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Peb Qhov Khoos Kas Txhim Kho Kom Ua Tau Zoo Tshaj Qub
Nyob rau ntawm United Healthcare (UHC), peb txoj dej num yog los pab tsoom neeg sawv daws ua lub neej kom noj qab nyob zoo dua qub thiab ua kom txoj hauj lwm pab rau txoj kev noj qab haus huv ua tau zoo dua rau txhua tus. Peb muab kev pab cuam Medicaid thiab MinnesotaCare cov tswv cuab nyob hauv cov nroog Anoka, Carver, Dakota, Hennepin, Ramsey, Scott, Washington thiab St. Louis. In St. Louis county, we also serve members with SNBC, MSHO, and MSC+. Thiab nyob hauv Lub Nroog Scott peb kuj tseem ua hauj lwm pab rau cov tswv cuab uas muaj SNBC. United Healthcare yeej ib txwm ua hauj lwm los ua kom qhov kev kho mob thiab cov kev pab uas peb cov tswv cuab tau txais zoo dua qub.
Ua li cas peb thiaj paub cov teeb meem thiab kho cov teeb meem
- Peb siv cov cuab yeej xws li tej ntaub ntawv uas muab tau los thiab kev soj ntsuam los mus nrhiav paub cov cheeb tsam los yog pab pawg neeg uas xav tau kev pab ntxiv.
- Ces tom qab ntawd peb ua hauj lwm nrog cov kws kho mob thiab cov tswv cuab los mus ua kom paub tseeb tias peb cov tswv cuab tau txais qhov kev kho mob uas lawv xav tau thaum lawv xav tau qhov ntawd.
- Peb muab cov ntaub ntawv uas muab kev qhia kom paub txog kev kho mob ntxiv rau cov kws muab kev kho mob thiab cov tswv cuab.
- Peb muab nyiaj txiag ua phaj tshab pub los txhawb rau txoj kev tu xyuas kom ua tau zoo dua qub.
- Cov tswv cuab uas muaj cov kev xav tau ntau yam nyuaj kuj tau txais kev pab txhawb ntxiv los ntawm peb cov kws tswj hwm kev kho mob.
- Peb mus ntsib peb cov tswv cuab hauv lub zej zos.
- Peb ua hauj lwm koom nrog cov pab pawg hauv lub zej zos uas muab kev pab txhawb rau cov neeg uas peb muab kev pab rau lawv.
United Healthcare Cov Hom Phiaj Ua Hauj Lwm Kom Zoo
- Txhawb txoj kev tswj hwm tsoom neeg kev noj qab haus huv thiab cov dej num
- Txhim kho tej dej num uas cov tswv cuab thiab kws kho mob tau ntsib thiab tau pom kom zoo dua qub
- Ua kom tau raws li ntawv pov thawj thiab txoj cai tswj hwm kom ua
- Ua hauj lwm pab rau txhua haiv neeg
Cov Khoos Kas Ua Kom Ua Tau Hauj Lwm Zoo Dua Qub
Tsev Neeg thiab Cov Me Nyuam
Noj qab nyob zoo yog ua ntej tshaj plaws®
What are we doing to improve pregnancies?
We want to help members have a healthy pregnancy and healthy baby. Healthy First Steps® is a program offered through your health plan. We will work with you and your provider to help you take healthy steps through pregnancy and after delivery.
Peb qho khoos kas yog pab cov tswv cuab uas cev xeeb tub ua ntej thiab tom qab lawv yug tus me nyuam lawm. We help with community resources, medical care, and behavioral health care. We guide you to have a healthy pregnancy, receive a car seat, and offer rewards for visiting the doctor. Peb pab cov tsev neeg kom tau txais qhov kev kho mob thiab kev pab txhawb uas lawv xav tau thaum lawv xav tau qhov ntawd heev tshaj plaws.
What are some of the challenges to improving pregnancies?
Nws yog ib qho nyuaj los mus hu cuag tau cov tswv cuab uas lawv cev nyuam qhuav xeeb tub yog peb tsis paub tias lawv cev xeeb tub lawm. Peb tsis tuaj yeem pab tau yog peb tsis tau lawv qhov chaw nyob los yog tus xov tooj tshiab. Peb thov kom peb cov tswv cuab qhia rau peb thiab lawv lub nroog paub thaum lawv cev xeeb tub los yog muaj ib qhov chaw nyob los yog tus xov tooj tshiab. Thaum peb thiab lub nroog paub tej no lawm, peb tuaj yeem rau tau lawv lub npe rau peb qhov khoos kas. Qhov no yog ua kom paub tseeb tias cov tswv cuab uas cev xeeb tub tau txais tas nrho cov kev pab uas peb muaj.
How can we help your baby to stay healthy?
After the baby is born, it is important for the mom and baby to see the doctor. We can help with scheduling doctor appointments, answering questions, and arranging transportation. Tus kws kho mob yuav kuaj xyuas tej yam xws li tus me nyuam mos qhov hnyav, ob lub qhov muag, ob lub pob ntseg, thiab lub plawv. As the baby grows older, the well-baby checks will teach parents how to raise a healthy child. Qhov no kuj txhais tau tias yog tham txog kev muab lub cev qoj ua esxawsxais, cov khoom noj zoo rau lub cev, thiab yuav tiv thaiv li cas thiaj tsis raug mob.
How do we know we made a difference?
The goal of the program is to help our pregnant members and their babies be as healthy as possible. We look at data related to care access, health outcomes of our members, and if members are satisfied. Data is reviewed on an ongoing basis. An evaluation of the program also happens each year. In 2023, the nurse case managers helped 87% of our members with a high-risk pregnancy. They did this by helping them engage in care, removing barriers to care, and supporting improved birth outcomes.
Peb npaj li cas los txhim kho kom qhov sib txawv ntawm txoj kev noj qab haus huv ua tau zoo dua qub?
We will continue to support our members getting to doctor appointments, access to doulas, food, transportation, car seats, and housing. In 2024, we plan to help educate members on how to have a healthy pregnancy and what resources United Healthcare can offer them. Our goal is to help members have healthy pregnancies and remove barriers to care.
Seniors and SNBC
Mob Ntshav Qab Zib thiab Kev Nyuaj Siab Puas Hlwb
Why is it important to think about mental and physical health together?
It is important to think about the whole person when helping members. Together, diabetes and mental health can have a big impact on well-being. Studies have shown that people with diabetes are at a higher risk of having mental health challenges like depression and anxiety. Understanding the relationship between diabetes and mental health may lead to better outcomes for members.
What are we doing to improve the health of those with diabetes and mental health issues?
United Healthcare can help members find community resources, medical care and behavioral health care. We give tips for how to manage your health and offer rewards for visiting the doctor. We help individuals get the care and support they need when they need it most.
What were some of the challenges to improving the health of those with diabetes and mental health issues?
It can be hard to help members get the care they need if they don’t know how to treat their medical conditions. Each member has a care coordinator who can help teach them how to care for their health needs. Many of our members live in places where it may be hard to get to the doctor’s office or clinic. To help, we work with members to set up rides to and from their appointments. Having access to the right care at the right time can reduce emergency room visits, hospitalizations, and even early death.
How do know we are making a healthy difference?
Our goal is for our members to be as healthy as possible. We look at data related to access to care, health outcomes of our members, and member satisfaction. Data is reviewed on an ongoing basis.
Peb npaj li cas los txhim kho kom qhov sib txawv ntawm txoj kev noj qab haus huv ua tau zoo dua qub?
We will continue to support our members by offering benefits such as food, transportation, and a dedicated care coordinator for each member. In 2024, we plan to learn more about our members needs and create resources to better support them. Our goal is to help members be healthy both mentally and physically.
Quality Programs
Quality Improvement Program Description
The Quality Improvement Program Description provides details about what the health plan will do to make things better for our members. This document explains the steps we will take to review our programs and activities. An update of the program description happens every year. This year:
- We will reward members for getting care.
- We are working to reduce members needing to go back to the hospital.
- We are focusing on health differences.
- We will achieve full NCQA Accreditation.
- We are working to get member feedback.
Quality Program Evaluation
We reviewed last year’s quality programs and activities to see how well we used our resources to improve our members’ health. We also review the quality and safety of our members’ clinical care. We wanted to know where we did a good job and how we can improve the programs for our members. We used the evaluation to plan for this year. Last year:
- We made outreach to 93% of our members who were in the hospital for mental health.
- We offered rewards to our members for prenatal and postnatal visits, immunizations, breast and cervical cancer screenings.
- We worked with 87% of our members with high-risk pregnancies.
- We provided 2600 meals for members recently leaving the hospital for medical or behavioral health.
- We provided 16300 meals for members leaving the hospital after the birth of a baby.
- We included “bucket” car seats in the car seat benefit for our members.
- We held 21 dental clinics at a local community center, held a coat give-away, and coordinated a Narcan training for the community.
- We assisted in the development of the Fairview Community Health & Wellness Hub.
- We achieved NCQA Interim Accreditation.
Quality Work Plan
We have a work plan that tracks our health plan goals, monitors quality improvement activities, and plans the services we provide to our members. We track issues and the planned interventions. The plan is reviewed and updated throughout the year.
Health Equity
Health Equity Mission:
At United HealthCare, our mission to help people live healthier lives and to help make the health system work better for everyone.
Our work to address health equity:
Health equity means that everyone has a fair and just opportunity to achieve their full health potential. Some of the things we did at United Healthcare:
- 95% of our Minnesota staff did training and education on health differences through Health Equity University.
- Health differences training was offered to all of our providers at no cost.
- We worked with community organizations to understand how they are experiencing health differences. A few of them:
- Karen Organization of Minnesota
- Union Gospel Mission
- Guiding Star Wakota
- Hmoob Nurses Association
- Mount Airy Boys and Girls Club
- Dorothy Day Center
- Programs to address the health differences in maternal and child health.
- Healthy First Start
- Meals for Mom’s from Second Harvest Heartland
- Tsab ntawv xov xwm hais txog tus tswv cuab ntawm HealthTalk
- Promoting access to safe and affordable housing, nutritious food, and transportation.
- Focus on making health information easier to understand for our members.
Our goals for health equity:
We’ve set goals for ourselves in 2024 to address health differences.
- We will work toward Health Equity Accreditation.
- We will continue to expand our Health Equity Strategy.
- We will look for ways to reduce health differences and put those plans into action.
Tau txais kev lees paub
The UHC Community Plan of Minnesota is accredited by a group called the National Committee for Quality Assurance (NCQA). NCQA shares information with us on how to improve the quality of health care we provide to members. It is our goal to meet their standards for accreditation. Being accredited means we have made a promise to meet high quality care standards. To learn more about NCQA, visit their website.
Hu Rau Peb
Peb xav hnov koj cov lus nug thiab tswv yim pab! Thov rau peb yog koj xav paub ntxiv los yog xa qhia koj cov tswv yim tias yam dab tsis uas peb muaj cuab kav ua tau zoo dua qub. Hu rau United Healthcare ntawm 1-888-269-5410 / TTY: 711 los sis siv qhov kev pab hu rau neeg tsis hnov lus uas koj nyiam 8 AM txog 6 PM lub sij hawm hauv cheeb tsam, Hnub Monday – Hnub Friday.