လဲၤလဲၤပတာ်ဆူ တၢ်ဂ့ၢ်ခိၣ်တီမိၢ်ပှၢ်
တၢ်ဂ့ၢ်ခိၣ်တီမိၢ်ပှၢ်

ပတၢ်မၤဂ့ၤထီၣ်တၢ်အကံၢ်စီအတၢ်တိာ်ကျဲၤ

ဖဲ UnitedHealthcare (UHC) န့ၣ်, ပတၢ်ကွၢ်စိ မ့ၢ်ဒ်သိးကမၤစၢၤဒုးအိၣ်မူဘၣ်ပှၤ ပှဲၤဒီးတၢ်အိၣ်ဆူၣ်အိၣ်ချ့ ဒီးဆူၣ်ချ့ဂ့ၢ်၀ီတၢ်ဖံးတၢ်မၤအကျိၤကျဲ မၤတၢ်ဂ့ၤထီၣ်လၢပှၤကိးဂၤဒဲးအဂီၢ်န့ၣ်လီၤႋ ပမၤစၢၤ Medicaid ဒီး MinnesotaCare ကရူၢ်ဖိတဖၣ် လၢကီၢ်ရ့ၣ် Anoka, Carver, Dakota, Hennepin, Ramsey, Scott, Washington ဒီး St. Louis အပူၤန့ၣ်လီၤ. In St. Louis county, we also serve members with SNBC, MSHO, and MSC+. တကးဒံးဘၣ်, ပမၤစၢၤစ့ၢ်ကီး ကရၢဖိတဖၣ်အိၣ်ဒီး SNBC လၢကီၢ်ရ့ၣ် Scott အပူၤန့ၣ်လီၤ. United HealthCare ထီဘိမၤတၢ် လၢကမၤဂ့ၤထီၣ် တၢ်အိၣ်ဆူၣ်အိၣ်ချ့တၢ်ကွၢ်ထွဲ အကံၢ်အစီ ဒီး တၢ်မၤစၢၤတၢ်မၤတဖၣ် လၢပကရၢဖိတဖၣ် မၤန့ၢ်၀ဲဒၣ်န့ၣ်လီၤ. 

ပဃုသ့ၣ်ညါတၢ်ကီတၢ်ခဲတဖၣ်ဒီးဘှီဘၣ်အီၤဒ်လဲၣ်

  • ပစူးကါကျဲတဖၣ် ဒ်အမ့ၢ် တၢ်ဂ့ၢ်ထၢဖှိၣ်ဒီးတၢ်ဃုသ့ၣ်ညါ လၢကထံၣ်ဘၣ် တၢ်လီၢ်ဟီၣ်က၀ီၤ မ့တမ့ၢ် ပှၤအကရူၢ်တဖၣ် လၢလိၣ်ဘၣ်အါထီၣ်တၢ်မၤစၢၤန့ၣ်လီၤႋ
  • ပမၤသကိးတၢ်ဒီး ပှၤမၤစၢၤဖံးမၤတၢ်တဖၣ် ဒီး ကရူၢ်ဖိတဖၣ် ဒ်သိးကမၤလီၤတံၢ်လၢ ကရူၢ်ဖိတဖၣ် ဒိးန့ၢ်ဘၣ်တၢ်ကွၢ်ထွဲ လၢအ၀ဲသ့ၣ်လိၣ်ဘၣ်၀ဲ ဖဲအ၀ဲသ့ၣ်လိၣ်ဘၣ်၀ဲအခါန့ၣ်လီၤ.
  • ပဟ့ၣ်ခီနီၤလီၤတၢ်မၤလိမၤဒိး အတၢ်ပီးတၢ်လီတဖၣ် ဒီးပှၤမၤစၢၤဖံးမၤတၢ်ဒီးကရူၢ်ဖိတဖၣ်န့ၣ်လီၤ.
  • ပဟ့ၣ် ကျိၣ်စ့ခိၣ်ဖးလၢကဟ့ၣ်သဆၣ်ထီၣ် တၢ်ကွၢ်ထွဲလၢအဂ့ၤထီၣ်ဂီၢ်န့ၣ်လီၤ.
  • ကရၢဖိတဖၣ်လၢအိၣ်ဒီးတၢ်လိၣ်ဘၣ်အါမံၤအါကထၢ လၢအဒိးန့ၢ်ဘၣ်တၢ်ဆီၣ်ထွဲမၤစၢၤလၢပပှၤရဲၣ်ကျဲၤတၢ်ဂ့ၢ်တဖၣ်န့ၣ်လီၤႋ
  • ပထံၣ်လိာ်သးဒီး ပကရၢဖိတဖၣ်လၢပှၤတ၀ၢအပူၤန့ၣ်လီၤႋ
  • ပၤသကိးတၢ်ဒီးလီၢ်က၀ီၤကရူၢ်တဖၣ်လၢဆီၣ်ထွဲမၤစၢၤပှၤတ၀ၢတဖၣ်လၢ မၤစၢၤအီၤန့ၣ်လီၤႋ

United Healthcare တၢ်အကံၢ်အစီ တၢ်ပညိၣ်ဖီတၢၣ်တဖၣ်

  • မၤဂ့ၤထီၣ် ပှၤအတၢ်အိၣ်ဆူၣ်အိၣ်ချ့ တၢ်ပၢဆှၢရဲၣ်ကျဲၤတၢ်တိာ်ကျဲၤ ဒီးတၢ်ဟူးတၢ်ဂဲၤတဖၣ်
  • မၤဂ့ၤထီၣ် ကရူၢ်ဖိ ဒီး ပှၤဟ့ၣ်တၢ်မၤစၢၤ တၢ်လဲၤခီဖျိ
  • လူၤပိာ်မၤထွဲ တၢ်ပာ်ပနီၣ်ပာ်ကဲဒီးတၢ်ဟ့ၣ်လီၤတၢ်တမံၤမံၤလၢပှၤအါဂၤနာ်န့ၢ် ဒီးတၢ်လိၣ်ဘၣ်လၢအဘၣ်ဃးဒီးတၢ်ဖီၣ်ဃံးတၢ်သိၣ်တၢ်သီ
  • မၤစၢၤ ပှၤအကလုာ်ကလုာ်

တၢ်မၤဂ့ၤထီၣ်တၢ်အကံၢ်စီတၢ်တိာ်ကျဲၤတဖၣ်

ဟံၣ်ဖိဃီဖိဒီးဖိသၣ်တဖၣ်

What are we doing to improve pregnancies?

We want to help members have a healthy pregnancy and healthy baby. Healthy First Steps® is a program offered through your health plan. We will work with you and your provider to help you take healthy steps through pregnancy and after delivery. 

ပတၢ်တိာ်ကျဲၤ မၤစၢၤ ပှၤမိၢ်ဒၢတဖၣ် တချုးလၢဒီး ဖဲအ၀ဲသ့ၣ်အိၣ်ဖျဲၣ်အဖိဆံးတဖၣ်၀ံၤအလီၢ်ခံန့ၣ်လီၤႋ We help with community resources, medical care, and behavioral health care. We guide you to have a healthy pregnancy, receive a car seat, and offer rewards for visiting the doctor. ပမၤစၢၤဟံၣ်ဖိဃီဖိတဖၣ်လၢ မၤန့ၢ်တၢ်ကွၢ်ထွဲဒီးတၢ်ဆီၣ်ထွဲမၤစၢၤလၢအ၀ဲသ့ၣ်လိၣ်ဘၣ်၀ဲ ဖဲအ၀ဲသ့ၣ်လိၣ်တၢ်အံၤအဒိၣ်ကတၢၢ်အခါန့ၣ်လီၤ.

What are some of the challenges to improving pregnancies? 

ပမ့ၢ်တသ့ၣ်ညါလၢအ၀ဲသ့ၣ်အိၣ်ဒီးဟုးသးန့ၣ် တၢ်အံၤကီခဲလၢကဆဲးကျၢကရၢဖိတဖၣ် ဖဲအ၀ဲသ့ၣ်အတၢ်အိၣ်ဒီးဟုးသးသီသီသ့န့ၣ်လီၤ. ပမ့ၢ်တအိၣ်ဒီး လီၢ်အိၣ်ဆိးထံး မ့တမ့ၢ် လီတဲစိနီၣ်ဂံၢ်ဘၣ်ဘၣ်န့ၣ် ပမၤစၢၤကရၢဖိတဖၣ်တသ့ဘၣ်. ပဃ့ ပကရၢဖိတဖၣ် လၢကဆဲးကျၢ ပှၤ ဒီးအဝဲသ့ၣ်အကီၢ်ရ့ၣ်ခီးထံၣ် ဖဲအဝဲသ့ၣ်အိၣ်ဒီးဟုးသး မ့တမ့ၢ် အိၣ်ဆိး လီၢ်အိၣ်ဆိးထံး မ့တမ့ၢ် လီတဲစိနီၣ်ဂံၢ်လၢ အဆီတလဲ၀ဲအခါန့ၣ်လီၤ. ဖဲပှၤ ဒီး ကီၢ်ရ့ၣ်ခီးထံၣ် အိၣ်ဒီးတၢ်ဂ့ၢ်တၢ်ကျိၤအံၤအခါ, ပဆဲးလီၤအဝဲသ့ၣ်အမံၤလၢ ပတၢ်တိာ်ကျဲၤအဂီၢ် သ့န့ၣ်လီၤ. တၢ်အံၤမၤလီၤတံၢ် ကရၢဖိလၢအိၣ်ဒီးဟုးသးတဖၣ် မၤန့ၢ် တၢ်န့ၢ်ဘျုးခဲလၢာ် လၢပဟ့ၣ်လီၤ န့ၣ်လီၤ. 

How can we help your baby to stay healthy? 

After the baby is born, it is important for the mom and baby to see the doctor. We can help with scheduling doctor appointments, answering questions, and arranging transportation. ပှၤဟ့ၣ်တၢ်မၤစၢၤ ကသမံသမိးကွၢ်လီၤတံၢ်တၢ်သ့ၣ်တဖၣ် ဒ်အမ့ၢ် ဖိသၣ်ဆံးအတယၢၢ်ဃၢ, မဲာ်ချံ, နၢ်ဒီးသးဖျၢၣ်န့ၣ်လီၤႋ As the baby grows older, the well-baby checks will teach parents how to raise a healthy child. တၢ်အံၤ ဘၣ်သ့ၣ်သ့ၣ် တၢ်ကတဲသကိးဘၣ်ဃးဒီး တၢ်မၤနီၢ်ခိတၢ်ဟူးတၢ်ဂဲၤတၢ်မၤလိ, တၢ်အီၣ်လၢအပှဲၤဒီးတၢ်အိၣ်ဆူၣ်အိၣ်ချ့, ဒီးကဒီသဒၢတၢ်ဘၣ်ဒိဘၣ်ထံးဒ်လဲၣ်န့ၣ်လီၤ.

How do we know we made a difference? 

The goal of the program is to help our pregnant members and their babies be as healthy as possible. We look at data related to care access, health outcomes of our members, and if members are satisfied. Data is reviewed on an ongoing basis. An evaluation of the program also happens each year. In 2023, the nurse case managers helped 87% of our members with a high-risk pregnancy. They did this by helping them engage in care, removing barriers to care, and supporting improved birth outcomes. 

ပတိာ်ကျဲၤလၢကမၤဂ့ၤထီၣ် တၢ်ဒုးအိၣ်ထီၣ် တၢ်လီၤဆီလၢအဂ့ၤအဖီခိၣ် ဒ်လဲၣ်.  

We will continue to support our members getting to doctor appointments, access to doulas, food, transportation, car seats, and housing. In 2024, we plan to help educate members on how to have a healthy pregnancy and what resources United Healthcare can offer them.  Our goal is to help members have healthy pregnancies and remove barriers to care.

Seniors and SNBC

 

Why is it important to think about mental and physical health together?

It is important to think about the whole person when helping members. Together, diabetes and mental health can have a big impact on well-being. Studies have shown that people with diabetes are at a higher risk of having mental health challenges like depression and anxiety. Understanding the relationship between diabetes and mental health may lead to better outcomes for members. 

What are we doing to improve the health of those with diabetes and mental health issues?

United Healthcare can help members find community resources, medical care and behavioral health care. We give tips for how to manage your health and offer rewards for visiting the doctor. We help individuals get the care and support they need when they need it most.

What were some of the challenges to improving the health of those with diabetes and mental health issues?

It can be hard to help members get the care they need if they don’t know how to treat their medical conditions. Each member has a care coordinator who can help teach them how to care for their health needs. Many of our members live in places where it may be hard to get to the doctor’s office or clinic. To help, we work with members to set up rides to and from their appointments. Having access to the right care at the right time can reduce emergency room visits, hospitalizations, and even early death.

How do know we are making a healthy difference?

Our goal is for our members to be as healthy as possible. We look at data related to access to care, health outcomes of our members, and member satisfaction. Data is reviewed on an ongoing basis. 

ပတိာ်ကျဲၤလၢကမၤဂ့ၤထီၣ် တၢ်ဒုးအိၣ်ထီၣ် တၢ်လီၤဆီလၢအဂ့ၤအဖီခိၣ် ဒ်လဲၣ်.

We will continue to support our members by offering benefits such as food, transportation, and a dedicated care coordinator for each member. In 2024, we plan to learn more about our members needs and create resources to better support them. Our goal is to help members be healthy both mentally and physically. 

Quality Programs

The Quality Improvement Program Description provides details about what the health plan will do to make things better for our members. This document explains the steps we will take to review our programs and activities. An update of the program description happens every year. This year:

  • We will reward members for getting care.
  • We are working to reduce members needing to go back to the hospital.
  • We are focusing on health differences. 
  • We will achieve full NCQA Accreditation.
  • We are working to get member feedback.

We reviewed last year’s quality programs and activities to see how well we used our resources to improve our members’ health. We also review the quality and safety of our members’ clinical care. We wanted to know where we did a good job and how we can improve the programs for our members. We used the evaluation to plan for this year. Last year:

  • We made outreach to 93% of our members who were in the hospital for mental health.
  • We offered rewards to our members for prenatal and postnatal visits, immunizations, breast and cervical cancer screenings. 
  • We worked with 87% of our members with high-risk pregnancies.
  • We provided 2600 meals for members recently leaving the hospital for medical or behavioral health.
  • We provided 16300 meals for members leaving the hospital after the birth of a baby.
  • We included “bucket” car seats in the car seat benefit for our members.
  • We held 21 dental clinics at a local community center, held a coat give-away, and coordinated a Narcan training for the community. 
  • We assisted in the development of the Fairview Community Health & Wellness Hub.
  • We achieved NCQA Interim Accreditation.

We have a work plan that tracks our health plan goals, monitors quality improvement activities, and plans the services we provide to our members. We track issues and the planned interventions. The plan is reviewed and updated throughout the year. 

Health Equity

At United HealthCare, our mission to help people live healthier lives and to help make the health system work better for everyone. 

Health equity means that everyone has a fair and just opportunity to achieve their full health potential. Some of the things we did at United Healthcare:

  • 95% of our Minnesota staff did training and education on health differences through Health Equity University.
  • Health differences training was offered to all of our providers at no cost.
  • We worked with community organizations to understand how they are experiencing health differences. A few of them:
    • Karen Organization of Minnesota
    • Union Gospel Mission
    • Guiding Star Wakota
    • Hmong Nurses Association
    • Mount Airy Boys and Girls Club
    • Dorothy Day Center
  • Programs to address the health differences in maternal and child health.
    • Healthy First Start
    • Meals for Mom’s from Second Harvest Heartland
    • HealthTalk ကရၢဖိ လံာ်တၢ်ကစီၣ် 
  • Promoting access to safe and affordable housing, nutritious food, and transportation. 
  • Focus on making health information easier to understand for our members.

We’ve set goals for ourselves in 2024 to address health differences.

  • We will work toward Health Equity Accreditation.
  • We will continue to expand our Health Equity Strategy.
  • We will look for ways to reduce health differences and put those plans into action.

တၢ်ပာ်ပနီၣ်ပာ်ကဲဒီးတၢ်ဟ့ၣ်လီၤတၢ်တမံၤမံၤလၢပှၤအါဂၤနာ်န့ၢ်

The UHC Community Plan of Minnesota is accredited by a group called the National Committee for Quality Assurance (NCQA).  NCQA shares information with us on how to improve the quality of health care we provide to members. It is our goal to meet their standards for accreditation. Being accredited means we have made a promise to meet high quality care standards. To learn more about NCQA, visit their website.

NCQA

ဆဲးကျိၤပှၤ

ပအဲၣ်ဒိးနၢ်ဟူဘၣ်နတၢ်သံကွၢ်ဒီးတၢ်ထံၣ်တၢ်ဆိကမိၣ်န့ၣ်လီၤႋ ၀ံသးစူၤ ဆဲးကျၢပှၤဖဲ နမ့ၢ်အဲၣ်ဒိးသ့ၣ်ညါအါထီၣ်တၢ်ဂ့ၢ် မ့တမ့ၢ် ပာ်ဖျါတၢ်ဆိကမိၣ်တဖၣ် ပမၤဂ့ၤထီၣ်တၢ်မနုၤသ့လဲၣ်န့ၣ်လီၤ. ဆဲးကျၢ United Healthcare ဖဲ1-888-269-5410 / TTY: 711 မ့တမ့ၢ် စူးကါ နတၢ်ဖီၣ်န့ၢ်ဆှၢခီတၢ်ကစီၣ် တၢ်မၤစၢၤလၢနဘၣ်သးအီၤ 8 AM တုၤ 6 PM လီၢ်က၀ီၤ တၢ်ဆၢကတီၢ်, မုၢ်တနံၤ တုၤ မုၢ်ယဲၢ်နံၤ တက့ၢ်ႋ

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