Staywell Health Plan 2019 Healthy Behaviors Annual Evaluation Staywell Health Plan (Staywell) believes healthy behaviors lead to good medical care. Managing health needs, improving habits that affect health and taking advantage of preventative screenings are important. Staywell members making healthy choices are rewarded when completing a healthy behavior. Our program includes rewards for these activities: Stop smoking/tobacco program Weight loss program Alcohol and substance abuse recovery Well-child and adolescent visits Prenatal and postpartum care Women’s screenings Diabetes management Adult health screening The Healthy Behaviors Program runs on a calendar year. The evaluation period of this report is July 1, 2018 – June 30, 2019. The table below shows how many Staywell members earned rewards during the evaluation period. Program Enrolled Completion Smoking Cessation Program 109 73 (67%) Weight Management Program 88 36 (41%) Substance Use Disorder Program 15 5 (33%) Initial Primary Care Provider (PCP) Visit 176,442 727 (less than 1%) Health Risk Assessment 264,300 387 (less than 1%) Well-Child: 0-15 Months 39,502 149 (less than 1%)
Program Enrolled Completion Annual Well-Child: 3-6 Years 121,337 419 (less than 1%) Annual Primary Care Provider (PCP) Visit 5-16 years 2,518 113 (less than 1%) MMA Backpack 3,150 93 (3%) Annual Adolescent Check Up: 12-21 Years (2019) 314,664 344 (less than 1%) First Prenatal Care Visit 102,909 1,203 (1%) Postpartum Care Visit 13,098 661 (5.3%) Annual Eye Exam 15,313 125 (less than 1%) Annual Ab1A1C Control 15,233 170 (less than 1%) Blood Pressure Control 14,897 242 (less than 1%) Chlamydia Screening 73,143 43 (less than 1%) Cervical Cancer Screening 204,223 201 (less than 1%) Screening Mammogram 43,122 93 (less than 1%) Annual Adult Health Screening 101,775 393 (less than 1%) Children’s Healthy Behavior: Dental Health Check Up ***** 9,652 385 (4%) Lead Screening ***** 8,311 51 (less than 1%) Teen Pregnancy ***** 0 0 Staywell will continue to engage members in the Healthy Behaviors Program. Our Provider Relations Representatives and Quality Practice Advisors educate providers on each of the available programs. Providers are encouraged to refer members to the programs. Our Care Management staff and Patient Care Advocates promote the programs and refer members as appropriate. They work with members to schedule appointments to address care gaps (well- child visits, screenings, etc.). Additionally, our Customer Service Representatives educate members about care gaps during inbound calls and will offer assistance with scheduling appointments and arranging transportation. ***** Dental Health CheckUp Program was discontinued effective Q4 2018. ***** Lead Screening Program was discontinued effective Q1 2019. ***** Teen Pregnancy Prevention Program was discontinued effective Q3 2018.