Evaluation Summary

Program Overview

Health Net provides a wide variety of health promotion and disease management programs and services to over 1.3 million health plan members in California. This comprehensive approach to wellness reaches members at their worksites, their medical providers, their homes and in their communities. Health Net wellness programs have helped thousands of people reach their health goals, whether those goals are to lose weight, handle stress or quit smoking.

Health Net maintains its role as an industry leader in the management and measurement of quality of care through participation in projects such as the NCQA Report Card Pilot and the California Cooperative HEDIS Reporting Initiative (CCHRI). Health Net also leads the way in innovative provider programs which provide information, feedback and incentives for delivering high quality of service, quality of care and wellness programs.

Statistical Highlights

• Perinatal education participants showed expected net savings of $119,000 or $2.9 per targeted woman. 
• Breathe Easy smoking cessation program showed a 30% smoking quit rate with only 45% recidivism. 
• Rockwell, with an institutionalized wellness program, showed average sick days decline from 2.2 to 1.3 saving $259 per person. 
• HIV case management patients had four fewer hospitals days than non-case management.

Health Net and its participating medical groups offer members one of the most extensive networks of health promotion and patient education programs in California. We call our program Aim for Wellness for commercial members and Healthy Aging for Seniority Plus members.

AIM for Wellness

Health Promotion--These programs promote health and prevent disease through seminars, classes, support groups, and screenings. Examples of topics include: Smoking Cessation, Weight Management, Nutrition and Back Care.

Patient Education--These programs help patients to manage their conditions which frequently leads to medical cost reductions. Examples of programs include: Asthma, Diabetes, Early Prenatal Education, Hypertension and Cholesterol Management.

Healthy Aging

Senior Programs--mew programs meet specific lifestyle and health needs of our expanding older population. Participating Medical Groups who are Seniority Plus providers must offer programs specifically designed for older adult members. Topics include: Arthritis, Memory Enhancement, Aging and Sexuality, Loss and Grieving, and Osteoporosis.