MSHO 2020 Supplemental Benefits Susan McGeehan, MGS, LSW
HealthPartners MSHO & MSC+ April enrollment: 5,957 12 County Service Area Only MSHO plan in Minnesota to get 4.5 stars consistently Eight years in a row!
HealthPartners Seniors Medicaid Programs Membership Top Languages English Vietnamese Hmong Spanish Cambodian Somali Oromo Korean Laotian Amharic Cantonese Mandarin Russian Arabic Spoken Country of Origin Race/Ethnicity White Asian or Pacific Islander Black or African American Hispanic or Latino American Indian or Alaskan Native Almost 70 languages spoken by our MSHO & MSC+ members!
HealthPartners HP MSHO 2020 Supplemental Benefits Supplemental Benefits at a Glance Benefits only available to MSHO members Supplemental Benefits that extend existing as a Supplemental Benefit benefit coverage available to MSHO members • • • iPads Dental: Crown Coverage Adult Day Services • • • FitBit Foot Care Visits Dental: Adult Fluoride • • • Pedeler WeightWatchers Dental: Periodic Exams • • Animatronic Cat Dental: Scaling & Root Planing • • Light Therapy lamp Dental: Periodontal Maintenance • • Glasses tints & coatings Dental: Root Canals & Molars • • Electronic Toothbrushes Caregiver Supports Services (3 available via Elderly Waiver) • • Juniper Healthy Aging Classes Meals on Wheels • • Silver & Fit exercise programs In-home bathroom safety devices and installation • • Independent Living Skills (ILS) Lifeline • • Psychotherapy for Caregivers Respite Services • • Readmission Prevention Benefit Transportation for members to/from Supplemental Benefit- • Motion Sensor Detector Night Light covered services if needed • HealthPartners PowerUp Cooking Classes • Transportation for Caregivers to/from Supplemental Benefit Caregiver Support services
Dementia Care Model HP MSHO Supplemental Benefit Category Supplemental Benefits 2020 Supporting cognitive impairment model Community Caregiver Technology Based Focus Supports Psychotherapy for Caregivers Adult Day Care & transportation iPads Caregiver Training & Education Respite Care Animatronic Cat Independent Living Services (ILS) Caregiver Coaching & Counseling Lifeline Meals on wheels Family Memory Care In-home bathroom safety devices + Transportation for Caregivers installation to/from any of the benefits listed above
HealthPartners as an Innovator
Welcoming your new roommate home! HealthPartners Center for Memory and Aging Animatronic Cat research project: ✓ Focus on benefit to Caregivers ✓ Recommendations of how to use the cat as a tool to support improved caregiving experiences: • Change of caregiver • During times of confusion or restlessness • During personal cares or bathing • When the member feels uncomfortable, confused or scared
HealthPartners HealthPartners MSHO iPad Home Screen MSHO iPads Offered for the first time in 2017 for depression, diabetes and heart disease. Added Dementia as a qualifying diagnosis in 2019. Benefit includes 24/7 telephonic support. Started offering MSHO iPad owner user classes in 2019. iPads are delivered preloaded with Health Education, Health Engagement and Health & Wellness libraries.
MSHO iPad Supplemental Benefit Dementia Care Model Supports
Depression Focused HP MSHO Supplemental Benefit Category Supplemental Benefit Supports 2020 Socialization opportunities via health education classes Silver & Fit classes at local Light Therapy gyms/exercise programs Lamp iPad loaded with Transportation educational apps and Animatronic Cat to/from Supplemental socialization tools Benefit activities
MSHO iPad Supplemental Benefit Depression Health Engagement
HP MSHO Supplemental Benefit Health & Wellness Focus Category 2020 HEALTH Lutheran Social Services EDUCATION Readmission Prevention Benefit OPPORTUNITIES FitBit * Community Health Worker HealthPartners Cooking Classes visits Juniper Healthy Aging Classes: * Support setting up follow up iPad • Tai Ji Quan Classes doctor appointments • Stepping On * Medication Review • A Matter of Balance Light * Phone check ins Exercise • Arthritis Foundation Exercise Therapy Programs * Coordination with MSHO Lamp Program Care Coordinators • Stay Active and Independent for Life (SAIL) Weight Transportation • Watchers Diabetes Prevention Program • Living Well Class Series Caregiver virtuwell Pedeler Supports
MSHO iPad Supplemental Benefit Diabetes Health Engagement
MSHO iPad Supplemental Benefit Heart Disease Health Engagement
HP MSHO Safety & Prevention + Supplemental Benefit Category Ancillary Services 2020 Ancillary Services Safety & Prevention • • Dental package Motion sensor night light ➢ Fluoride treatments • Lifeline services ➢ Additional exams & periodontal • Pedeler care • Falls prevention classes ➢ Scaling& root planing • ➢ Crown coverage Silver & Fit exercise programs ➢ Additional root canal & molar • Readmission Prevention benefit coverage • In-home bathroom safety • Eyeglasses tints & coatings devices and installation • Foot care • iPad • Electronic toothbrushes
HP MSHO Home & Community Based Supplemental Benefit Category Supplemental Benefit Supports 2020 Transportation Meals on Lifeline Wheels In-home LSS bathroom Independent Living Readmission safety Skills (ILS) Prevention devices + Benefit install Caregiver Respite Care Support Services (3) Adult Day Care
Supplemental Benefit Planning Member utilization & feedback Supporting Quality Performance State benefit gaps Care Coordinators & Actuarial analysis Operational lift Member Services
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