Member Health Engagement Programs

These member health programs target members with certain health conditions and assist them in managing their conditions.

Health Ministry Program

The Health Ministry Program was created to provide health and wellness information in a faith-based environment – including churches, synagogues and mosques – thus providing women and their families with a safe, supportive setting to learn about their health and receive needed health screenings. The 40-Day Journey is a component of the Health Ministry program that engages women in a six-week educational series emphasizing nutrition, exercise, and medication compliance. The 40-Day Journey was recognized by NCQA with its Innovations in Multicultural Healthcare award in 2008, and by America's Health Insurance Plans (AHIP) with its Community Leadership Award in 2009. Thousands of people have received lifesaving health screenings including mammograms, blood pressure, glucose, and cholesterol screenings through the Health Ministry program.

Gift for Life

Keystone Mercy's Gift for Life program aims to increase the number of female members receiving routine mammograms. Our partnership with Fox Chase Cancer Center and Lackawanna mobile mammography vans enables us to deliver the screenings to members at convenient neighborhood locations, like grocery stores. The program targets women who have never had a mammogram or who have not been tested in over two years. Keystone Mercy’s community outreach team increases participation through phone calls – providing encouragement and counseling to members, scheduling appointments, and offering gift card incentives for completed screenings.

WeeCare Program

Our high-risk pregnant members receive specialized care management from our WeeCare prenatal program. WeeCare care managers act as advocates and coaches for pregnant members throughout the pregnancy and into the postpartum period, coordinating both medical care and social services for women with high-risk pregnancies. Keystone Mercy members deliver an average of 12,000 babies per year, and 50 percent of these pregnancies are considered high risk. The WeeCare program is designed to improve birth outcomes and reduce the incidence of pregnancy related complications through early prenatal education and intervention.

Community Baby Showers

As part of our effort to educate our pregnant members about the importance of regular prenatal care, Keystone Mercy hosts baby shower events in underserved communities. These events encourage our high risk pregnant members to get connected to care managers from our WeeCare program, OB providers in their area, and community organizations that provide support and resources. Participants receive dental screenings (a vital part of prenatal care) and information on a wide range of topics such as the importance of early and consistent prenatal care, proper nutrition, and recognizing the signs of perinatal depression and pre-term labor, all in a fun and relaxed atmosphere.

Lose to Win Diabetes and Weight Management Program

In 2009, Keystone Mercy kicked off its Lose to Win program, a 12-week program that helps members with type-2 diabetes learn the importance of regular exercise, eating a balanced diet and living a healthy lifestyle. The program was presented in partnership with five local branches of the YMCA of Philadelphia & Vicinity, where members participated in fitness programs, personalized wellness coaching, nutrition workshops and cooking demonstrations. At the end of the 12-week program, we celebrated the success of the 115 members who completed the program, and each received a year-long membership to the YMCA to encourage them to keep up the good habits they developed during the program.

Healthy Hoops® Program

Healthy Hoops® is an innovative health education program that uses basketball as a platform to help children with asthma and their families learn about the disease and how to manage it through appropriate nutrition, medication use, and monitored exercise. The program has been shown to decrease emergency room visits and hospital stays related to asthma, and Healthy Hoops® families also report increased use of controller medications with subsequent decreased use of rescue medications, decreased nocturnal awakenings, and improvement in asthma control test results and overall quality of life.

For more information on the Healthy Hoops® program visit:

http://www.healthyhoopsprogram.com

Youth. Philly. Fit.

In partnership with City Year, Keystone Mercy Health Plan introduced Youth.Philly.Fit. to promote a healthy lifestyle to children. Trained Wellness Mentors implement the program which is designed to engage 6th through 8th graders from eight Philadelphia middle schools. Students participate in fun, exciting physical activities and receive tips on making healthy food choices.