Program or Project:
Access to self-management and patient navigation services
Percentage of time over term member will spend with this program:
Member will identify high-risk, chronically ill patients and connect with existing self-management programs, including the Health Annex’s Diabetes Mapping Class and patient navigation services provided by the Care Manager. These efforts will run in conjunction with efforts related to FPCN’s use dashboard data to improve health outcomes.
Of the patients whom the member serving for health benefits outreach and enrollment services, it is expected that the member will connect 100 patients with supportive health education and navigation services.