• Communications

• Policies and Guidelines

• Claims and Billing

• Interactive Tools and Resources

• Pharmacy Information

• Resources for Patient Management

• Quality Management
• Worksheets, Forms, and Guides
• Internet Resources & Bulletins
• Interventions & Reminders
• AmeriHealth Healthy Lifestyles
• Connections Health Management Programs
• SilverSneakers Fitness Program
• Case Management
• Consumer Website

• Contact Information

Connections Health Management Program

The Connections Health Management Program provides 24/7 disease management and decision support to eligible members through Health Coaches and online resources. The program covers a variety of chronic conditions and offers decision support and general health information. Special focus is put on common, chronic diseases such as asthma, coronary heart disease (CHD), chronic obstructive pulmonary disease (COPD), heart failure (HF), and diabetes.

Health Coaches

Connections Health Coaches offer disease management and decision support to all eligible members.

Health Coaches help members work effectively with their physicians to make “shared decisions” that are right for them.

The best way to refer a patient for Health Coaching is to complete the physician referral form and fax it to the Connections Health Management Program at 1-800-276-3075. Providers can also call the program to make a patient referral at 1-866-866-4694. Eligible members can speak with a Health Coach directly 24 hours a day, 7 days a week by calling 1-800-275-2583.

Connections tools for providers and their patients

The following are some of the tools available to all providers to use with their patients. For more information or for additional quantities, please contact a Connections Program Specialist at 1-866-866-4694.

Asthma

•  Asthma symptom response plan
•  FAQ on inhaled steroid medications for asthma
•  Controllers and asthma management
•  Asthma triggers
•  Patient handout – How to use a metered-dose inhaler
•  Patient handout – How to use a metered-dose inhaler with a mask spacer
•  Patient handout – How to use a metered-dose inhaler with a spacer

COPD

• COPD action plan
• COPD management tips

Diabetes

• Diabetes action plan
•  Microalbuminuria brochure

Heart conditions

•  Beta Blocker brochure
•  Cardiometabolic risk FAQs
• Heart failure action plan
•  Heart failure symptom response plan

General tools

•  BMI resource card
•  General Awareness handout
•  Health Coach brochure
• Medication tracker
•  PHQ-9 depression screening questionnaire

SMART^® Registry Reports and Instructions for Use

Physicians who have patients with one or more of the common chronic diseases of the program will receive a report that summarizes key aspects of care. Reports are provided at patient-level and practice-level, as well as compared to overall network.

To ensure the safety of our members’ protected health information, SMART Registry CDs are password-protected. Providers can look up their password on the NaviNet^® web portal by selecting Reference Material and Reports from the Plan Transactions menu and then selecting SMART Registry Password.

To speak with a Connections Program Specialist (CPS) about the SMART Registry, call the Provider Support Line at 1-866-866-4694. A CPS can work with you and your office staff to sort the SMART Registry CD data to provide the most important information for you. CPSs can also help with making referrals to the Connections Program.

Connections^SM Shared Decision-Making^® Program

The Connections Shared Decision-Making Program offers physicians the resources to enhance doctor/patient dialog and make better-informed decisions. This brochure also includes information on and a list of the Shared Decision-Making videos available to your eligible members who are facing an important medical decision, such as surgery, treatment options, or end of life issues.

Description of Connections Shared Decision-Making Program

List of available Shared Decision-Making videos