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- Our mission is to enhance our members' health and quality of life.
- We understand and advocate preventive care through regular doctor visits and health management planning for chronic conditions. Addressing potential medical conditions before they become a problem helps improve member health and reduce medical costs.
- We advocate proactive communications with members and providers. Efforts include reminders for health screenings to both members and providers as well as identification and coordination of high-risk conditions and development of critical care management plans.
- We embrace cultural diversity by providing benefit information in eight languages as well as translation support through our Customer Service team.
- 'Ohana's care model matches members with support coordinators who then work with a cross-functional case management team capable of addressing clinical, pharmaceutical and behavioral health issues.
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- We recognize our responsibility as a corporate citizen, so through our affiliated health plans, we support national, regional and local charitable organizations that are dedicated to enhancing the health and quality of life of the members and communities we serve.
- Community partnerships are at the heart of our business plans, which is why we establish relationships and sponsorship programs with schools, churches, recreation centers, housing authorities, food pantries, and other community- and faith-based organizations throughout the markets we serve.
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- Effective partnerships with providers are key factors in the success of our health plan.
- We take a strategic approach to building provider networks and consider important factors such as our members' physical proximity to providers as well as provider qualifications and experience.
- We provide local support to our providers by establishing provider relations representation in the markets we serve, so we can continually cultivate successful partnerships.
- We offer our providers access to electronic applications for core capabilities such as checking member eligibility, processing claims electronically, checking authorization verifications and tracking claims status.
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- Quality initiatives for our health plan are patient-focused and emphasize preventive care and other initiatives such as member satisfaction surveys, site audits and credentialing for providers, member and provider education programs, health plan accreditation, and audits of providers' patient medical records.
Exceeding accreditation standards and establishing clinical guidelines is a demonstration of our commitment to ensuring quality of care for our members.









