HHM
Unique Features
Unique Programs
Triggers
Intedisciplinary Team
100

Clinical outreach is performed by this team member

Who is Holistic Health Specialist

100
Reporting team committed to monitoring HAS program peformance

What is Product Performance Group also known as PPG?

100
Support for members considering transgender surgery as well as others 

What is Gender Affirmation Program?

100

Magnificent seven drive this

What is outreach for clinical engagement?


100

Responsible for the drugs members are taking and identifying gaps or opportunities related to drugs

Who is Health Advocacy Pharmacist and Pharmacy support 

200

Clinical nurse roles include

What are Holistic Health Specialist, Utilization Management, and Oncology Navigator?

200

Location to access HAS client resources

What is HAS Hub?

200

Opportunities include newly diagnosed diabetes or recurrent diabetic hospitalizations

What is Certified Diabetic Educator Program?

200

Outreach associated with new condition 

What is new diagnosis or new specialist trigger for outreach?
200

Leader of medical rounds for members with complex health care needs

Who is the Health Advocacy Solutions Medical Director

300

Team member who provides direct call phone number 

Who is Holistic Health Specialist?


300

Portal or app for member communication include as component of HAS

What is member HUB powered by EVIVE?

300

Provides support for patients and families facing end of life care

What is Legacy Program including Seasons of Life components?

300

Members with a diagnosis of metastatic breast cancer can expect this

What is Oncology Navigator outreach trigger?

300

Focused on provider interaction with determination of medical necessity of services or care

What is utilization specialist with Health Advocacy Solutions Medical directors?


400

Average # pod members

What is 6 with 4 non-clinical and 2 clinical?

400

Technology tool that supports empathy and member engagement

What is Cogito used by clinical and non-clinical advocates?

400

Program focused on supporting people that are responsible for other dependents

What is Caregiver Support

400
Calls to advise members that plan has MD Live are based on this component

What is 24/7 NurseLine follow up trigger?

400

Responsible for pod oversight both clinical and non-clinical

What is unit manager for clinical + supervisor for non-clinical?


500

Describes having a dedicated Health Advocate who establishes 1:1 relationship with member

Who is single point of contact?

500
Bundles of additional UM for Health Advocacy Solutions

What are 3 bundles that can be split into individual categories?  

500

Outreach for high stage cancer diagnosis

What is Health Advocacy Solutions' Oncology Navigator Support Program?

500
Looking at the Blue Access for Members Provider Finder for a neurologist drives this

What is outreach based on Provider Search via daily reporting?

500

Supports medical drug review for infused or injected medications requiring medical monitoring

What is Specialty Review Unit?