologists and health educators work together to provide the participate health coaching techniques that support focused lifestyle changes that can lessen the symptoms of the musculoskeletal conditions including arthritis and lower back pain.

Oncology Support. The Oncology Support HIP has been developed to provide education and personal support to enrollees receiving cancer treatments. The team of health coaches will assist the enrollee with the management of their cancer, treatment side-effects and other complications related to cancer.

Comprehensive Health Improvement Programs combine wellness, prevention and disease management to guide enrollees’ and physicians’ efforts toward improved quality of care, a higher quality of life and better health outcomes.


If you are interested in learning more about this network program,
please call the NCPPO Sales Department at 1-800-871-7888.

Friday, November 21, 2008

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