What Is Population Health Management?

By Alice Parks, director of population health management at Network Health

Did you know Network Health offers personal wellness, care management and condition management services at no cost to you? Whether you’re dealing with an unexpected medical issue, a complex diagnosis, a chronic disease or just need a little help maintaining your health, we can help you manage your health to increase your sense of well-being and put you in control.

Our care management program focuses on assisting people with complex medical and behavioral health needs, which include cancer, end-stage disease and other life-threatening conditions. (See page 14 for more information about our care management services.) The condition management program helps people with asthma, diabetes, heart disease, heart failure and chronic obstructive pulmonary disease (COPD). Our wellness programs focus on quitting smoking, eating healthy, controlling blood pressure and learning about easy ways to exercise. We’ll also help you create a successful transition plan when you’re discharged from the hospital to your home.

Your health assessment and/or claims information help us identify you for potential health management services. Your doctor may also refer you or you can refer yourself.

Health management begins with a one-on-one conversation between you and one of our health coaches, condition managers or care managers. If you choose to participate, we will help you manage your health conditions and meet your health goals. You may opt out of these programs at any time by calling the member experience number on the back of your member ID card.

After learning more about you and your health concerns, our team can do the following.

• Answer any questions you have • Review your medications and treatment plans • Inform you about the signs that your health condition is worsening and when to act, including when you should contact your health care provider • Work with your health care providers to ensure they are aware of any health changes • Discuss advance care planning • Ensure you and/or your caregivers feel included in your health care decisions • Help you set health care goals and maintain or improve your health • Help you with coordination of care with providers and community services • Provide you with educational resources, specific to your diagnosis • Work with you to meet your goals

Learn more about our programs at networkhealth.com/wellness. If you feel you could benefit from wellness, condition or care management support, call 800-826-0940 (TTY 800-947-3529) Monday–Friday from 8 a.m. to 5 p.m. Callers may leave a message 24 hours a day, seven days a week. We’ll call you back at a time convenient to you, morning, afternoon or evening.