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Our Approach

We fulfill our mission through a unique combination of work that targets individuals and families, as well as the environment in which we live, work, and learn. Our goals are to reduce risk for injury and prevent disease, to help those living with chronic conditions successfully manage their health and to promote wellness.

Direct Service

Trained health educators, community health workers, case managers, and patient navigators work directly with individuals and families in their own communities.

Capacity Building

In-person and virtual training, technical assistance, curriculum development, academic-community partnerships, and other services can help to strengthen organizations.

Policy and Systems Change

Support with development and implementation of policies and practices can enable healthy behaviors.

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Departments

HPC

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The Umbrella Hub Arrangement (UHA) provides a financially sustainable system for billing and processing claims from Centers for Medicaid and Medicare, Managed Care Organizations, and other payers on behalf of community-based organizations delivering the National Diabetes Prevention Program's Lifestyle Change Program. The Health Promotion Council (HPC) acts as the Umbrella Hub Organization (UHO) providing direct services and technical assistance to community-based organizations know as 'Affiliates'. Specifically, the UHO supports data submission, billing and claims, and the development of a strong payer pipeline which includes Medicare, Medicaid, and private insurers. Affiliates are then able to focus on participant recruitment, retention, and strong program delivery.  

 

There are 3 categories of service that UHO performs:

 

HPC's main services within the UHA are:

Service One: Contracts Management

  • Maintains contractual agreements with national and other funding entities to support sustainable UHO.
  • Maintains CDC DPRP Full Recognition.
  • Establish and maintain contractual relationship and communication with data and claims software vendor.
  • Obtain and sustain provider enrollments with Centers for Medicaid & Medicare Services MDPP and state-specific Medicaid offices.
  • Negotiate, establish, and maintain contracts with health plans on behalf of UHO affiliates including Medicaid Managed Care Organizations payer arrangements.

Service Two: Technical Assistance with National DPP Data and Claims Management

  • Monitor and assure quality of CDC Diabetes Prevention Recognition Program data.
  • Provide programmatic updates for Affiliates and convene a learning collaborative focused on the sharing of best practices around recruitment and retention.
  • Support the development of recruitment and referral pathways.
  • Integrate potential clinical referrals to increase program demand and ease program delivery costs.
  • Submit claims with a quality control method.
  • Receive claims reimbursement on behalf of affiliates and disperse payments

Service Three: CDC Diabetes Prevention Recognition Program Liaison

  • Communicate with CDC on data submission, evaluation, and compliance.
  • Guides affiliates’ performance improvement measures, e.g., attendance, weight loss, and physical activity.
  • Advocates for program access and utilization to meet the needs of a dynamic audience.

The Health Referral Hub is free-to-use health service connecting Pennsylvanian's to chronic disease prevention and management programs throughout the commonwealth. Interested in learning more about health programs and services in your area? Connect with a bilingual call agent today by calling 1-855-344-2844 or emailing This email address is being protected from spambots. You need JavaScript enabled to view it.. The call center operates Monday-Friday from 9am-4pm. The call center can accommodate callers in English or Spanish. HPC launched our Health Referral Hub Call Center on July 12th.

Before you connect with a call agent consider: