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A Resolution to Focus on Preventive Care

By Monica Bender, VP of Care Management

About half of all adults in the U.S. make New Year’s resolutions. Many choose to focus on health, whether it’s in the form of exercising more or eating healthier. But a good intention to focus on this year – particularly with COVID-19 cases on the rise – is the use of preventive care. As the saying goes, an ounce of prevention is worth a pound of cure. And it’s no truer than in healthcare.

When it comes to healthcare, many people are reactive. They’ll only make a doctor’s appointment when they’re not feeling well, or they’ll start to take care of their bodies only after a health problem arises. When traveling abroad, I noticed a more proactive approach to medicine. I found many people in Europe focused on preventive care to improve their overall health. They had simple healthy habits, such as eating fresh vegetables with breakfast. They engaged in more movement, such as walking and biking to work or other desired locations. Overall, they were striving for a well-balanced life that helped reduce stress.

It can be difficult to convince people to focus on health and wellness, especially if they are busy and do not feel sick. However, it’s important to keep in mind that preventive care can improve long-term health, contribute to a longer lifespan, and help detect issues before they become serious life-threatening conditions. For instance, engaging in a healthy diet and regular exercise can prevent diseases, such as Type II diabetes and heart disease. Here are some other preventive measures to keep in mind to practice in 2021:

Annual exams, routine checkups and wellness visits

No matter what they’re called, these visits are instrumental in helping to detect and address health problems early. And during COVID-19, many checkups can be performed via telemedicine. It’s a good idea to discuss the availability of such appointments with your health plan and primary care physician. They can direct you on a case-by-case basis, if telemedicine is an option or an in-person visit is more appropriate.

Cancer awareness and screening

Cancer is a leading cause of death in the U.S. An important way to guard against this disease is to engage in screenings, which follow recommended medical guidelines. A screening can detect cancer early when there’s the greatest likelihood of treatment success. As such, most plans provide full or significant coverage for cancer screenings. Certain factors – such as age, family history and hazards, such as high sun exposure and tobacco use – can increase your risk, in which case, it’s even more important to get screened.

Ensuring a healthy pregnancy

If you’re an expectant mother, it’s good to have a place to turn to for advice and information. When a woman is pregnant, prenatal care is vital to ensure the health and wellbeing of both the mother and child. In 2018, approximately 658 women died while pregnant or shortly after giving birth. About 60% of these deaths were preventable without much cost or trouble.

This is one of the reasons HealthComp offers a Mommies 2-B Program, which helps expectant mothers learn about prenatal care and the changes and special needs that can occur during this exciting time. Although medical problems may occur during pregnancy, early identification aids in the success of treatment of those issues. It also gives the baby the best chance of being born strong and healthy.

Smoking cessation

According to the CDC, smoking leads to disease and disability and harms nearly every organ of the body. More than 16 million Americans are living with a disease caused by smoking. The CDC outlines the detrimental effects to a person’s health. But if you’re a smoker who wants to quit, there’s good reason to take heart. Those effects are reversible. The American Cancer Society lists the benefits of quitting, many of which begin within minutes of your last cigarette.

To help support your goal to quit, HealthComp offers a smoking cessation program. One of the first things we recommend is that you speak to your physician about medications that can help reduce the urge to smoke, such as Nicotine gum or the patch. Such medications double and even triple the quit rate. We also recommend you clearly identify your motivations to quit – maybe you want to create a healthier environment for your kids or perhaps you want to be able to play with your grandkids. In addition, knowing the triggers that cause you to reach for a cigarette, such as stress, can help you find a healthier way to handle that trigger. Our program offers many other tips and strategies. If you’re a member of one of our plans, call us at 1-800-775-7247, ext. 2508 to find out if it’s offered by your plan and how you can get started.

Disease management

According to a new analysis by the Department of Health and Human Services, 50 to 129 million (19 to 50 percent of) non-elderly Americans have some type of pre-existing health condition. There are many ways to manage chronic conditions – such as diabetes, high blood pressure, or high cholesterol levels – to ensure you get a handle on the symptoms and avoid an urgent visit to the emergency department. In fact, HealthComp has established partnerships with many vendors that specialize in managing specific conditions. For example, we partner with Livongo for diabetes management and Hinge for musculoskeletal issues. These are in-home programs that help members address health issues before they escalate.

Prevention: A Long-Term Goal

Living a healthy life and helping those around me do the same was what led me into nursing and healthcare in the first place. I hope it inspires you as well. Even if you haven’t made a New Year’s resolution yet, or you made one and it’s already fallen by the wayside, it’s never too late to make preventive care a model you strive for. As we said at the start, you just need an “ounce,” so take small steps and incorporate additional actions over time. Along this path, you’re sure to reap many rewards.

Chad Harris

Chief Executive Officer

 

Chad Harris serves as the CEO of HealthComp and is a values-driven healthcare leader with over twenty years of experience running business process and information technology businesses as a senior executive. Chad has a reputation for creating and controlling rapid growth by focusing on the intersection of customers, market dynamics, and the new digital world.

 

Chad has held many senior executive positions and led global teams of more than 10,000 people across dozens of counties. Chad has grown both large and small businesses, from those with less than $100M of revenue to those producing multiple billions of revenue, focusing on delivery, customer satisfaction, and innovation to create market leadership.

 

Chad's philosophy is to inspire change by doing what comes naturally, putting the needs of others before his own, working incredibly hard, and focusing on "how" to accomplish things, never "if they can be accomplished."

Thomas Martel

Chief Growth Officer

 

Tom serves as the Chief Growth Officer at HealthComp. In this role, Tom focuses on strategic initiatives aimed at accelerating HealthComp’s growth nationwide. His passion lies in assessing market and enterprise structures and creating efficiencies that enable teams to deliver best-in-class performance.

 

Previously, Tom led Cigna’s largest employer segment, largest region which was comprised of several health plans including the two largest health plans. He worked closely with Market Presidents and their leadership teams to develop and execute local market strategy and deliver growth for the enterprise. Tom earned his degree from Saint Anselm College and holds certifications from The Wharton School and the Darden School of Business at the University of Virginia. In his spare time, he enjoys sailing and holds a Master Captain’s license with the U.S. Coast Guard. He is also active in community outreach programs including local food bank and shelter services.

Sanoj Balakrishnan

Chief Technology Officer

 

Sanoj Balakrishnan serves as the Chief Technology Officer at HealthComp. In this role, he oversees the company’s overall technology strategy and architecture, building secure and highly scalable distributed systems.

 

Most recently, Sanoj served as Head of Healthcare Digital Business and Technology at Cognizant, working with payers and providers in developing solutions that reduced healthcare costs and provided a best-in-class experience for members. Earlier in his career, he worked at technology organizations in a variety of software engineering and architecture roles. Sanoj earned his B.S. from University of Mumbai and Computer Systems Management from National Institute of Information Technology.

Justin Tran

Executive Vice President, Product

 

Justin serves as the Executive Vice President of Product at HealthComp. He has 8 years of experience in developing and delivering solutions that reduce health care costs, improve quality, and provide a best-in-class experience for members. Most recently, Justin was an Associate Partner and business unit leader at McKinsey & Company where he helped large carriers and healthcare technology companies build new clinical services and solutions for fraud, waste, and abuse. Justin earned his B.S. in Accounting and Data Informatics from Indiana University, Bloomington.

Tucker Stein

Chief Financial Officer

 

Tucker serves as the Chief Financial Officer of HealthComp. Tucker previously worked for The Boeing Company in a number of finance and strategy roles, most recently as a finance lead for the Transactions and New Business Development group. In this role Tucker led investments and strategic partnerships for Boeing’s Space and Communications portfolio. Tucker earned his MBA at Stanford’s Graduate School of Business and his Bachelors of Science at the University of Redlands.

Tom Georgouses

General Counsel

 

Tom is involved in multiple areas of HealthComp including Operations, Compliance and Legal Affairs. Tom was admitted to the California Bar in 1990 and started his legal career with Stammer, McKnight, Barnum and Bailey, LLP. When he left the firm to join HealthComp in 2014, he was the Managing Partner (he had represented HealthComp since 2003). In private practice Tom’s areas of focus included healthcare and transactional work. Tom holds a Bachelor of Science Degree in Business Administration-Finance from California State University Fresno and received his Juris Doctorate from San Joaquin College of Law.

Rishab Bansal

Chief Transformation & Operations Officer

 

Rishab serves as the Chief Transformation & Operating Officer at HealthComp. Rishab focuses on transforming and modernizing HealthComp’s operations to provide delightful and distinctive experiences to its members, providers, and clients. His agenda includes integrating all entities towards a One HealthComp vision, driving profitable growth, and delivering value and business outcomes.

 

In his former work over the last 2 decades, he has helped clients across industries to transform themselves by bringing industry-leading practices and digital and data-led disruption. As the trusted advisor to the C-suite, Rishab helped his clients leapfrog on their transformation journey to accelerate business outcomes and helped them unlock new opportunities to drive profitable growth, profitability, and enhanced experience for their employees and clients.

EDI Information

If you are a healthcare provider and have the capability to submit healthcare claims electronically and use one of the clearinghouses listed below, please use the associated payor ID to submit claims destined for HealthComp.

Clearinghouse Medical Payor ID Dental Payor ID
Availity 85729
Capario HCOMP
CareVu 85729
Dental XChange DX029
Emdeon/WebMD 85729 85729
Claimant.com 85729
I-Plexus Solutions 85729
McKesson (RelayHealth) 85729
CPID:
HCFA - 3206
UB - 2934
NDC 85729
Office Ally 85729
OptumInsight (Formerly Ingenix) 85729
Tesia 85729

We strongly advise that you confirm our payor ID with your clearinghouse before you submit claims electronically to us.
For questions regarding our EDI capabilities, please contact our EDI Coordinator



Elaine Davis

Chief Human Resources Officer

 

Elaine Davis serves as CHRO for HealthComp. Elaine previously served as CHRO for Continuum Global Solutions and has served in executive leadership positions for Xerox and GlaxoSmithKline. Elaine holds Bachelor’s and Master’s degrees from the University of California at Berkeley.