Virginia Bankers Association. October 2008. Agenda. Introductions Overview of 360° Health Programs 24/7 NurseLine Future Moms ConditionCare Promotional Materials for VBA Wrap Up/Open Discussion. What is Anthem 360º Health?.
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Members are directed to appropriate care settings, resulting in fewer emergency room visits and reduced costs.
Future Moms provides individualized support to expectant moms to achieve healthier pregnancies and deliveries.
VBA offers $100 WalMart gift card to expectant mothers that enroll in the Future Moms program in the first trimester.
800#, MD Referral, Health Plan Referral, Claims Data
Assessment by RNs via Phone
Assessment Results Shared with MD
Prenatal Kit Mailed
Future Moms Program Flow
Asthma, adult and pediatric
Diabetes, adult and pediatric
Chronic Obstructive Pulmonary Disease
Coronary Artery Disease
Low Back Pain
Vascular-At-Risk (Hypertension, Hyperlipidemia, Obesity, Metabolic Syndrome)
Screen Data from Medical/Pharmacy/Lab/HRA
Diagnosis Codes (ICD-9)
Procedure Codes (CPT)
Drug Codes (NDC)
Members can always self refer into the program, as well as accept referrals from Anthem Case Management, UM, and MD
Targeted intervention focused on condition
stabilization / Intensive intervention for health &
(Clinical & Pharmacy)
Moderate risk participants are managed on average
for 6 months, high risk participants for approx. 12-18 months.
Education, support & self-management tools
Customized flyers have been developed for VBA to promote the various Anthem 360 Health programs.