Health Net 2002 Annual Report Download - page 20

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GOAL 5: HEALTH CARE
COORDINATION
We will promote better outcomes for our customers through improved provider
relationships and through the promotion of evidence-based health care. In this way,
we will be known as effective stewards of our customers’ health care dollars.
Working in partnership with physicians and hospitals, we strive to improve clinical outcomes that
can enhance the health of our members. This both furthers the quest for quality improvements
and helps contain health care cost increases, making us better stewards of our customers’ dollars.
We devote significant resources every year to programs that help members with specific
chronic conditions such as asthma and diabetes. Through intense member education,
telephonic counseling and medication compliance monitoring, we’ve also seen significant
improvements in the treatment and health of our members who suffer from rare diseases such
as Multiple Sclerosis and Cystic Fibrosis. In addition to improving their health status, we have
seen 25 percent fewer hospital admissions for members enrolled in these programs.
We also are seeing results from our Congestive Heart Failure (CHF) program. Through
Internet-based technology, trained cardiac nurses can monitor the condition of our CHF
members on a daily, real-time basis – improving member satisfaction rates and decreasing
hospitalization for our seniors with CHF by more than 40 percent.
We continue to strengthen our relationships with physicians and hospitals. To reduce our
providers’ administrative burdens, we are participating in an industry-wide initiative sponsored by
the Council for Affordable Quality Healthcare (CAQH). This initiative standardizes the creden-
tialing process for physicians and hospitals, substantially reducing paperwork in the process.
We also are helping to reduce variations in care and improve quality by giving members and
physicians online access to information on the most effective scientifically-proven treatments
and guidelines developed by leading United States-based academic medical centers.
18 | HEALTH NET, INC.