Our state partner Community Care of North Carolina (CCNC), in collaboration with the North Carolina State Health Plan, has launched the “Wellness Wins” quality initiative to help improve medical outcomes for Health Plan members at select practices in Greene, Jones, and Lenoir counties.
There is no charge for practices to participate in “Wellness Wins.”
Greene, Jones, and Lenoir counties were chosen due to the prominence in each of six major chronic health conditions among State Health Plan members:
- Asthma/COPD (chronic obstructive pulmonary disease)
- Cardiovascular diseases:
- CAD (coronary artery disease)
- CHF (congestive heart failure)
The 24-month grant-funded initiative is designed to help prepare practices for the shift away from a Fee-for-Service payment model to Value-Based Payment.
CCNC has experience working with diverse populations, leveraging its statewide infrastructure around care management, quality improvement, and data analytics. The “Wellness Wins” initiative capitalizes on this through the use of our own infrastructure at Community Care Plan of Eastern Carolina (CCPEC). Our boots-on-the-ground local workforce is being supplemented by CCNC’s centralized program, data, and analytical capabilities.
How Will ‘Wellness Wins’ Impact State Health Plan Members?
- Health Plan members will be urged to establish a medical home through their primary-care practices, and will have increasing involvement with a health coach.
- Education efforts will focus upon the use of appropriate medical care.
- A worksite culture of wellness will be developed, promoting participation in wellness programs.
- Worksites will be provided the resources needed to maintain sustainable wellness programs.
- State Health Plan members will be encouraged to understand their own health statuses, and to be engaged with their medical home, participating in wellness programs, and taking advantage of state and local resources.
How Does Your Own Practice Take Part?
You’ll need to:
- Sign a participation agreement between your practice and CCPEC
- Complete a Practice Assessment with assistance and support from a CCPEC Quality Specialist, whose help will focus on two quality-improvement, patient-engagement, or practice-redesign initiatives.
To Learn More About ‘Wellness Wins,’ or for Enrollment Paperwork:
Contact Kenneth Ivey at Kenneth.Ivey@AccessEast.org.