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Care Management Strategy: Five Practical Tips for Detecting High Risk Members

Recently, our Payer Research team worked with a group of health plan leaders to create a new identification strategy for pregnancy care management. Our team based their approach on a similar strategy and tactic pioneered by Health Plan Partners (HPP), a Medicaid plan based in Pennsylvania. Through this program, HPP saw a 14% reduction in risk of low birth weight, 20% increase in post-partum office visits, and saved $1.5M in the first 3 months of the program.



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