Meeting your needs for population health interventions
Medicare Advantage Plans
When an older adult is hospitalized it means pain and fear for the person and family as well as possible loss of function and independence. For the health plan, if a patient winds up in the hospital it can cost tens of thousands of dollars. Unfortunately, many of the most powerful causes of hospitalization are outside of the medical office – does the member have enough money to pay for food after rent increases? Does the member follow behavior change recommendations for diet and physical activity?
These are areas where we can help. In addition to saving premium dollars, we can help plans succeed with Medicare’s quality program. Plans are assessed under measures such as falls, hypertension management, and advanced care planning, areas where we can help. Plans achieving 4 or more stars are in line for financial bonuses and those achieving 5 stars can win marketing advantages.
NYS Managed Long-Term Care Plans
“Partial Capitation” Medicaid Managed Long-Term Care plans (MTLCs) receive premium payments for long-term services and supports for low income New Yorkers who are found to have needs likely to persist for 120 days or more. The bulk of services in NYC are delivered in the client/beneficiary’s home rather than nursing homes and almost 200,000 of NYS’ MLTC beneficiaries are found in the 5 Boroughs. We can help plans meet their goals. Members get a wide variety of services intended to maintain function and keep the member independent and in their homes for as long as possible. Plans are assessed on a number of quality measures by the NYS Department of Health, including loneliness and rate of preventable hospitalizations.
We can help. Contact us at Chris@ANYF.org.