To help our members maintain their health, we’re sending health and wellness reminders to certain members this September.
Who will receive letters?
We will send letters to approximately 85,000 members with asthma, coronary artery disease, and/or diabetes, to remind them about preventive services important to managing their health.
|Members who have||And are2||Will receive information about||Sample letter|
|Asthma||Ages 5+||Medication to control asthma:
||See samples of health and wellness reminders here.|
|Coronary artery disease||
1 Measurement period January 1, 2019-June 30, 2019
2 As of December 31, 2019
Mammography and colon screening
Members without one of the conditions listed above, but who are eligible for routine mammography or colon screening, will get a call, email, or text telling them of the importance of these services. We will send this communication to about 200,000 members.
|Members who did not have||And are||Will receive a message about|
|Either a flexible sigmoidoscopy, colonoscopy or FIT-DNA or fecal occult blood test during the measure period3||
||The importance of screening for colorectal cancer|
|A mammogram during the measure period4||
||The importance of screening for breast cancer|
3 For Colorectal Cancer, we identify members back to January 1, 2018 who have been continuously enrolled for two years, and look for lack of a screening claim in the following time frames:
4 For Mammography, we identify members back to October 1, 2017 who have been continuously enrolled for two years, and look for lack of a screening claim in the following time frames: No mammogram between October 1, 2017-June 30, 2019
As always, we urge our members to discuss any tests or treatments with their doctors. Please help reinforce these messages to your patients with these conditions, or who are eligible for screening services.
To review the guidelines we use for our recommendations, go to Treatment Resources and click on the appropriate condition and you’ll see links to nationally recognized treatment guidelines.
To review the guidelines we use for our recommendations, log on and go to Clinical Resources>Clinical Programs & Information>Treatment Resources. Click on the appropriate condition and you’ll see links to nationally recognized treatment guidelines.