HPSM’s Population Health Management (PHM) Program

HPSM’s PHM Program helps our members be healthy. As part of PHM, we offer four special support programs.

Here is a look at how these programs help members reach their health goals.

The Baby + Me Program promotes timely care and health from the start of pregnancy to birth and beyond. HPSM Medi-Cal members who are pregnant or who recently delivered a baby are eligible for this program. Those who sign up can earn up to $100 in Target GiftCardsTM for going to two visits!

  • During pregnancy: members who visit their provider within the first 12 weeks of pregnancy get a $50 Target GiftCard.
  • After having their baby: members who visit their provider within one to 12 weeks get a $50 Target GiftCard.

HPSM’s Health Promotion staff can also connect members to other local resources and services, such as:

  • Breast pumps.
  • Doula services.
  • Nutrition support programs.
  • And more!

Learn more about Baby + Me and sign up at www.hpsm.org/baby-and-me. You can also sign up or opt out by calling HPSM’s Health Promotion Unit at 650-616-2165.

The Bullseye Design, Target and Target GiftCards are registered trademarks of Target Brands, Inc. Terms and conditions are applied to Gift Cards. Target is not a participating partner in or sponsor of this offer.

Medi-Cal members get doula services at no cost 

Doulas provide support before birth, during birth, for a miscarriage, after giving birth and for abortion visits. Doula services also include:

  • Emotional and physical support.
  • Help with creating a birth plan.
  • Health navigation support.
  • And more!

The Diabetes Prevention Program (DPP) is a no cost, 12-month program for eligible HPSM Medi-Cal members that can lower the risk of getting type 2 diabetes! It includes weekly one-hour sessions led by trained Lifestyle Coaches for the first six months and monthly sessions in the last six months. The coaches help create plans for eating healthy, exercising more and losing weight. They also provide handouts to help program participants meet their health goals. Plus, program participants are provided group support.

DPP is for people who:

  • Are 18 years old or over.
  • Are overweight (Body Mass Index of at least 25 or at least 23 if self-identified as Asian).
  • Are not pregnant.
  • Do not have diabetes (type 1 or 2).
  • Do not have end-stage renal disease (kidney failure).
  • Meet one of the following
    • Have prediabetes: your primary care provider (PCP) can tell you if you have prediabetes.
    • Have had gestational diabetes in a past pregnancy.
    • Get a result of high-risk for type 2 diabetes on the CDC Prediabetes Risk Test at www.cdc.gov/diabetes/risktest/index.html.

To learn more, join or opt out, call HPSM’s Health Promotion Unit at 650-616-2165.

The Care Transitions Program helps members who have been sent home from the hospital avoid returning to the hospital. Once home, members can be referred to HPSM’s Integrated Care Management (ICM) Team for follow-up. The ICM Team assigns each member a Care Manager who:

  • Helps the member develop and follow their care plan.
  • Connects the member with their primary care provider (PCP).
  • Talks with the member’s family about other care needs.

To learn more, join or opt out, call HPSM’s ICM Team at 650-616-2060.

The Complex Case Management Program helps members who have one or more ongoing health conditions get the care they need to reach their health goals. Ongoing health conditions can include diabetes, high blood pressure or asthma. Emotional and social support is also offered through plan providers, partners and local resources.

HPSM’s Care Managers call eligible members inviting them to join the program. Members can opt in or out at that time. Once a member joins the program, a Care Manager is added to their care team. This Care Manager follows up regularly to:

  • Identify and prioritize concerns, goals and interventions.
  • Develop a care plan with the member.
  • Help secure other support services.
  • Assist in managing the member’s health issues and needs.

To learn more, visit www.hpsm.org/cc or call HPSM’s ICM Team at 650-616-2060.