HEALTH PLANS
HCD Value-Based Programs: Improve Member Outcomes and Streamline Operations
Our value-based programs are designed to improve clinical outcomes, simplify workflows, and ensure reliable access to insurance-covered medical supplies. The value-based programs we offer are designed to improve clinical outcomes, simplify workflows, and ensure reliable access to insurance-covered medical supplies. Our programs combine deep insurance expertise, strong provider relationships, and member-focused service to deliver measurable impact for health plans and communities. These programs are fully customizable to your plan’s population, objectives, and coverage requirements.
Incontinence Program 
What is an incontinence support program for health plan members?
An incontinence support program helps members living with bladder or bowel incontinence receive the correct products, protect skin health, and reduce risks associated with leaks, infections, and falls.
What does the program do?
- Helps reduce fall risk caused by urgent bathroom trips
- Supports skin integrity and helps reduce incontinence-associated dermatitis (IAD)
- Promotes a healthier micro-climate to reduce moisture and irritation
- Tracks potential urinary tract infection (UTI) indicators
- Uses an enhanced intake process to match members with the correct product from the start
Why does it matter?
More than 25 million people in the United States live with incontinence, and according to the National Association for Continence (NAFC), up to 80% of adults with incontinence may be using products that do not meet their needs. Improper product fit can lead to leaks, skin irritation, falls, and reduced quality of life. Ensuring members receive the correct product helps improve comfort, dignity, and overall health outcomes.
Period Program 
What is a period support program for health plans?
A menstrual health program helps ensure members have reliable access to menstrual products, improving hygiene, health outcomes, and daily functioning.
What does the program support?
- Helps reduce infection risk associated with poor menstrual hygiene
- Reduces financial burden related to lower income situations to access period products
- Supports social participation and mental well-being
Why does it matter?
Limited access to menstrual products affects physical health, mental well-being, and financial stability. Globally, an estimated 500 million women lack reliable access to menstrual products and appropriate menstrual hygiene resources.
Research from Saint Louis University found that 36% of working women surveyed missed at least one day of work each month due to lack of appropriate menstrual supplies.
Providing access to menstrual products helps support dignity, hygiene, and participation in work and daily life.
Diaper Program 
What is a diaper support program for families?
A diaper support program helps families access essential infant hygiene supplies while supporting infant skin health and overall well-being.
What does the program support?
- Helps prevent diaper rash and skin irritation
- Supports infant skin health and hygiene
- Keeps babies clean, dry, and comfortable
Why does it matter?
Diaper need is a significant challenge for many families. Nearly 47% of families report struggling to afford diapers, and approximately 5 million babies and toddlers under age 3 in low-income households do not receive diapers through government assistance programs.
Research conducted by the National Diaper Bank Network through its Diaper Check national survey also shows that 1 in 4 parents experiencing diaper need miss work or school because they do not have enough diapers for childcare.
Helping families access diapers supports infant health, reduces family stress, and improves stability.
At-Home UTI Monitoring Program 
What is an at-home UTI monitoring program?
An at-home urinary tract infection (UTI) monitoring program helps members identify potential infections early, allowing for faster treatment and reducing unnecessary emergency or urgent care visits.
What does the program support?
- Helps identify potential infections at home
- Encourages earlier clinical intervention and treatment
- Reduces avoidable urgent care and emergency department visits
Why does it matter?
Urinary tract infections (UTIs) are among the most common infections in the United States. Each year they lead to:
- 7 million physician office visits
- 1 million emergency department visits
- 100,000+ hospitalizations
These encounters result in an estimated $1.6 billion in annual healthcare costs. Early identification and intervention can help prevent infection progression and reduce high-cost healthcare utilization.1
Program Advantages
HCD programs are designed to deliver measurable benefits for both health plans and members:
- Improved clinical outcomes – Ensures members receive the right products and support to manage their condition effectively.
- Increased member understanding – Educates members about their supply needs and proper usage.
- Higher satisfaction with products and services – Provides access to reliable, insurance-covered medical supplies.
- Improved care coordination – Enhances communication between members, providers, and health plans.
- Cost containment and utilization management – Supports efficient, value-based care delivery.
- Reduced administrative burden – Simplifies program management for your internal team.
- Dedicated support – Each plan is assigned an account executive and specialized internal team focused on your program goals.
How Our Programs Work: A 5-Step Collaborative Process
Our approach ensures every program is thoughtfully designed, easy to implement, and optimized for AI-driven health insights.
Step 1
Evaluate Needs
Step 2
Develop Care Plan
Step 3
Establish Metrics
Step 4
Manage & Monitor
Step 5
Measure
Step 1: Understand Member Needs
We analyze your members, coverage requirements, and program goals to identify priority areas for intervention.
Step 2: Develop a Personalized Program Plan
We create a program framework that aligns with your objectives, supports member engagement, and ensures timely access to medical supplies.
Step 3: Define Success Metrics
Together with your team, we outline measurable performance indicators to track program effectiveness and member outcomes.
Step 4: Manage and Support
Our team executes the program, coordinates documentation, and provides ongoing outreach to members, ensuring high adherence and satisfaction.
Step 5: Measure and Refine
We continuously monitor performance, share actionable insights, and adjust the program to maximize clinical impact, reduce costs, and improve member satisfaction.
A Strategic Partner for Health Plan Case Managers
HCD is different because our processes, workflows, and expertise are focused on supporting Health Plan Case Managers and the members they serve.
Our Difference:
- Deep Insurance & Coverage Expertise: Our team understands plan-specific requirements, ensuring referrals are accurate, complete, and compliant from the start.
- Trusted Provider Relationships: We collaborate closely with physicians and medical offices to secure necessary documentation and signatures efficiently, reducing back-and-forth.
- Member-Centered Approach: With 90%+ customer satisfaction for over a decade, we proactively support members through education, follow-ups, and adherence checks, building trusted relationships that improve outcomes.
- Streamlined Referral Tools: Our secure Referral Portal provides case managers with real-time visibility into eligibility, documentation, order status, and historical activity, minimizing administrative burden while maintaining full transparency.
- Maximizing Efficiency & Outcomes: By combining human expertise with technology, HCD ensures orders are processed faster, workflows are simplified, and members receive the right supplies, on time, every time.
Partner with Our HCD Team Today
Our Case Management Account Team is ready to support you and your members.
Sources
* Demaagd GA, Davenport TC. Management of urinary incontinence. P T. 2012 Jun;37(6):345-361H. PMID: 22876096; PMCID: PMC3411204.
** Michel J, Mettler A, Schonenberger S, Gunz D. Period poverty: why it should be everybody’s business. J Glob Health Rep. (2022) 6:1–4. 10.29392/001c.32436
† Article written by Amelia Flood, University Marketing and Communications, Saint Louis University
†† National Diaper Bank Network (NDBN): The NDBN Diaper Check 2023: Diaper Insecurity among U.S. Children and Families.
1 Simmering JE, Tang F, Cavanaugh JE, Polgreen LA, Polgreen PM. The Increase in Hospitalizations for Urinary Tract Infections and the Associated Costs in the United States, 1998-2011. Open Forum Infect Dis. 2017 Feb 24;4(1):ofw281. doi: 10.1093/ofid/ofw281. PMID: 28480273; PMCID: PMC5414046.