Through a Stratification Process, Employees are Identified for Diabetes Interventions
MedWise Diabetes Disease Management System provides the programs employees need to:
- Achieve and maintain optimum blood glucose levels
- Manage co-morbidities related to diabetes, including hypertension with diabetes management
- Prevent the onset of complications by providing innovative diabetes management services including foot exams
- Health and Wellness Program supports maintaining healthy lifestyles and adhering to recommended health management plan
Diabetes Management Program interventions include:
- Comprehensive Employee Health Risk Assessment to identify health risk and assist in creating individualized employee action plans. Plans include both short- and long-term goals to better manage employees diabetes and reduce risks
- Proactive Care Coordinator outbound and responsive inbound calls to help employees achieve treatment goals
- Diabetes Management System records blood sugar test results in HIPAA compliant encrypted information server for 24 hours/7 days a week/365 day a year access
- Management of risk factors and co-morbidities related to diabetes, including hypertension with diabetes management
- Educational opportunities to learn about:
- Chronic conditions, self-management techniques to control and manage the progression of employees diabetes
- Nutritional plan and meal planning preparation guides
- Health coaching and consultation
- Cost-saving opportunities through exclusive use of mail-order for diabetic and ancillary supplies
- Wellness programs that promote healthy lifestyle choices
Acuity Level Pricing
ACUITY LEVEL 1
- Supply management program with the DirecTest Glucose Monitoring System.
- Online access to the MedWise Diabetes Educational Health/Wellness Program.
- Pricing for supplies per managed care fee schedule based on patient volume.
ACUITY LEVEL 2
- Supply management program with the Fora V12 Pro/Voice Glucose Monitoring TeleHealth System.
- Online access to the MedWise Diabetes Educational Health/Wellness Program.
- Pricing for supplies per managed care fee schedule based on patient volume.
- PPPM (per patient per month) fee of $5.00 for TeleHealth Gateway.
ACUITY LEVEL 3 (for patients with pre-diabetes and controlled diabetes)
| A1C | ≤ | 7.0 |
| BP | ≤ | 130/80 |
| CHOL | ≤ | 200 |
| BMI | = | 18.5-25 |
- Supply management program with the DirecTest Glucose Monitoring System.
- Online access to the MedWise Diabetes Educational Health/Wellness Program.
- Online access to the MedWise 16 week “Change Your Life” nutrition plan.
- Health Risk Assessment
- One consultation with Dr. Bruce Tyler per year.
- Smoking Cessation Program
- Pricing for supplies per managed fee schedule based on patient volume.
- PPPM fee of $15.00 for clinical services.
ACUITY LEVEL 4
| A1C | = | 7.0-8.0 |
| BP | ≤ | 150/90 |
| CHOL | ≤ | 240 |
| BMI | = | 25-30 |
- Supply management program with the DirecTest Glucose Monitoring System.
- Option to use the Fora V12 TeleHealth System.
- Online access to the MedWise Diabetes Educational Health/Wellness Program.
- Online access to the MedWise 16 week “Change Your Life” nutrition plan.
- Health Risk Assessment
- Two consultations with Dr. Bruce Tyler per year.
- Smoking Cessation Program.
- Group meetings/ Videoconferencing with Dr. Bruce Tyler monthly.
- Medication adherence review.
- Foot Care review.
- Pricing for supplies per managed fee schedule based on patient volume.
- PPPM fee of $30.00 for clinical services (includes TeleHealth PPPM fee).
ACUITY LEVEL 5
| A1C | ≥ | 8.0 |
| BP | ≥ | 150/90 |
| CHOL | ≥ | 240 |
| BMI | ≥ | 30 |
- All services in Level 4. All patients to use ForaV12 TeleHealth System.
- Four consultations with Dr. Bruce Tyler per year.
- Interactions (videoconference, telephonic, onsite, in person) every two weeks.
- Intensive educational focus.
- Intensive nutritional focus.
- Pricing for supplies per managed care fee schedule based on patient volume.
- PPPM fee of $50.00 for clinical services (includes TeleHealth PPPM fee).
Note: The progression from Acuity Level 5 to Level 4 and the progression from Level 4 to Level 3 constitute the clinical improvement necessary under the Affordable Care Act’s “health-contingent wellness programs” for employee’s to receive a reward or incentive from their employer.
The A1C, BP, Cholesterol, BMI are acuity level numbers for clinicians use only and not to be construed as targets or goals for employees. This program is voluntary and thus meets standards set forth by HIPAA, ADA, EEOC, GINA, PHI and ADEA directives. This program also includes alternatives for disabled employees to receive rewards/incentives when unable to participate in specified activity.
