COVID-19 Vaccination Data & Initiatives - By Health Plan of Nevada's Medicaid Plan - DHCFP
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HPN Vaccination Rates Vaccine Rates for Medicaid From 12/20/21-4/4/21 the eligible Population (ages 12+) population for the COVID-19 vaccines was: • Current eligible Medicaid members (ages 12+) = 203,681 • 16 and older with underlying conditions and disabilities and those • Vaccinated members currently experiencing homelessness. eligible = 45,083 • Ages 65 and older (not applicable to • % vaccination on current members HPN’s Medicaid members). only = 22.13% Effective 4/5/21, all Nevadans 16 and older were eligible for COVID-19 vaccine * * Vast majority of HPNs Medicaid population 2 Proprietary information of UnitedHealth Group. Do not distribute or reproduce without express permission of UnitedHealth Group.
Fully Vaccinated vs. One Dose Medicaid Member (December 2020-July 8, 2021) Vaccination Status by LOB 76.56% 80.00% 66.14% VACCINATION STATUS BY RACE 70.00% 60.00% 1.13% 50.00% Amer. Ind./Alaskan Nat. 1.17% 40.00% 11.66% 13.99% Asian/Pacific Islander 30.00% 16.46% 14.38% 20.00% 8.17% 13.70% 16.06% 1.57% 3.41% Black/Black (Non-Hispanic) 13.52% 10.00% 0.00% 34.58% CHAP Check-Up Expansion TANF Hispanic 26.85% 29.83% Fully Vaccinated One Dose White 37.44% 6.73% Vaccination Status Rate Other Race 6.63% 19.58% 0.01% Not Provided 0.01% 0.00% 5.00% 10.00% 15.00% 20.00% 25.00% 30.00% 35.00% 40.00% One Dose Fully-Vaccinated 80.42% Vaccination Overall Total = 46,846 (includes current members and non-current members ) Fully Vaccinated One Dose 3
Member Focused Initiatives Member Incentive Member Reminders/Community $15 Visa Gift card Education and Funding • Effective 7/1/2021 all members eligible for COVID vaccination will receive a $15 Mailed postcards gift card when they are fully vaccinated. • Vaccine initiation postcard encouraging members to Transportation start vaccine series. • MTM offers same-day transportation for • Reminder postcards to encourage/remind members to Medicaid members to vaccine locations complete 2nd dose. and any event that is including COVID Live Calls vaccinations. • Vaccine navigator to call members to remind them to Grant Funding complete 2nd dose. • Immunize Nevada - $175,000 grant to Member Publications increase childhood and COVID-19 • Published COVID-19 vaccine article in Summer 2021 immunization rate by hiring a vaccine member magazine expected to be in mailboxes this equity manager(identify gaps, provide week. education, and no-cost clinics based on • Posted COVID-19 vaccine page on the website to help identified gaps). members find vaccine locations. • Puentes - $15,000 grant to support Funding COVID-19 vaccine clinics in partnership • Provided funding for marketing materials to promote with UNLVSOM to serve Latino City of Las Vegas COVID-19 vaccine clinics at recreation communities. centers. 5 Proprietary information of UnitedHealth Group. Do not distribute or reproduce without express permission of UnitedHealth Group.
Member Mailers 6 Proprietary information of UnitedHealth Group. Do not distribute or reproduce without express permission of UnitedHealth Group.
Provider Focused Initiatives H • Provider Incentive Program $25 $25 Provider Incentive- Effective 9/1/2021, providers will receive incentive for per members who are fully vaccinated. member • First Med FQHC Provide incentive funding to First Med for patients who receive COVID-19 vaccines in their clinic. • Partnerships with providers Back to School Events: Partner with CBOs to administer vaccines to eligible people during back to school events. Data Sharing: Include vaccination rates in existing performance summary reports to encourage providers to vaccinate. • Health Equity Associate Director Hired employee for this new position that will focus on reducing health disparities, including COVID-19 vaccination rates in the Medicaid population. Employee start date is 8/01/2021. 8 Proprietary information of UnitedHealth Group. Do not distribute or reproduce without express permission of UnitedHealth Group.
COVID Vaccination Hesitancy Assessment Overview ENGAGE – Strongly recommend receiving the vaccine COVID-19 Vaccine Assessment LISTEN – Hear member concerns and seek Please Answer Questions Below: to understand contributing factors • Have you received the COVID vaccine? EDUCATE – Respond with known facts • Are you interested in receiving the COVID vaccine? EMPOWER – Ask the member to state their next action step. Assist when appropriate • What makes you hesitant about receiving the COVID vaccine? COVID-19 Resources • Are you interested in receiving additional information about the COVID vaccine? Helpful Links: • Making a Strong Recommendation for COVID-19 Vaccination (Click Here for CDC Guidance) • Addressing Vaccine Hesitancy: • Do you have plans to get the COVID vaccine? https://www.cdc.gov/vaccines/covid-19/hcp/engaging-patients.html Do you need any assistance? • COVID-19 Vaccine Frequently Asked Questions (Click Here for FAQ's) • COVID-19 Employee Resources (including where to find a vaccine, travel guidelines, etc.) • (Click Here for COVID-19 Employee Resources Page on the Hub) • Fact Sheet about how to get the vaccine https://www.hhs.gov/sites/default/files/uninsured-patient-covid-services-poster.pdf 10
COVID Vaccination Hesitancy Medicaid Outreach/Education (April 1, 2021- July 8, 2021) When asked if the Member wants the COVID Vaccine COVID-19 Hesitancy Outreach By Department 9% 13% 1000 950 900 826 850 789 800 21% 57% 750 700 650 618 600 550 507 500 427 450 400 YES NO DECLINE TO ANSWER NA* 350 300 250 *NA= members currently have COVID or other medical condition or altered mental status 200 126 150 100 52 What Makes you hesitant of the vaccine? % 50 1 2 17 11 3 5 2 0 Lack of Knowledge 25% AC/SCD BHO SCA Care Advocacy CHW CMS OB-CAC Other (medical condition; behavioral needs; allergies; does not 18% travel; doctor advised against) COC ICM DM/HEW OPCM CFMP WPCM Safety Concerns 18% OOA/Transplant Reno WH/PT SCP-SMA Side Effects 16% Pediatric member 5% Medicaid Members Outreached = 3,386 Pregnant Member 3% Religious/Cultural Views 3% 11
COVID Vaccination Initiatives Church Outreach: On 6/27/21 Detention Center Outreach: Advice Nurse Team: initiating CHW reached out to African- Community Health Workers (CHWs) vaccine hesitancy assessment/ American Church (Greater Carver attended the City of Las Vegas discussions with inbound callers MB Church) and gave an Detention Center Inmate Resource overview on the CHW program, Seminar on 7/1/21. CHWs will Advice Nurse Team/Sickle Cell benefits offered through provide community resources, COVID Disease Program: Provided Medicaid, and COVID vaccination vaccination outreach and education outreach/education and hesitancy and resources to released homeless inmates vaccination resources to • This is a first in a series of • During COVID, jail visits were Medicaid members enrolled in reaching out to churches suspended, although, CHWs the program within the Medicaid have assisted recently released community inmates with community resources, COVID vaccination resources, and bus passes • Jail visits will resume soon 12
COVID Vaccination Outreach Story AC/TAN RN spoke with a woman in her forties with chronic pain RN explained to this patient the MRNA is and some other issues. She told RN asked her if she not really a new technology that the RN she was interested but noticed that LV and most scientists and doctors have been using wanted to wait and watch how the MRNA to treat cancer in some those currently vaccinated of the country is opening patients. The nurse also told the member fared. She also expressed some up to a new normal, more that the scientists in the US and around concern at what many have the business opening and the world shared information and break- mindset that the vaccine was talked with member through findings which assisted in created very quickly. about those vaccinated developing such effective vaccines at a will be able, in some faster rate. After the discussion the situations, not be patient was open to getting the vaccine required to wear a mask. and the nurse provided her two avenues on how to schedule an appointment. She expressed gratitude and kindness at the end of the call. 13
Community Organizations
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SMA COVID-19 Vaccination Data and Outreach
2021 Covid-19 Vaccine Event Timeline-SMA Proprietary information of UnitedHealth Group. Do not distribute or reproduce without express permission of UnitedHealth Group.
SMA COVID-19 Efforts • SMA has worked with Nevada state officials to bring COVID-19 vaccines to the southern Nevada community while following the guidelines outlined by the Southern Nevada Health District. SMA is offering a drive-thru vaccination clinic at the Tenaya location offering patients who are eligible to receive their first vaccine dose. Medicine on the Move COVID-19 vaccine clinics • 6/2/21 COVID-19 clinic at Community Health Alliance, Wells Clinic • 7/23/21 COVID-19 clinic to be held at CARES Campus (homeless shelter) 18
SMA COVID-19 Efforts Email Blast to Social Media 100,000+ patients Promotion from in 3 months. February - May
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