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Population Health University

Highmark is on a journey to transform health. This goal requires a focused partnership with our provider partners, and enhanced coordination with hospitals and post-acute care facilities to improve the care for our members. In an ongoing effort to strengthen this collaboration, we are developing a series of modules aimed at continuous improvement and population health management.

Population Health University is an open exchange of information with The American Journal of Managed Care® (AJMC®) designed to deliver valuable information to you so that you can improve your overall delivery of care.

Learn more about our Population Health Transformation Journey.

Population Health University Modules:

The charts below show a listing of resources and toolkits available to help you in your Population Health journey. To view the full toolkit, you must first log in to NaviNet® and access the Resource Center that way.

Quality, Cost & Utilization Resources
Ambulatory Care Sensitive Condition Diabetes Chronic Care Management (CCM) Chronic Kidney Disease (CKD)
Clinical Partnership Review Clinical Services FAQs Emergency Department (ED) Utilization

Heart Failure

 Major Joint Ortho Suite Medicare Advantage Quality Measure Guides
Medication Related Cost Savings Medication Related Quality Optimal Colorectal Cancer Screening
Palliative Care Pharmacists Role in Transitions of Care Social Determinants of Health
Targeted Cost of Care

Transitions of Care

Transitions of Care Decision Tree
Clinical Prescribing Resources

Appropriate Prescribing for Obesity and Weight Loss

 Deprescribing Clinical Pearl in Treatment of Type 2 Diabetes Mellitus 2022 Pneumococcal Vaccine Recommendations 

Proton Pump Inhibitor Deprescribing 

 

Additional Resources

Educational Reminder Cards for Members - Highmark also has educational reminder cards, brochures, bookmarks and trackers that you can share with your patients. View and order them in our Educational Resources section.

Reference Guide of Highmark Member Programs - The Highmark Member Programs Reference Guide contains useful information and resources to give providers a comprehensive understanding of the programs offered to Highmark members in all service areas and for all lines of business.

Last updated on 5/2/2022 2:50:15 PM

 

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Highmark Blue Cross Blue Shield serves the 29 counties of western Pennsylvania and 13 counties of northeastern Pennsylvania. Highmark Blue Shield serves the 21 counties of central Pennsylvania and also provides services in conjunction with a separate health plan in southeastern Pennsylvania. Highmark Blue Cross Blue Shield West Virginia serves the state of West Virginia plus Washington County. Highmark Blue Cross Blue Shield Delaware serves the state of Delaware. Highmark Western and Northeastern New York Inc., serves eight counties in Western New York under the trade name Highmark Blue Cross Blue Shield of Western New York and serves 13 counties in Northeastern New York under the trade name Highmark Blue Shield of Northeastern New York. Each of these companies is an independent licensee of the Blue Cross Blue Shield Association. Blue Cross, Blue Shield and the Blue Cross and Blue Shield symbols are registered marks of the Blue Cross Blue Shield Association, an association of independent Blue Cross and Blue Shield companies. All references to “Highmark” in this document are references to the Highmark company that is providing the member’s health benefits or health benefit administration.