UHC is commended for creating an intervention that targets Hispanic/Latino members who cannot read medication instructional labels. KEPRO regards this as a clinically important intervention. Opportunities While UHC is commended for identifying a gender gap in diabetes medication adherence, KEPRO notes that its three interventions do not specify any intervention activities that address female members as having greater risk for medication non-adherence. The challenge of female non-adherence is also not addressed in its barrier analysis. the title of this intervention can be paraphrased as member engagement in a diabetes medication adherence program, it appears that the members will be engaged through their local pharmacies. KEPRO assumes that UHC staff will then educate local pharmacists on the 90-day fill-program, but this protocol has not been clearly described. This intervention description could be strengthened by the addition of more operational details that answer these questions: How are members identified for outreach and who makes the contact? How are members who need improved adherence linked to the local pharmacies and what role does UHC play in establishing that link? What are the timelines for the outreach? Is this member or local pharmacy outreach done by telephone? How are members with no contact information located? Is the outreach call/visit made by UHC staff scripted? How are staff trained to educate local pharmacies and what educational materials will be presented? Recommendations recommends that UHC identify its members’ most frequent co-morbidities. A analysis could be helpful to UHC in the focusing its interventions on members with the highest clinical risks. KEPRO recommends that UHC conduct a root cause analysis of the barriers to determine which are the most substantive. - CCA Commonwealth Care Alliance, based on a literature review, utilization data, expert input, and discussion with the SCO member advisory groups, initiated a project with the goal of improving the rate of members receiving annual preventive dental care.
UHC is commended for creating an intervention that targets Hispanic/Latino members who cannot read medication instructional labels. KEPRO regards this as a clinically important intervention. Opportunities While UHC is commended for identifying a gender gap in diabetes medication adherence, KEPRO notes that its three interventions do not specify any intervention activities that address female members as having greater risk for medication non-adherence. The challenge of female non-adherence is also not addressed in its barrier analysis. the title of this intervention can be paraphrased as member engagement in a diabetes medication adherence program, it appears that the members will be engaged through their local pharmacies. KEPRO assumes that UHC staff will then educate local pharmacists on the 90-day fill-program, but this protocol has not been clearly described. This intervention description could be strengthened by the addition of more operational details that answer these questions: How are members identified for outreach and who makes the contact? How are members who need improved adherence linked to the local pharmacies and what role does UHC play in establishing that link? What are the timelines for the outreach? Is this member or local pharmacy outreach done by telephone? How are members with no contact information located? Is the outreach call/visit made by UHC staff scripted? How are staff trained to educate local pharmacies and what educational materials will be presented? Recommendations recommends that UHC identify its members’ most frequent co-morbidities. A analysis could be helpful to UHC in the focusing its interventions on members with the highest clinical risks. KEPRO recommends that UHC conduct a root cause analysis of the barriers to determine which are the most substantive. - CCA Commonwealth Care Alliance, based on a literature review, utilization data, expert input, and discussion with the SCO member advisory groups, initiated a project with the goal of improving the rate of members receiving annual preventive dental care.