Improving Health Outcomes
At Centene, we believe in finding new and effective solutions that respond to the complex health needs of our members. By combining active local involvement in our communities with a commitment to whole health, Centene has established programs that work to remove many of the barriers facing healthcare consumers. Oftentimes, these successful health management programs are a result of collaborations with community partners and other stakeholders.
How We Do It
Centene’s Clinical Programs team collaborates with our Enterprise Analytics group to develop a comprehensive portfolio of programs to advance health outcomes for Centene’s members. Through deployment of the Identify, Stratify, Manage, Measure, and Disseminate (ISMMD) model, each clinical program is developed by leveraging cutting-edge clinical guidelines, evidence-based best practices, and data science. Implementation of each of the clinical programs is measured through continuous monitoring, benchmarking, and a rigorous goal-setting process. Three examples of Centene’s clinical programs are listed below. They continue to set the industry standard in quality and clinical program development by emphasizing the highest level of methodology and analysis.
Fluvention®
Fluvention empowers members to take proactive steps to protect themselves and their families from the flu and its serious health, personal, and financial impacts. The program customizes messaging and outreach strategies to educate members on vaccine access, flu-related complications, and prevention of infection and spread, with a heightened focus on reaching those at higher risk. We believe that providing our members with clear, personalized, actionable information about flu prevention throughout flu season is one of the best ways to influence improved health and better outcomes.
Start Smart for Your Baby®
With a focus on pregnant members, new parents, and their babies, Centene’s award-winning education and outreach program, Start Smart for Your Baby® (SSFB) is an evidenced-based maternity program that leverages advanced analytics to identify and engage members to improve pregnancy and birth outcomes. The program combines predicative data modeling, integrated care management and coordination, disease management, and health education to extend the gestation period and reduce the risk of pregnancy complications, premature delivery, and low birth weight to improve the health of birthing parents and their newborns. Community outreach activities such as baby showers connect members with clinical teams, care managers, and community partners in a fun and engaging setting encouraging a whole-health approach to pregnancy and infant care. The program continues to evolve to further its impact through targeted interventions to address health inequities that contribute to higher rates of pregnancy complications and pre-term births. Several SSFB initiatives have received leading healthcare industry awards, including Case-In-Point Platinum Awards.
Impact Brief: How Addressing Disparities in Pregnancy Care Leads to Healthier Infants and Parents 
(PDF)
Readmission Reduction
The Readmission Reduction program aims to reduce preventable readmissions by working to ensure optimal transitional care from acute and non-acute settings. The program focuses on placing post-hospitalization outreach calls to members to ensure they understand their discharge instructions, plan to follow up with a primary care provider, and discuss medication reconciliation. Additionally, the highest-risk members are linked with a community health worker home-visiting program. Through the implementation of the program, Centene aims to avert 15% of preventable readmissions.
