HealthyFocus. Fall Winter Is Coming. At Home. In this issue:

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HealthyFocus Fall 2017 Winter Is Coming If you re a glass-half-full person, winter may make you think of pumpkin pie spice, fall leaves, football, special meals, and twinkling lights. But as the glass-half-empty people may remind you, it can also mean cold weather, slick sidewalks, and hazardous driving conditions. Simple preparations can help you stay safe whether you are at home or outside in winter weather. Here are a few suggestions based on preparedness advice from the American Red Cross website at www.redcross.org: At Home Talk with your family and have a plan for severe weather or a power outage. Make an emergency preparedness kit. Visit www.redcross.org/ get-help to learn more. Keep a supply of nonclumping kitty litter to make walkways and steps less slippery. Outside Wear layered clothing, mittens or gloves, and a hat. Cover your mouth to protect your lungs from severely cold air. Keep dry. Change wet clothing frequently to prevent a loss of body heat. Stretch before you go out. This will reduce your chances of muscle injury. Avoid overexertion, such as shoveling heavy snow, pushing a vehicle, or walking in deep snow. The strain from the cold and the hard labor may put a strain on your heart. Walk carefully on snowy, icy sidewalks. If traveling, let someone know your destination, your route, and when you expect to arrive. Source: www.redcross.org/get-help/how-to-prepare-for-emergencies/ types-of-emergencies/winter-storm In this issue: Winter is Coming... 1 We Want to Hear From You... 2 Are You at Risk for Diabetes?... 3 Why Get a Flu Shot... 3 Please Pass the Flavor.... 4 Take a Holiday from Stress?... 5 Want to Quit Tobacco?.5 MCD15_1117

Customer Service Monday to Friday: 8:00 a.m. to 5:00 p.m. Toll-free: (800) 431-4135 TTY: (800) 735-2900 We will be closed: December 25 January 1. We Want to Hear from You Every year, the State of Oregon mails a survey to a random sample of people who have Medicaid coverage. This survey is called the Consumer Assessment of Healthcare Providers and Systems (CAHPS). The survey asks people to rate their experience with the healthcare system over the past six months. This includes your experience with us, PacificSource Community Solutions, as well as your experience with doctors and other healthcare providers. To give you an idea of what the survey is like, here are three of the questions: In the last six months, when you needed care right away, how often did you get care as soon as you needed? In the last six months, how often did your personal doctor seem informed and up-to-date about the care you got from specialists or other health providers? In the last six months, how often did your health plan s customer service (this is us!) treat you with courtesy and respect? Your responses are anonymous. If you receive this survey, we hope you will take a few minutes to complete it. Your feedback is important. We want to know how we can serve you better! Once the data from all the surveys has been collected, the State shares the feedback with us. We use this data to make improvements within PacificSource and with our healthcare provider partners.

Are You at Risk for Diabetes? As you may know, diabetes is a problem with your body that causes blood glucose (sugar) levels to rise higher than normal. Diabetes can cause serious health problems. It was the seventh leading cause of death in the United States in 2015. That year, 30.3 million Americans (9.4 percent of the population) had diabetes. Of those, 23.1 million were diagnosed, and 7.2 million were undiagnosed. That means 1 out of 4 didn t know they had diabetes. The risk factors If one or more of these factors applies to you, you re at risk for prediabetes and type 2 diabetes: Have a family history of diabetes Are over age 40 (the risk for diabetes increases as you get older) Are overweight Have a history of gestational diabetes (diabetes or high blood sugar when pregnant) Have high blood pressure Take an online risk test Visit Diabetes.org/adm to take an online risk test and learn more about diabetes. Source: www.diabetes.org Why Get a Flu Shot The flu shot gives you up to 60 percent more protection from the flu than if you don t get one, according to the Centers for Disease Control and Prevention. When more people are vaccinated, the flu virus is less likely to spread throughout your community. Getting a flu shot is still the best way to protect yourself and your family from the flu. The flu vaccine is recommended for everyone 6 months of age and older. This includes pregnant women, young children, and older people. What is the flu? Influenza (flu) is a disease that affects the lungs and can lead to serious illness, including pneumonia. Even healthy people can get sick enough to miss work or school for a long time, or even be hospitalized. Where can you get a flu shot? You have several options: Your doctor s office Your local public health department Pharmacies (to find in-network pharmacies, visit CommunitySolutions. PacificSource. com/tools/pharmacysearch) Get your flu shot today and stay healthy this winter! 4 HealthyFocus Fall 2017

Please Pass the Flavor Boost flavor and nutrition with new twists on old favorites. Apple Orange Cranberry Sauce Create a new tradition by making a homemade sauce that is lower in added sugar and higher in fruit than the traditional and canned versions. 2 cups cranberries 3 cups cored, cubed apple 1 orange, cut into chunks (with peel) 1 teaspoon fresh minced ginger 2 Tablespoons maple syrup 2 Tablespoons honey 2 Tablespoons sugar Heat a saucepan over medium heat. Add all ingredients and stir frequently until all the cranberries have popped. Taste and add up to 2 tablespoons more syrup or honey for additional sweetness, if desired. This is half the added sugar (including honey and syrup) of a traditional cranberry sauce. Recipe adapted from www.greensense.com/site/features/ Living/Food/Green_Cuisine/apple_cran.html Flavorful Mashed Potatoes Take advantage of the natural creaminess of potatoes. For about 8 potatoes, add the following instead of cream and butter: 1/2 cup reduced-sodium chicken broth, heated 2 Tablespoons reduced-fat sour cream 1/4 cup buttermilk Optional: Freshly ground pepper, fresh herbs, spices, or roasted garlic Hold the salt! Allow people to add salt at the table as desired. Light and Easy Green Beans HealthyFocus Fall 2017 5 Green bean casserole can be a high-fat, high-calorie feast! Instead, steam green beans to tender-crisp, then sauté with diced shallots and toasted, sliced almonds.

Take a Holiday from Stress There is a connection between stress and illness, which is why it is important to take it easy this holiday season. Don t get caught up in the stress of finding the perfect gift or planning the ultimate party. Enjoy the season instead of driving yourself crazy. Here are some tips to help you reduce stress: Let go of perfect. Don t get caught up in finding the perfect gift or planning the perfect party. Enjoy the moment instead of driving yourself crazy. Pace yourself, and don t take on more responsibility than you can handle. Set realistic expectations for yourself. Make lists to help you prioritize the most important tasks. Know your spending limit. Overspending is one of the biggest holiday stressors. Share the traditional holiday tasks, such as gift wrapping and preparing holiday meals, with friends and family. This will make things easier on you and allow you to spend time with those you love. Get enough sleep, and keep a regular meal and exercise schedule. Learn to say no. So many events, so little time! Pick the events that are most important to you. Plan ahead for shopping trips, time to visit friends, and time for activities. This will help prevent scheduling conflicts and will reduce the stress of trying to do everything at once. Want to Quit Tobacco? There s no doubt that quitting tobacco is a challenging journey, whether you smoke, chew, or use e-cigarettes. The good news is you re not alone, you can succeed, and the benefits to your health and life are so worth it. While everyone is different, there are proven strategies for each stage of the tobacco cessation journey before, during, and after. For helpful tips and resources, please read our blog post, The Quitter s Journey: How to leave tobacco behind for good at blog.pacificsource. com/2017/10/26/quittersjourney-1/ Get Help to Quit Online: quitnow.net/oregon Toll-free: (800) 784-8669 TTY: (877) 777-6534 Get support. It s common for the holidays to trigger depression. There are many signs, including feeling sad or hopeless, loss of interest, lower energy, trouble concentrating, changes in sleep, and changes in appetite. If you notice any of these signs, talk to your to your doctor or trusted advisor.

Nondiscrimination Statement PacificSource and network providers must treat you fairly. Our providers and we must follow state and federal civil rights laws. We cannot treat people unfairly in any of our services or programs because of a person s: Age Color Disability Gender Identity Marital Status National Origin Race Religion Sex Sexual Orientation Everyone has a right to know about and use our programs and services. We give free help when you need it. Some examples of the free help we can give are: Sign language interpreters Spoken language interpreters for other languages Written materials in other languages Braille Large print Audio and other formats If You Need Help If you need help or have a concern, please contact our Customer Service department or our Civil Rights manager toll-free Monday Friday, 8:00 a.m. 5:00 p.m. at: Customer Service Department (800) 431-4135 Central Oregon (855) 204-2965 Columbia Gorge (800) 735-2900 TTY Civil Rights Manager Kristi Kernutt (541) 225-1967, (800) 735-2900 TTY Kristi.Kernutt@pacificsource.com PO Box 7068, Springfield, OR 97475-0068 To File a Complaint To file a civil rights complaint with the U.S. Department of Health and Human Services Office for Civil Rights (OCR): HHS.gov/Civil-Rights/For-individuals/ Section-1557/Translated-resources OCRComplaint@hhs.gov (800) 368-1019, (800) 537-7697 (TDD) OCR, 200 Independence Avenue SW, Room 509F, HHH Bldg., Washington, DC 20201 HealthyFocus Fall 2017 7

English: ATTENTION: If you speak English, language assistance services, free of charge, are available to you. Call toll-free (800) 431-4135, (800) 735-2900 TTY. Español (Spanish): ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al (800) 431-4135, (800) 735-2900 TTY. Tiếng Việt (Vietnamese): CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn. Gọi số (800) 431-4135, (800) 735-2900 TTY. 繁體中文 (Chinese): 注意 : 如果您使用繁體中文, 您可以免費獲得語言援助服務 請致電 (800) 431-4135, (800) 735-2900 TTY. Русский (Russian): ВНИМАНИЕ: Если вы говорите на русском языке, то вам доступны бесплатные услуги перевода. Звоните (800) 431-4135, (800) 735-2900 TTY. 한국어 (Korean): 주의 : 한국어를사용하시는경우, 언어지원서비스를무료로이용하실수있습니다. (800) 431-4135, (800) 735-2900 TTY. Українська (Ukrainian): УВАГА! Якщо ви розмовляєте українською мовою, ви можете звернутися до безкоштовної служби мовної підтримки. Телефонуйте за номером (800) 431-4135, (800) 735-2900 TTY. 日本語 (Japanese): 注意事項 : 日本語を話される場合 無料の言語支援をご利用いただけます ((800) 431-4135, (800) 735-2900 TTY. まで お電話にてご連絡ください مقرب لصتا.ناجملاب كل رفاوتت ةیوغللا ةدعاسملا تامدخ نإف ةغللا ركذا ثدحتت تنك اذإ :ةظوحلم (Arabic): ةيبرعلا ھ مصلا مكبلاو TTY: (008)-0092-537,(008)-5314-134 ภาษาไทย (Thai): เร ยน: ถ าค ณพ ดภาษาไทยค ณสามารถใช บร การช วยเหล อทางภาษาได ฟร โทร (800) 431-4135, (800) 735-2900 TTY. Română (Romanian): ATENȚIE: Dacă vorbiți limba română, vă stau la dispoziție servicii de asistență lingvistică, gratuit. Sunați la (800) 431-4135, (800) 735-2900 TTY. ខ ម រ (Cambodian): ប រយ ត ន ប ស នជ អ នកន យ យ ភ ស ខ ម រ, ស វ ជ ន យផ ន កភ ស ដ យម នគ តឈ ន ល គ អ ចម នស រ ប ប រ អ នក ច រ ទ រស ព ទ (800) 431-4135, (800) 735-2900 TTY. Cushite: XIYYEEFFANNAA: Afaan dubbattu Oroomiffa, tajaajila gargaarsa afaanii, kanfaltiidhaan ala, ni argama. Bilbilaa (800) 431-4135, (800) 735-2900 TTY. Deutsch (German): ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verfügung. Rufnummer: (800) 431-4135, (800) 735-2900 TTY. (800) امش یارب ناگیار تروصب ینابز تالیھست دینک یم وگتفگ یسراف نابز ھب رگا :ھجوت (Farsi): فارسی 431-4135, (800) 735-2900 TTY. Français (French): ATTENTION: Si vous parlez français, des services d aide linguistique vous sont proposés gratuitement. Appelez (800) 431-4135, (800) 735-2900 TTY. 8 HealthyFocus Fall 2017

You can get this newsletter in another language, large print, or another way that s best for you. Call toll-free (800) 431-4135.TTY users may call (800) 735-2900. Usted puede recibir este documento en otro idioma, impreso en letra más grande o de cualquier otra manera que sea mejor para usted. Llame al número gratuito (800) 431-4135. Los usuarios del servicio TTY pueden llamar al (800) 735-2900 HealthyFocus Fall 2965 NE Conners Avenue Bend, Oregon 97701 <<Member Name>> <<Address Line 1>> <<Address Line 2>> <<City>>, <<State>> <<Zip>> PRSRT STD US POSTAGE PAID BEND OR PERMIT NO.12 www.communitysolutions.pacificsource.com HealthyFocus Fall 2017