Member Engagement and Community Outreach
One of the characteristics that sets CDPHP apart from other health plans is our capacity to understand and address the health needs of the individuals, families, and businesses we serve. We accomplish this by developing programs and forging partnerships that break down barriers to health and wellness. We strive to provide access to information, case management, and wellness programming – where and when it’s most convenient – regardless of age, health status, stage of life, or socioeconomic level.
Healthy Neighborhoods Initiative
During the summer and fall of 2015, CDPHP hosted two Healthy Neighborhood events in traditionally underserved urban areas within our service footprint. The events featured healthy food demonstrations, children’s activities, free giveaways of back-to-school supplies and winter hats and gloves, valuable information on preventive health measures and chronic disease management, and free screenings to assess blood pressure, blood sugar levels, cholesterol, pulmonary function, body mass index, vision, and dental health. Attendees also had an opportunity to meet face-to-face with pharmacists, nurses, and registered dietitians to address their health concerns.
Mobile Health Unit
CDPHP has partnered with the Whitney M. Young, Jr. Health Center and CEO (Commission on Economic Opportunity) to improve access to health care for socioeconomically challenged populations by sponsoring and managing a medical office on wheels. Among the services provided by the unit are free physicals, immunizations, and health screenings.
Community Health Project
In 2015, in conjunction with CEO and Catholic Charities Care Coordination Services, CDPHP expanded its Community Health Project by initiating street-level outreach to Medicaid members. In addition to targeting those who underutilize primary care services, the project is designed to engage members with specific gaps in care, including breast cancer screening, lead screening for children, annual OB/GYN visits for women 18 years and older, yearly dental visits for children, and adolescent immunizations.
Community-based Resource Centers and Wellness Programs
To further boost the health and well-being of our community, CDPHP has aligned with the Rudy A. Ciccotti Family Recreation Center and partnered with Hannaford Supermarkets and the Capital District YMCA to establish community-based resource centers like the Healthy Living Center. These sites are staffed by CDPHP member services personnel who can help clients explore health insurance solutions. In addition, members and non-members alike can choose from a variety of fitness, wellness, and therapeutic classes focusing on nutrition and weight management, senior health, medication safety, disease management, and more. The programs are led by certified instructors, registered dietitians, pharmacists, and other health and wellness experts.
CDPHP also engages health professionals and wellness consultants across a broad geographic area to offer health-related programming in individual communities.
Hospital-based Case Management
To achieve greater continuity of care for its Medicaid population, CDPHP collaborated with the emergency department of a local hospital to connect these members with a primary care practitioner. We accomplished this by embedding a CDPHP social worker within the department to meet face-to-face with members to facilitate follow-up care, including making reminder phone calls and coordinating transportation to and from appointments. The results have been encouraging:
- Engagement of CDPHP Medicaid members has increased from 26 percent to 77 percent over a period of two years.
- The length of time our Medicaid members have remained involved with case management services has risen steadily, resulting in a 38 percent decline in more costly emergency room (ER) visits and a corresponding decrease in hospital admissions.
- When a CDPHP case manager was involved, Medicaid members treated in the ER were 2.5 times more likely to seek follow-up care with their primary care doctor.