Health management system

The health management system (HMS) is an evolutionary medicine regulative process proposed by Nicholas Humphrey^[1][2] in which actuarial assessment of fitness and economic-type cost-benefit analysis determines the body’s regulation of its physiology and health. This incorporation of cost-benefit calculations into body regulation provides a science grounded approach to mind-body phenomena such as placebos that are otherwise not explainable by low level, noneconomic, and purely feedback based homeostatic or allostatictheories.

• Many medical symptoms such as inflammation, fever, pain, sickness behavior, or morning sickness have an evolutionary medicinefunction of enabling the body to protect, heal or restore itself from injury, infection or other physiological disruption.
• The deployment of self-treatments have costs as well as benefits with the result that evolution has selected management processes in the brain such that self-treatments are used only when they provide an overall cost benefit advantage. The brain controls such physiological process through top down regulation.
• External treatment and the availability of support is factored into the health management system’s cost benefit assessment as to whether to deploy or not an evolved self-treatment.

Placebos are explained as the result of false information about the availability of external treatment and support that mislead the health management system into not deploying evolved self-treatments. This results in the placebo suppression of medical symptoms.

Health Management Program

Integrating personal health information helps people manage

their lives and actively participate in their own health care.

The Health Management Program was started to help SoonerCare Choice members who have, or are at risk, for developing a chronic disease improve their health. 

Telligen was chosen by the Oklahoma Health Care Authority to provide services to HMP members.

HMP Services Available

• Health Coaching - Health coaches are registered nurses located in selected PCP offices that will provide education, support and self-management tools aimed at improving the member’s health.
• Behavioral Health Screening - It is very common for members with chronic health conditions to feel stressed or concerned about their health. Sometimes emotional health can make the medical condition worse. All HMP members will be asked to complete a behavioral health screening to identify areas they may need help with managing.
• Pharmacy Review - Each HMP member will fill out a medication list with the help of their Health Coach. The nurse can ask for this list to be reviewed by a pharmacist if any problems are identified. This will lessen the chance of a medication error.
• Community Resources - All Health Coaches will be in contact with a resource specialist to help members locate appropriate resources.
• Primary Care Provider Involvement - As health coaches are located in selected PCP offices they will work with providers to help improve health outcomes.