Scott & White Care Plans

SCOTT & WHITE CARE PLANS, DBA BAYLOR SCOTT & WHITE CARE PLAN (SWCP), IS WHOLLY OWNED BY SCOTT AND WHITE HEALTH PLAN (SWHP) AND WAS CREATED IN 2016 AS A TEXAS NONPROFIT HMO. IT WAS FORMED WITH A SOCIAL WELFARE PURPOSE WITH THE INTENT TO OFFER MEDICARE, MEDICARE ADVANTAGE, MEDICAID AND OTHER HMO PLANS. TOGETHER WITH SWHP, SWCP'S SERVICE AREA ENCOMPASSES 171 COUNTIES AND SWCP PROVIDES COVERAGE TO OVER 35,000 ENROLLEES IN NORTH, CENTRAL AND WEST TEXAS. SWCP IS PART OF BAYLOR SCOTT & WHITE HEALTH (BSWH), A TEXAS NONPROFIT, FAITH-BASED INTEGRATED HEALTH CARE DELIVERY SYSTEM THAT PROVIDES PATIENT CARE, MEDICAL EDUCATION, MEDICAL RESEARCH AND OTHER COMMUNITY SERVICES TO THE RESIDENTS OF NORTH AND CENTRAL TEXAS. AS THE LARGEST NOT-FOR-PROFIT HEALTH CARE SYSTEM IN TEXAS BSWH HAS OVER 1,200 ACCESS POINTS INCLUDING 51 HOSPITALS, 590 SPECIALTY CARE CLINICS, 254 OUTPATIENT CLINICS, 158 PRIMARY CARE CLINICS, 31 PHARMACIES, 30 AMBULATORY SURGERY CENTERS, AND OVER 7,000 ACTIVE PHYSICIANS.

SEE SCHEDULE OSWCP MAKES AVAILABLE A VARIETY OF HEALTH BENEFIT PLANS TO EMPLOYER GROUPS, AND IT PARTICIPATES IN GOVERNMENT PUBLIC PROGRAMS TO MAKE COVERAGE AVAILABLE TO MEDICARE ADVANTAGE PARTICIPANTS. SWCP, WITH ITS PARENT SWHP, HAS DEMONSTRATED A COMMITMENT TO THE HEALTH AND WELL-BEING OF NOT ONLY ITS ENROLLEES BUT THE COMMUNITY AS A WHOLE THROUGH A NUMBER OF DIRECTED PROGRAMS OF VARYING PURPOSE SOME OF THESE PROGRAMS ARE DESIGNED TO ENGAGE ENROLLEES IN THEIR OWN CARE OR ENCOURAGE A HEALTHY LIFESTYLE. OTHER PROGRAMS OFFER SUPPORT AND HELP COORDINATE THE DELIVERY OF CARE AT THE RIGHT PLACE, THE RIGHT TIME, AND FROM THE RIGHT PROVIDER, ESPECIALLY FOR THOSE ENROLLEES WITH COMPLEX OR CHRONIC CARE ISSUES. FINALLY, SWCP OFFERS WELLNESS PROGRAMS DESIGNED TO CREATE WELLNESS AND AWARENESS, IDENTIFY SOCIAL DETERMINANTS OF HEALTH AND TO BENEFIT THE ENTIRE COMMUNITY. A SAMPLING OF THE PROGRAMS THAT IT OFFERS TO ENROLLEES AND THE COMMUNITY AT LARGE ARE:THE WELLNESS ASSESSMENT: THE WELLNESS ASSESSMENT IS A FREE ONLINE TOOL AVAILABLE TO ENROLLEES AND THE COMMUNITY. THROUGH A SERIES OF QUESTIONS CONCERNING FAMILY HEALTH HISTORY, PERSONAL HEALTH HISTORY, SUBSTANCE ABUSE, STRESS/COPING, PHYSICAL ACTIVITY AND NUTRITION AN ASSESSMENT IS PRODUCED WITH ADVICE TO HELP THAT INDIVIDUAL MAKE HEALTHIER CHOICES. EXPECTING THE BEST, MATERNITY CASE MANAGEMENT PROGRAM:SWCP OFFERS ITS EXPECTING THE BEST MATERNITY PROGRAM TO ALL ENROLLED MEMBERS WHO ARE PREGNANT AND PROVIDES HEALTH SCREENING, EDUCATION, CARE COORDINATION, PERINATAL/POSTPARTUM DEPRESSION INTERVENTIONS, AND TELEPHONIC CASE MANAGEMENT SUPPORT, WITH THE GOAL OF HELPING TO IMPROVE HEALTH OUTCOMES FOR AT-RISK PREGNANT WOMEN AND NEONATES. COMPREHENSIVE MEDICAL AND BEHAVIORAL HEALTH CASE MANAGEMENT PROGRAM:SWCP OFFERS A COMPREHENSIVE CASE MANAGEMENT PROGRAM TO HELP ENROLLEES RECEIVE NEEDED CARE, SERVICES, EQUIPMENT, AND MEDICATIONS. LICENSED NURSES AND SOCIAL WORKERS WORK WITH ENROLLEES AND THEIR PROVIDERS TO HELP ACHIEVE DESIRED HEALTH OUTCOMES BY ASSISTING WITH CARE COORDINATION AND CONDITION MANAGEMENT. CASE MANAGERS ALSO ASSESS ENROLLEES FOR POSSIBLE SOCIAL DETERMINANT OF HEALTH BARRIERS THEY MAY BE EXPERIENCING AND REFER THOSE INDIVIDUALS TO COMMUNITY PROGRAMS AND RESOURCES. BABY SHOWERS:SWCP OFFERS PREGNANT WOMEN ENROLLED IN ITS MEDICAID PRODUCT A VIRTUAL BABY SHOWER. THE BABY SHOWER PROGRAM PROVIDES EDUCATIONAL INFORMATION ON PREGNANCY, PARENTING AND HEALTH INFORMATION, AND OTHER RESOURCES TO HELP BRIDGE SOCIAL DETERMINATE OF HEALTH GAPS. INCENTIVES OF NOMINAL VALUE ARE PROVIDED TO ENROLLEES TO ATTEND THE VIRTUAL PROGRAM AND RECEIVE PRENATAL CARE. VALUE-ADDED SERVICES FOR MEDICAID ENROLLEES:SWCP OFFERS OR MAKES AVAILABLE TO ENROLLEES IN ITS MEDICAID PRODUCT A VARIETY OF HEALTH EDUCATION PROGRAMS AND INCENTIVES TO OBTAIN PREVENTATIVE CARE. EXAMPLES OF INCENTIVES INCLUDE GIFT CARDS OF NOMINAL VALUE, VISION EXAMS FOR ADULTS, EYEWEAR ALLOWANCES, BASIC DENTAL SERVICES FOR PREGNANT WOMEN, BEHAVIORAL HEALTH RESOURCES, AND TRANSPORTATION ASSISTANCE. STEP-UP, SCALE-DOWN:FOR ENROLLEES IN ITS MEDICAID PRODUCT, SWCP OFFERS STEP UP, SCALE DOWN. STEP UP, SCALE DOWN IS A 12-WEEK PROGRAM FEATURING NUTRITION AND EXERCISE EDUCATION. EACH WEEK A DIFFERENT TOPIC IS FEATURED, INCLUDING SUCH TOPICS AS GOAL SETTING, READING NUTRITION LABELS, MEAL PLANNING, AND STARTING OR STEPPING UP AN EXERCISE PROGRAM. THE CLASSES ARE TAUGHT BY NURSES AND WELLNESS PROFESSIONALS WITH EXPERTISE IN EXERCISE AND NUTRITION.