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Network Matters
News and Information for the
Harvard Pilgrim Health Care Network

November 2018

Diabetes Prevention and Management Programs and Resources

As November is American Diabetes Month, Harvard Pilgrim wants to remind you of our commitment to the prevention and management of diabetes in members. Our programs often include close collaboration between the member, a Harvard Pilgrim-certified personal health coach or nurse care manager, and the member’s primary care physician (PCP).

Diabetes prevention

Harvard Pilgrim has wellness programs designed to promote healthy lifestyles, helping members reduce their risk factors for conditions like diabetes in a variety of ways. Our Lifestyle Management Program supports members in maintaining general wellness by offering information, tools and resources needed to implement and maintain a healthy lifestyle. The approach includes, among other things:

  • telephonic support in which a dedicated team of certified health coaches/nurse educators work with members and their families to help them make informed decisions about lifestyle opportunities like nutrition management, physical activity, and weight management
  • online wellness resources like self-paced educational workshops, fitness logs, and trackers that sync with more than 80 personal tracking devices, as well as recipes and a meal planner

To get a personal health coach, members simply sign on to HPHConnect and indicate on the confidential health questionnaire that they would like to work with a coach.

Diabetes management

Harvard Pilgrim’s Diabetes Management Program provides support, clinical resources, and educational materials for our members who have been diagnosed with diabetes, as well as the physicians who treat them. Members with diabetes receive a Diabetes Care Report explaining the importance of diabetes testing — for example, dilated eye exam to detect retinopathy, cholesterol test to detect hyperlipidemia, HbA1c test for hyperglycemia, and urinalysis for nephropathy. PCPs regularly receive registries containing patient-specific information, as well, including a Diabetes Gap in Care Summary to assist with monitoring and outreach efforts, and multiple prescriber reports to help coordinate care, avoid drug duplication, and monitor medication adherence.

Members who are at moderate or higher risk are additionally referred to our High-Risk Diabetes Program and receive outreach and personalized care from a Harvard Pilgrim nurse care manager. Close interaction with the member’s PCP and relevant specialists is also an important component of the care manager’s role. To refer a patient for diabetes nurse care management services, call 1-866-750-2068. The U.S. Department of Health and Human Services offers this helpful toolbox for providers.

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