Improving Health Outcomes and Financial Hardships

A 62-year-old female, who lives with her spouse, has a medical history that includes type II diabetes and hyperlipidemia. She is not managing her disease and is not in a protected plan. The member requested assistance in managing her medical, financial, and mental health.

Due to financial constraints, she was running out of medications, and she also needed help with buying food, and stated that she was going without eating at times.

Member Results

  • Now adherent to medications and has improved blood sugar readings from 285 to 100s

  • Reported to PHN that she was able to visit three of the food pantries and received food for herself and spouse

  • Filed bankruptcy and spouse’s wages are no longer being garnished

  • Stated that she was so appreciative of the assistance and that she feels much less stress and can now focus on her health

  • Because of diet education, member stated that she is now be able to buy healthier food

  • Committed to working with PHN on goals and stated that thanks to PHN she can do the things that she enjoys again, such as gardening

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How Conifer’s Personal Health Nurse (PHN) Helped
  • Reached out to member’s PCP to explain the financial situation and the need for her medications – PCP agreed to bill member for co-payment, allow her to pay overtime and also provided samples for all her medications

  • Researched area food pantries and provided resources to member for food assistance

  • Referred member to New Directions and spoke to the New Directions CM before outreach to discuss member’s current situation

  • Suggested that member and spouse look into filing bankruptcy if needed

  • Performed a complete assessment on the initial outreach call and was able to prioritize member’s immediate needs: medications, food, and financial assistance

  • Quickly researched and coordinated resources to meet all her needs, and provided education to member on diet restrictions

  • Provides ongoing assistance with diabetes management and lowering member’s A1c level

  • Continues to assess for depression as member stated the symptoms were situational and now resolved

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Individualized Approach
Personal. Health. Nurse.

Help members navigate the care continuum to find the right care, in the right setting, at the right time —go beyond episodic case management or chronic disease management.

Our Personal Health Nurses engage members and optimize benefit plan utilization through collaborative care management and heightened health literacy.

Conifer Health’s Population Health Management solutions are powered by ConiferCore® technology, a proprietary platform for:

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Care Navigation

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Disease Management

Goal-based programs care for the person, not just the chronic condition

Case Management

Support members most at-risk for high-dollar or ineffective benefit utilization

Utilization Management

Maximize member access to the right care, in the right setting, at the right time

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