Envolve, Inc.®, an integrated healthcare solutions company, participated at last week’s Texas Association of Health Plans (TAHP) Directors Forum in Dallas, Texas. The theme of the invitation-only event was Strategies for Treating Complex Populations and Improving Outcomes. As a sponsor and associate member of TAHP, Envolve presented to Medical and Pharmacy Directors on Diabetic Retinopathy Quality Initiatives for meeting and exceeding HEDIS measures.
David Lavely, President of Envolve Benefit Options, the division of Envolve that includes vision and dental services, spoke to attendees about the significance closing gaps in care has on mitigating costs associated with the proper use of the vision benefit through provider and member incentives and outreach initiatives. According to CMS, over four percent of diabetics in the United States have vision threatening Diabetic Retinopathy. Using a number of member outreach initiatives, eye exams are scheduled for health plan members, especially those with diabetes, helping detect costly sight-threatening diseases that can then be cared for early.
Envolve delivers vision outreach services specific to diabetic retinopathy to clients to satisfy HEDIS measures and increase the number of members completing eye exams. Through telephonic outreach, medical claim review and data analytics, Envolve proactively engages providers to update member information. On the member side, live agent outreach allows Envolve to educate and schedule eye exams to promote adherence and ensure members understand their vision benefits and the importance of an annual eye exam -- especially if they are living with diabetes.
Envolve also deploys a mobile vision clinics that provide screenings for children and adults who may not otherwise receive them with the goal of promoting the importance of eye care.
For more information about Envolve and our comprehensive vision benefit services, visit www.envolvehealth.com.
About Texas Association of Health Plans
The Texas Association of Health Plans (TAHP) is the statewide trade association representing health insurers, health maintenance organizations, and other related healthcare entities operating in Texas. Our members provide health and supplemental benefits to Texans through employer-sponsored coverage, the individual insurance market, and public programs such as Medicare and Medicaid. The association was founded in 1987, and represents the healthcare industry’s commitment to improving healthcare for Texans. Visit www.tahp.org to learn more.
About Envolve, Inc.®
Envolve, Inc.® is a family of health solutions, working together to make healthcare simpler, more effective and more accessible for everyone. As an agent for change in healthcare, Envolve is committed to transforming the health of the community, one person at a time. Envolve unifies vision, dental, PBM, specialty pharmacy and more. For more information, please visit our website www.envolvehealth.com or contact us today at email@example.com.
 www.cms.gov: Measuring Health-Related Quality of Life for Patients with Diabetic Retinopathy