Find Help- Elevance (Anthem Healthkeepers)

2. Can RDs refer to services other than “food?”

In general, MOST referrals should be food/nutrition-related for the patient (focus on what we’re good at!)

"Hi there! I'm [Your Name] and I’m so excited to meet you today! I'm a telehealth Registered Dietitian–you can also think of me as a Food Coach from Foodsmart who partners with your insurance plan. I have you on my schedule for an initial appointment today to help you meet your health goals - is that right? Great. [If they don’t know why they’re scheduled, that’s alright—you’ll explain what Foodsmart is]

Before we get started, I have a few questions for you. First, could you please confirm your name and DOB? Thank you.

And I’m confirming that you're currently in Virginia?

Finally, could you verify which health insurance plan you are covered by? Great, thank you for answering that for me.

I like to start my appointments by providing you with an overview of what to expect when working with a nutrition expert and how I’m able to support your goals and needs with the help of Foodsmart’s tools. Before we jump into that, I would love to hear from you (ask some variation of below questions to understand what drives patient):

Thanks for sharing! I can help you with {reflect goal back to patient]. We’ll circle back to that later on in the visit; to set the stage, I’d like to share more about Foodsmart and how we can help you buy and eat healthier food.

Note: it is okay, and it’s even expected, that many of these patients showed up to receive their incentive. If an incentive is what got them in the door, that tells us that the patient may be struggling to afford food. Foodsmart and you will help them afford healthier food in their next 3 visits!

First, are you familiar with Foodsmart?

No worries! Foodsmart is a telehealth company that works with Elevance to make eating well simple and accessible. Finding food strategies that work for you is frustrating, exhausting, and ever changing. Balancing health needs, your relationships, work, tight budgets, and nutrition is a job in itself, one we often try to do alone. That’s where I come in!

Have you ever seen a registered dietitian or a nutritionist before? Great!

Dietitians, or food coaches, as I like to call myself, are trained in all things food and nutrition and can help you meet your nutrition and wellness goals. At Foodsmart, we like to go the extra mile to not only steer you towards healthier (but still delicious) foods, but to get you the resources to buy that food. Whether you want to improve your health, stretch your food budget, be more active, or sleep better I’m here for you.
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BUT I also want you to think bigger - dietitians like me aren’t just here to talk to you about what you eat for breakfast. I can also help you find on-the-go options or help you pick a grocery store that better suits your commute time and budget, and even work with you if you have no time or desire to cook…ever. Now if you don’t know what your goals are or should be, or are feeling overwhelmed about food, that’s okay too - we’ll figure it out together.

Then comes Foodsmart’s resources, which help you meet your goals outside of our visits. Our website has a library of delicious recipes, personalized meal plans that automatically create a grocery list that you can use to shop online with just a few clicks, a quiz to track your progress, and more - we’ll get to that shortly.

With your Elevance insurance plan, you have 3 visits available to you. After each visit, you will receive money for groceries virtually in the form of FreshFunds. FreshFunds can only be used virtually on Instacart’s website - where you can create your grocery list at stores you already shop and have it ready for delivery or pickup. We’ll talk about that more towards the end of our visit, and I’ll help you with the entire process today and ongoing!

As we continue working together today, I want to tell you that nutrition counseling isn’t typically a one-and-done deal; it's a journey. Change takes time, and so that’s why your plan covers 3 visits with me–I’d like we'll need to work together for several weeks to really make a difference so that you can feel healthier for the rest of your life.
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As for today, once we've talked things through, we'll set some goals and actions for you. We'll also schedule your next visit to keep the momentum going. How does that sound? As for today, once we've talked things through, we'll set some goals and actions for you. We'll also schedule your next visit to keep the momentum going. How does that sound?

As for today, once we've talked things through, we'll set some goals and actions for you. We'll also schedule your next visit to keep the momentum going. How does that sound?

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As for today, once we've talked things through, we'll set some goals and actions for you. We'll also schedule your next visit to keep the momentum going. How does that sound?
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As for today, once we've talked things through, we'll set some goals and actions for you. We'll also schedule your next visit to keep the momentum going. How does that sound?

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Great! Do you have any questions so far?

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Now let’s get into the quiz I mentioned before, called the NutriQuiz. This will help me get to know a little more about you and your regular eating habits.
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I know we discussed many topics there already, but I have a few additional questions about your health and nutrition history. [complete nutrition assessment/HPI, charting as you go. Ask additional questions as needed/appropriate, discuss motivation for change and any concerns, etc.]

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I know that we’ve covered a lot so far, so let’s take a few minutes to review what we talked about. [SUMMARIZE WHAT YOU’VE LEARNED AND WHAT MATTERS TO PATIENT]

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Taking into account all that we’ve talked about, let’s set one or two realistic goals to work on until our next meeting.

When we talked about what your health goals, I thought of two simple things we could try this week:

Which of those would you like to focus on first? Great!

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I wanted to show you our [share screen and show them overview]. Based off of what we talked about today, I would love to spend our time next week talking about [Topic X or Topic Y–give two options]. Which of those sound most interesting to you? → ANSWER

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Great! I’ll note that down [document in sticky note what they want to focus on so you’re reminded at their next visit].

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[Note: Full Program Packet is, and they can access this on their patient portal. Since they only have 3 visits covered, focus on the topics that are most compelling and most helpful to them in visits 2 and 3.]

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I know we discussed a lot today and I’m so grateful that I had the chance to meet you! I’m here to support you and ensure you can succeed along your journey. Let’s get those follow up visits scheduled for you.

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OPTION 1 (GENERAL) -Let's schedule your 2nd visit in the next week. After that future follow ups can be about once a month. Looking at my calendar, I have XYZ open. Would any of those options work for you?

JANUARY: OPTION 2 (SNAP) - I’d love to get you signed up for SNAP as soon as possible so that you can start using those benefits. That visit will also be 1 hour long - how does XYZ date work for you? Great! For that visit, please be sure to bring your necessary documents or we will need to reschedule the appointment.

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In regards to your FreshFunds, you should receive those in the next 1-2 weeks. They will be provided digitally by email and text message. The instructions for how to use them will be in the email or text message. Have you used Instacart before? No problem! I recommend creating an Instacart account which is free. You’ll have to have a card on file, but it won’t be charged. If you are unsure about how to use your FreshFunds, you can save them until our next visit and I can help you at that time! Many patients find it to be helpful to stack their incentives from all of their appointments anyway, so that can be a helpful option for you! If you have any questions about FreshFunds, I recommend reaching out to Instacart - FreshFunds is offered by Elevance, but is Instacart operated!

The last thing I want to do with you is provide you with information on your Foodsmart resources. []. The Foodsmart app is where you’ll find information about meal planning, grocery shopping, [anything that ties to goals set]. Before our next appointment, take a look around the platform and try some of the recipes and suggestions there! The patient portal is where you can find your visit summary, your Wallet Wellness materials, and connect with me between visits if needed. GIVE APP and PATIENT PORTAL LOGIN INSTRUCTIONS

Are there any questions you have before we close for the day?

[finish charting and close out visit]

I mentioned before that I wanted to connect you to some resources in your community that may help you save time, money, or connect with others in helpful ways. I think given your goals, you might benefit particularly from [food bank, XYZ] and I can help you find one close to you.
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Let’s enter some information into our FIndHelp tool to see what unique options are nearby [find option and make at least ONE referral].

Under Available Actions, click “FindHelp” button next to “Elevance Patient Referrals via FindHelp”

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The last thing I want to do with you is provide you with information on your Foodsmart resources. [GIVE APP and PATIENT PORTAL LOGIN INSTRUCTIONS]. The Foodsmart app is where you’ll find information about meal planning, grocery shopping, [anything that ties to goals set]. Before our next appointment, take a look around the platform and try some of the recipes and suggestions there! The patient portal is where you can find your visit summary, your Wallet Wellness materials, and connect with me between visits if needed.