HPSM’s Population Health Management (PHM) Program

HPSM’s PHM Program offers six special support programs to help our members stay healthy:

Baby + Me Program

Promotes timely care and health from the start of pregnancy to birth and beyond. HSPM Medi-Cal members who are pregnant or who recently delivered a baby are eligible for this program. Those who enroll can earn up to $100 in Target GiftCardsTM for going to two appointments! HPSM’s Health Promotion staff can also connect members to other local resources and services, such as breast pump vendors, local programs and Doula services

Learn more about Baby + Me, including how to refer eligible members. Members can learn more, join or opt out by calling HPSM’s Health Promotion Unit at 650-616-2165.

Target and the Bullseye Design are registered trademarks of Target Brands, Inc. Terms and conditions are applied to gift cards. Target is not a participating partner in or sponsor of this offer.

The Diabetes Prevention Program (DPP)

A no-cost, 12-month program for Medi-Cal and CareAdvantage members that can lower the risk of getting type 2 diabetes. It includes weekly one-hour sessions led by trained Lifestyle Coaches for the first six months and monthly sessions in the last six months. Coaches help participants create plans for eating healthy, exercising more and losing weight. They also offer handouts to help individuals meet their personal health goals, along with group support for program participants 

Learn more about the DPP, including who is eligible and how to refer members. Members can learn more, join or opt out by calling HPSM’s Health Promotion Unit at 650-616-2165.

Complex Case Management 

Helps members who have one or more ongoing health conditions (such as diabetes, high blood pressure or asthma) get the care they need to reach their health goals. A Care Manager follows up regularly to: 

  • Identify and prioritize concerns, goals and interventions. 
  • Develop a care plan with the member. 
  • Help secure other support services. 
  • Assist in managing various health issues and needs.

Learn more about Complex Case Management on our website or by calling the Integrated Care Management Team at 650-616-2060.

HPSM’s Asthma Program by Breathe California 

Helps members manage symptoms by providing support services, including education and home assessment visits (if needed). If a home assessment suggests that supplies are needed (like air filters and dehumidifiers), Breathe California can help members get them at no cost. 

Learn more at about the program on our website or by calling HPSM’s Integrated Care Management team at  650-616-2060.

Care Transitions Program 

Helps members who’ve been sent home from the hospital avoid returning to the hospital. Once home, members can be referred to HPSM’s Integrated Care Management Team (ICM) for follow-up. The ICM team assigns the member a Care Manager who:

  • Helps the member develop and follow their care plan. 
  • Connects the member with their primary care provider. 

Talks with the family about other care needs. 

Members can learn more, join or opt out by calling HPSM's Integrated Care Management Team at 650-616-2060.


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