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CONTACT US – HEALTH PLANS, PATIENTS AND PROVIDERS Contact Information. Our regular business hours are 8:30 a.m. – 5 p.m. EST. General Inquiries: Please call 1-800-808-1902. Sales Inquiries: Please call 1-888-839-5122 THE FUTURE OF HEALTHCARE IS IN THE HOME THE BENEFITS OF INFUSION CHEMOTHERAPY AT HOME The increasing number of Americans living with cancer suggests that enormous resources must now be devoted to fighting the disease. This comes as the patient-centered treatment movement has gathered momentum. As a result, a growing body of literature has emerged to address home-based treatments for cancer.DAVID WENNBERG
David Wennberg, MD, is the current CEO of Quartet Health a technology company transforming mental health. Prior to becoming CEO in October 2018, David was the Chief Science Officer, leading the Data Science function at Quartet and contributed significantly to business development. David previously served as the Chief Executive Officer ofthe
STAFFING SHORTAGE IN HOME HEALTH INDUSTRY: WORKFORCE With 10,000 baby boomers in the United States expected to turn 65 every day, over the course of the next 20 years, the demand for home health staff is also projected to increase by 36 percent (more than 4 million open positions), according to the Bureau of Labor and Statistics. Normally, a surge in job opportunities is regarded as a sign that the economy is thriving. SOCIAL DETERMINANTS OF HEALTH: TRANSFORMING CARE AT HOME Social determinants of health (SDoH) are increasingly being recognized as important factors to take into consideration if we are to improve patient outcomes while reducing costs. As we transition from fee-for-service to value-based payment models, identifying which SDoH impact a patient’s path to healing is of outmost importance. SLEEP STUDY PRIOR AUTHORIZATION REQUEST FORM July 2020 1 Sleep Study Prior Authorization Request Form Phone: 877.877.9899 Fax: 866.536.5225 Portal: www.cigna.sleepccx.com This form must be completed in its entirety for all faxed sleep diagnostic prior authorization requests. OPTIMIZING POST-ACUTE CARE, HOME HEALTH & MORE A successful patient transition from acute to post-acute care is crucial. Reducing avoidable hospital readmissions can be achieved through the integration of services including: a home first approach and unified care management, partnered with advanced data analytics and technology platform. PATIENTS - PAY YOUR BILL, FAQS, GET IN TOUCH Call us at 1-877-989-9059.Be sure to have the below ready: A copy of your bill. Your credit card or checking account information. Pen and paper to write down your confirmation number. CAREERS | CARECENTRIX CareCentrix team members take pride in living our core values, including We Care, in everything we do, both in and outside of the work place. We are a united and committed group of individuals with unique experiences, perspectives, differences, and backgrounds that we celebrate every day. Our inclusive culture empowers all of us toconnect
CONTACT US – HEALTH PLANS, PATIENTS AND PROVIDERS Contact Information. Our regular business hours are 8:30 a.m. – 5 p.m. EST. General Inquiries: Please call 1-800-808-1902. Sales Inquiries: Please call 1-888-839-5122 THE FUTURE OF HEALTHCARE IS IN THE HOME THE BENEFITS OF INFUSION CHEMOTHERAPY AT HOME The increasing number of Americans living with cancer suggests that enormous resources must now be devoted to fighting the disease. This comes as the patient-centered treatment movement has gathered momentum. As a result, a growing body of literature has emerged to address home-based treatments for cancer.DAVID WENNBERG
David Wennberg, MD, is the current CEO of Quartet Health a technology company transforming mental health. Prior to becoming CEO in October 2018, David was the Chief Science Officer, leading the Data Science function at Quartet and contributed significantly to business development. David previously served as the Chief Executive Officer ofthe
STAFFING SHORTAGE IN HOME HEALTH INDUSTRY: WORKFORCE With 10,000 baby boomers in the United States expected to turn 65 every day, over the course of the next 20 years, the demand for home health staff is also projected to increase by 36 percent (more than 4 million open positions), according to the Bureau of Labor and Statistics. Normally, a surge in job opportunities is regarded as a sign that the economy is thriving. SOCIAL DETERMINANTS OF HEALTH: TRANSFORMING CARE AT HOME Social determinants of health (SDoH) are increasingly being recognized as important factors to take into consideration if we are to improve patient outcomes while reducing costs. As we transition from fee-for-service to value-based payment models, identifying which SDoH impact a patient’s path to healing is of outmost importance. SLEEP STUDY PRIOR AUTHORIZATION REQUEST FORM July 2020 1 Sleep Study Prior Authorization Request Form Phone: 877.877.9899 Fax: 866.536.5225 Portal: www.cigna.sleepccx.com This form must be completed in its entirety for all faxed sleep diagnostic prior authorization requests. REPORT FINDS MOST CONSUMERS AND NEARLY ALL PAYORS WANT A new report released today by CareCentrix finds a majority of people are ready to open their doors to healthcare at home, and nearly all payors agree that health at home is often more cost effective than treatment in a facility. Payors, providers, policymakers, and people who need care are all open to more care delivery in the home. The COVID-19 pandemic and new remote care deliveryCARETALK PODCAST
John Driscoll: John, I love my American healthcare, but it’s just too darn expensive. David Williams: Well, I’ve got the solution. You should try value-based healthcare. HEALTH AT HOME 2020: THE NEW STANDARD OF CARE DELIVERY Health at Home 2020: The New Standard of Care Delivery. The shift to performance-based contracts had already begun to push the delivery paradigm from episodic, facility-based care to more frequent interactions to care for the whole person, when they are not in the office. COVID-19 only fueled the fire, making it mission-critical torethink
PLANNING YOUR HOME HEALTH CARE AFTER SURGERY Move things. Spend a couple of days making a list of the things you use in the morning, day, evening, and night (e.g., toothbrush, water glass, contact lens solution). Before you leave the house for surgery, you should make sure to set these things out on counters, nightstands, etc. You won’t feel like (or maybe be able to) reaching into STAFFING SHORTAGE IN HOME HEALTH INDUSTRY: WORKFORCE With 10,000 baby boomers in the United States expected to turn 65 every day, over the course of the next 20 years, the demand for home health staff is also projected to increase by 36 percent (more than 4 million open positions), according to the Bureau of Labor and Statistics. Normally, a surge in job opportunities is regarded as a sign that the economy is thriving. HOW TO GET OUT OF THE HOSPITAL No one is ever released from a hospital, though the word “release” is most often used to describe the process. The proper term is ‘”discharge,” meaning simply that a person leaves the institution and goes someplace else. The word discharge may conjure images of patients being spit out onto the street like so manywatermelon seeds.
WHAT DOES A HOSPITAL CARE COORDINATOR DO? The basic description of a care coordinator’s job is implied by the title: the responsibility is to manage all the details of a patient’s care. Even though the care coordinator works in a hospital, her job is focused on everything that happens after youleave
DAVID WENNBERG
David Wennberg, MD, is the current CEO of Quartet Health a technology company transforming mental health. Prior to becoming CEO in October 2018, David was the Chief Science Officer, leading the Data Science function at Quartet and contributed significantly to business development. David previously served as the Chief Executive Officer ofthe
AUTHORIZATION TO DISCLOSE PROTECTED HEALTH INFORMATION AND English: If you speak a language other than English, language assistance services are available to you free of charge. Call 1-844-359-5381. If you have hearing or speech loss and use Telecommunications Relay Services (TRS) or a Text Telephone ( TTY ), dial 711 to connect with aSTEVEN J. SHULMAN
Steven J. Shulman. Mr. Shulman serves as managing partner of Shulman Family Ventures, a private equity firm since 2008. He is the former chairman and chief executive officer of Magellan Health Services (NASDAQ:MGLN), where he spearheaded the company’s successful turnaround, restructuring out of bankruptcy, and diversification intothe nation
OPTIMIZING POST-ACUTE CARE, HOME HEALTH & MORE A successful patient transition from acute to post-acute care is crucial. Reducing avoidable hospital readmissions can be achieved through the integration of services including: a home first approach and unified care management, partnered with advanced data analytics and technology platform. PATIENTS - PAY YOUR BILL, FAQS, GET IN TOUCH Call us at 1-877-989-9059.Be sure to have the below ready: A copy of your bill. Your credit card or checking account information. Pen and paper to write down your confirmation number. CONTACT US – HEALTH PLANS, PATIENTS AND PROVIDERS Contact Information. Our regular business hours are 8:30 a.m. – 5 p.m. EST. General Inquiries: Please call 1-800-808-1902. Sales Inquiries: Please call 1-888-839-5122 CAREERS | CARECENTRIX CareCentrix team members take pride in living our core values, including We Care, in everything we do, both in and outside of the work place. We are a united and committed group of individuals with unique experiences, perspectives, differences, and backgrounds that we celebrate every day. Our inclusive culture empowers all of us toconnect
THE BENEFITS OF INFUSION CHEMOTHERAPY AT HOME The increasing number of Americans living with cancer suggests that enormous resources must now be devoted to fighting the disease. This comes as the patient-centered treatment movement has gathered momentum. As a result, a growing body of literature has emerged to address home-based treatments for cancer. JENNIFER SCHNEIDER, MD, MS Former Chief Medical Officer and President at Livongo Dr. Jennifer Schneider, M.D., M.S., is the former Chief Medical Officer and President at Livongo, and oversaw the strategic, technical and clinical direction of the company. During her final year at Livongo, Dr. Schneider was instrumental in leading the company through the largest consumer digital health InitialPROVIDER MANUAL
Provider Manual 2 | P a g e EDRC 983R REV – 02012021 HomeBridge® is a registered trademark of CareCentrix, Inc. *Applicable for Cigna members/patients with datesREFERRAL FORM
REFERRAL FORM . Please note, failure to complete all of the fields on this form may result in delay of patient care. PATIENT DEMOGRAPHICS DATE REFERRAL SENT TO CARECENTRIX LAST NAME FIRST NAME DATE OF BIRTH CRITERIA FOR DETERMINING THE MEDICAL NECESSITY FOR THE 21 Determining the Appropriate Site of Service for Sleep Testing Sleep testing may be performed in an attended setting in a laboratory facility OR outside of the sleep laboratory using a CLAIM RECONSIDERATION FORM Claim Reconsideration Form Instructions: This form is to be completed by providers to request a claim reconsideration for members enrolled in a plan managed by CareCentrix. This form should only be used for claim reconsiderations; corrected claims & appeals OPTIMIZING POST-ACUTE CARE, HOME HEALTH & MORE A successful patient transition from acute to post-acute care is crucial. Reducing avoidable hospital readmissions can be achieved through the integration of services including: a home first approach and unified care management, partnered with advanced data analytics and technology platform. PATIENTS - PAY YOUR BILL, FAQS, GET IN TOUCH Call us at 1-877-989-9059.Be sure to have the below ready: A copy of your bill. Your credit card or checking account information. Pen and paper to write down your confirmation number. CONTACT US – HEALTH PLANS, PATIENTS AND PROVIDERS Contact Information. Our regular business hours are 8:30 a.m. – 5 p.m. EST. General Inquiries: Please call 1-800-808-1902. Sales Inquiries: Please call 1-888-839-5122 CAREERS | CARECENTRIX CareCentrix team members take pride in living our core values, including We Care, in everything we do, both in and outside of the work place. We are a united and committed group of individuals with unique experiences, perspectives, differences, and backgrounds that we celebrate every day. Our inclusive culture empowers all of us toconnect
THE BENEFITS OF INFUSION CHEMOTHERAPY AT HOME The increasing number of Americans living with cancer suggests that enormous resources must now be devoted to fighting the disease. This comes as the patient-centered treatment movement has gathered momentum. As a result, a growing body of literature has emerged to address home-based treatments for cancer. JENNIFER SCHNEIDER, MD, MS Former Chief Medical Officer and President at Livongo Dr. Jennifer Schneider, M.D., M.S., is the former Chief Medical Officer and President at Livongo, and oversaw the strategic, technical and clinical direction of the company. During her final year at Livongo, Dr. Schneider was instrumental in leading the company through the largest consumer digital health InitialPROVIDER MANUAL
Provider Manual 2 | P a g e EDRC 983R REV – 02012021 HomeBridge® is a registered trademark of CareCentrix, Inc. *Applicable for Cigna members/patients with datesREFERRAL FORM
REFERRAL FORM . Please note, failure to complete all of the fields on this form may result in delay of patient care. PATIENT DEMOGRAPHICS DATE REFERRAL SENT TO CARECENTRIX LAST NAME FIRST NAME DATE OF BIRTH CRITERIA FOR DETERMINING THE MEDICAL NECESSITY FOR THE 21 Determining the Appropriate Site of Service for Sleep Testing Sleep testing may be performed in an attended setting in a laboratory facility OR outside of the sleep laboratory using a CLAIM RECONSIDERATION FORM Claim Reconsideration Form Instructions: This form is to be completed by providers to request a claim reconsideration for members enrolled in a plan managed by CareCentrix. This form should only be used for claim reconsiderations; corrected claims & appeals REPORT FINDS MOST CONSUMERS AND NEARLY ALL PAYORS WANT A new report released today by CareCentrix finds a majority of people are ready to open their doors to healthcare at home, and nearly all payors agree that health at home is often more cost effective than treatment in a facility. Payors, providers, policymakers, and people who need care are all open to more care delivery in the home. The COVID-19 pandemic and new remote care delivery CLAIM RECONSIDERATION FORM Claim Reconsideration Form Instructions: This form is to be completed by providers to request a claim reconsideration for members enrolled in a plan managed by CareCentrix. This form should only be used for claim reconsiderations; corrected claims & appeals HOMEBRIDGE - TECHNOLOGY PLATFORM HomeBridge is the technology platform for our providers, health plan clients, and patients. It provides access to the tools and information needed to support quality care at home. With HomeBridge, you can: Initiate, accept and manage Referrals. Manage service and BCBSF FAQS - CARECENTRIX Blue Card Overview • BlueCard is the name of the program which allows BlueCross BlueShield members in one state to access care and receive services in other states where they may be WEARABLE DEVICES TO HELP PATIENTS SLEEP BETTER Wrist-band based wearable devices are tools that insomnia sufferers and their doctors can use to help diagnose and treat several sleep problems. These devices detect movement, a measurement referred to by the scientific community as actigraphy. The ancestor of this technology is the pedometer, designed to count steps. HOW TO GET OUT OF THE HOSPITAL No one is ever released from a hospital, though the word “release” is most often used to describe the process. The proper term is ‘”discharge,” meaning simply that a person leaves the institution and goes someplace else. The word discharge may conjure images of patients being spit out onto the street like so manywatermelon seeds.
CARECENTRIX HOMEBRIDGE PROVIDER PORTAL ENHANCEMENTS EDRC 1984. 032021. HomeBridge Enhancements Page 1 of 10 CareCentrix HomeBridge® Provider Portal Enhancements Introduction The purpose of this reference guide is PROVIDER ONBOARDING TRAINING Provider Services - Participant Guide . CareCentrix®, 2017. All rights reserved. No part of this publication may be reproduce d, transmitted, transcribed, stored in a KEN GOULET | CARECENTRIX President of KRG Advisers, LLC Ken Goulet is a senior-level health care executive with 30+ years proven experience in growing and leading large health plan organizations. He has significant experience managing multi-billion dollar P&L and consumer-focused service operations organizations. Most recently, Goulet served as the executive vice president of Anthem Inc., and president of the RE: CIGNA SLEEP MANAGEMENT PROGRAM ABOUT THE PROGRAM 3. All other precertification requests will be reviewed within one business day to ensure timely decisions. 4. You can also request a peer-to-peer conversation between yourself and a Cigna MedicalDirector to
OPTIMIZING POST-ACUTE CARE, HOME HEALTH & MORE A successful patient transition from acute to post-acute care is crucial. Reducing avoidable hospital readmissions can be achieved through the integration of services including: a home first approach and unified care management, partnered with advanced data analytics and technology platform. PATIENTS - PAY YOUR BILL, FAQS, GET IN TOUCH Call us at 1-877-989-9059.Be sure to have the below ready: A copy of your bill. Your credit card or checking account information. Pen and paper to write down your confirmation number. CONTACT US – HEALTH PLANS, PATIENTS AND PROVIDERS Contact Information. Our regular business hours are 8:30 a.m. – 5 p.m. EST. General Inquiries: Please call 1-800-808-1902. Sales Inquiries: Please call 1-888-839-5122 CAREERS | CARECENTRIX CareCentrix team members take pride in living our core values, including We Care, in everything we do, both in and outside of the work place. We are a united and committed group of individuals with unique experiences, perspectives, differences, and backgrounds that we celebrate every day. Our inclusive culture empowers all of us toconnect
THE BENEFITS OF INFUSION CHEMOTHERAPY AT HOME The increasing number of Americans living with cancer suggests that enormous resources must now be devoted to fighting the disease. This comes as the patient-centered treatment movement has gathered momentum. As a result, a growing body of literature has emerged to address home-based treatments for cancer. THREE KEY CONCEPTS FOR IMPROVING HOSPITAL DISCHARGES Most hospital discharge processes can be improved, as evidenced by readmission rates that remain too high, which are the result of confusion many patients and families face after leaving the hospital. Three relatively simple ideas can reshape the hospital discharge process and increase the likelihood of successful transitions of carePROVIDER MANUAL
Provider Manual 2 | P a g e EDRC 983R REV – 02012021 HomeBridge® is a registered trademark of CareCentrix, Inc. *Applicable for Cigna members/patients with datesREFERRAL FORM
REFERRAL FORM . Please note, failure to complete all of the fields on this form may result in delay of patient care. PATIENT DEMOGRAPHICS DATE REFERRAL SENT TO CARECENTRIX LAST NAME FIRST NAME DATE OF BIRTH CRITERIA FOR DETERMINING THE MEDICAL NECESSITY FOR THE 21 Determining the Appropriate Site of Service for Sleep Testing Sleep testing may be performed in an attended setting in a laboratory facility OR outside of the sleep laboratory using a CLAIM RECONSIDERATION FORM Claim Reconsideration Form Instructions: This form is to be completed by providers to request a claim reconsideration for members enrolled in a plan managed by CareCentrix. This form should only be used for claim reconsiderations; corrected claims & appeals OPTIMIZING POST-ACUTE CARE, HOME HEALTH & MORE A successful patient transition from acute to post-acute care is crucial. Reducing avoidable hospital readmissions can be achieved through the integration of services including: a home first approach and unified care management, partnered with advanced data analytics and technology platform. PATIENTS - PAY YOUR BILL, FAQS, GET IN TOUCH Call us at 1-877-989-9059.Be sure to have the below ready: A copy of your bill. Your credit card or checking account information. Pen and paper to write down your confirmation number. CONTACT US – HEALTH PLANS, PATIENTS AND PROVIDERS Contact Information. Our regular business hours are 8:30 a.m. – 5 p.m. EST. General Inquiries: Please call 1-800-808-1902. Sales Inquiries: Please call 1-888-839-5122 CAREERS | CARECENTRIX CareCentrix team members take pride in living our core values, including We Care, in everything we do, both in and outside of the work place. We are a united and committed group of individuals with unique experiences, perspectives, differences, and backgrounds that we celebrate every day. Our inclusive culture empowers all of us toconnect
THE BENEFITS OF INFUSION CHEMOTHERAPY AT HOME The increasing number of Americans living with cancer suggests that enormous resources must now be devoted to fighting the disease. This comes as the patient-centered treatment movement has gathered momentum. As a result, a growing body of literature has emerged to address home-based treatments for cancer. THREE KEY CONCEPTS FOR IMPROVING HOSPITAL DISCHARGES Most hospital discharge processes can be improved, as evidenced by readmission rates that remain too high, which are the result of confusion many patients and families face after leaving the hospital. Three relatively simple ideas can reshape the hospital discharge process and increase the likelihood of successful transitions of carePROVIDER MANUAL
Provider Manual 2 | P a g e EDRC 983R REV – 02012021 HomeBridge® is a registered trademark of CareCentrix, Inc. *Applicable for Cigna members/patients with datesREFERRAL FORM
REFERRAL FORM . Please note, failure to complete all of the fields on this form may result in delay of patient care. PATIENT DEMOGRAPHICS DATE REFERRAL SENT TO CARECENTRIX LAST NAME FIRST NAME DATE OF BIRTH CRITERIA FOR DETERMINING THE MEDICAL NECESSITY FOR THE 21 Determining the Appropriate Site of Service for Sleep Testing Sleep testing may be performed in an attended setting in a laboratory facility OR outside of the sleep laboratory using a CLAIM RECONSIDERATION FORM Claim Reconsideration Form Instructions: This form is to be completed by providers to request a claim reconsideration for members enrolled in a plan managed by CareCentrix. This form should only be used for claim reconsiderations; corrected claims & appeals CONTACT US – HEALTH PLANS, PATIENTS AND PROVIDERS Contact Information. Our regular business hours are 8:30 a.m. – 5 p.m. EST. General Inquiries: Please call 1-800-808-1902. Sales Inquiries: Please call 1-888-839-5122 HOMEBRIDGE - TECHNOLOGY PLATFORM HomeBridge is the technology platform for our providers, health plan clients, and patients. It provides access to the tools and information needed to support quality care at home. With HomeBridge, you can: Initiate, accept and manage Referrals. Manage service and REPORT FINDS MOST CONSUMERS AND NEARLY ALL PAYORS WANT A new report released today by CareCentrix finds a majority of people are ready to open their doors to healthcare at home, and nearly all payors agree that health at home is often more cost effective than treatment in a facility. Payors, providers, policymakers, and people who need care are all open to more care delivery in the home. The COVID-19 pandemic and new remote care delivery JENNIFER SCHNEIDER, MD, MS Former Chief Medical Officer and President at Livongo Dr. Jennifer Schneider, M.D., M.S., is the former Chief Medical Officer and President at Livongo, and oversaw the strategic, technical and clinical direction of the company. During her final year at Livongo, Dr. Schneider was instrumental in leading the company through the largest consumer digital health Initial WEARABLE DEVICES TO HELP PATIENTS SLEEP BETTER Wrist-band based wearable devices are tools that insomnia sufferers and their doctors can use to help diagnose and treat several sleep problems. These devices detect movement, a measurement referred to by the scientific community as actigraphy. The ancestor of this technology is the pedometer, designed to count steps. WHAT DOES A HOSPITAL CARE COORDINATOR DO? The basic description of a care coordinator’s job is implied by the title: the responsibility is to manage all the details of a patient’s care. Even though the care coordinator works in a hospital, her job is focused on everything that happens after youleave
HOW TO GET OUT OF THE HOSPITAL No one is ever released from a hospital, though the word “release” is most often used to describe the process. The proper term is ‘”discharge,” meaning simply that a person leaves the institution and goes someplace else. The word discharge may conjure images of patients being spit out onto the street like so manywatermelon seeds.
DATE REFERRAL SENT TO CARECENTRIX EDRC-253 . REFERRAL FORM . Please note, failure to complete all of the fields on this form may result in delay of patient care. PATIENTDEMOGRAPHICS
CLAIM RECONSIDERATION FORM Claim Reconsideration Form Instructions: This form is to be completed by providers to request a claim reconsideration for members enrolled in a plan managed by CareCentrix. This form should only be used for claim reconsiderations; corrected claims & appealsAPPEAL FORM
Appeal Form Instructions: This form is to be completed by providers to request a claim Appeal for members enrolled in a plan managed by CareCentrix. This form should only be used for claim Appeals; corrected claims & claim reconsiderations should not use this form. OPTIMIZING POST-ACUTE CARE, HOME HEALTH & MORE A successful patient transition from acute to post-acute care is crucial. Reducing avoidable hospital readmissions can be achieved through the integration of services including: a home first approach and unified care management, partnered with advanced data analytics and technology platform. PATIENTS - PAY YOUR BILL, FAQS, GET IN TOUCH Call us at 1-877-989-9059.Be sure to have the below ready: A copy of your bill. Your credit card or checking account information. Pen and paper to write down your confirmation number. CAREERS | CARECENTRIX CareCentrix team members take pride in living our core values, including We Care, in everything we do, both in and outside of the work place. We are a united and committed group of individuals with unique experiences, perspectives, differences, and backgrounds that we celebrate every day. Our inclusive culture empowers all of us toconnect
CONTACT US – HEALTH PLANS, PATIENTS AND PROVIDERS Contact Information. Our regular business hours are 8:30 a.m. – 5 p.m. EST. General Inquiries: Please call 1-800-808-1902. Sales Inquiries: Please call 1-888-839-5122 THE BENEFITS OF INFUSION CHEMOTHERAPY AT HOME The increasing number of Americans living with cancer suggests that enormous resources must now be devoted to fighting the disease. This comes as the patient-centered treatment movement has gathered momentum. As a result, a growing body of literature has emerged to address home-based treatments for cancer.DAVID WENNBERG
David Wennberg, MD, is the current CEO of Quartet Health a technology company transforming mental health. Prior to becoming CEO in October 2018, David was the Chief Science Officer, leading the Data Science function at Quartet and contributed significantly to business development. David previously served as the Chief Executive Officer ofthe
WEARABLE DEVICES TO HELP PATIENTS SLEEP BETTER Wrist-band based wearable devices are tools that insomnia sufferers and their doctors can use to help diagnose and treat several sleep problems. These devices detect movement, a measurement referred to by the scientific community as actigraphy. The ancestor of this technology is the pedometer, designed to count steps. SOCIAL DETERMINANTS OF HEALTH: TRANSFORMING CARE AT HOMESOCIAL DETERMINANTS OF HEALTH WHO10 SOCIAL DETERMINANTS OF HEALTH12 SOCIAL DETERMINANTS OF HEALTHHEALTHCARE SOCIAL DETERMINANTS OF HEALTHSOCIAL DETERMINANTS OF CAREHOW TO ADDRESS SOCIAL DETERMINANTS OF HEAL… Social determinants of health (SDoH) are increasingly being recognized as important factors to take into consideration if we are to improve patient outcomes while reducing costs. As we transition from fee-for-service to value-based payment models, identifying which SDoH impact a patient’s path to healing is of outmost importance.REFERRAL FORM
REFERRAL FORM . Please note, failure to complete all of the fields on this form may result in delay of patient care. PATIENT DEMOGRAPHICS DATE REFERRAL SENT TO CARECENTRIX LAST NAME FIRST NAME DATE OF BIRTH CLAIM RECONSIDERATION FORM Claim Reconsideration Form Instructions: This form is to be completed by providers to request a claim reconsideration for members enrolled in a plan managed by CareCentrix. This form should only be used for claim reconsiderations; corrected claims & appeals OPTIMIZING POST-ACUTE CARE, HOME HEALTH & MORE A successful patient transition from acute to post-acute care is crucial. Reducing avoidable hospital readmissions can be achieved through the integration of services including: a home first approach and unified care management, partnered with advanced data analytics and technology platform. PATIENTS - PAY YOUR BILL, FAQS, GET IN TOUCH Call us at 1-877-989-9059.Be sure to have the below ready: A copy of your bill. Your credit card or checking account information. Pen and paper to write down your confirmation number. CAREERS | CARECENTRIX CareCentrix team members take pride in living our core values, including We Care, in everything we do, both in and outside of the work place. We are a united and committed group of individuals with unique experiences, perspectives, differences, and backgrounds that we celebrate every day. Our inclusive culture empowers all of us toconnect
CONTACT US – HEALTH PLANS, PATIENTS AND PROVIDERS Contact Information. Our regular business hours are 8:30 a.m. – 5 p.m. EST. General Inquiries: Please call 1-800-808-1902. Sales Inquiries: Please call 1-888-839-5122 THE BENEFITS OF INFUSION CHEMOTHERAPY AT HOME The increasing number of Americans living with cancer suggests that enormous resources must now be devoted to fighting the disease. This comes as the patient-centered treatment movement has gathered momentum. As a result, a growing body of literature has emerged to address home-based treatments for cancer.DAVID WENNBERG
David Wennberg, MD, is the current CEO of Quartet Health a technology company transforming mental health. Prior to becoming CEO in October 2018, David was the Chief Science Officer, leading the Data Science function at Quartet and contributed significantly to business development. David previously served as the Chief Executive Officer ofthe
WEARABLE DEVICES TO HELP PATIENTS SLEEP BETTER Wrist-band based wearable devices are tools that insomnia sufferers and their doctors can use to help diagnose and treat several sleep problems. These devices detect movement, a measurement referred to by the scientific community as actigraphy. The ancestor of this technology is the pedometer, designed to count steps. SOCIAL DETERMINANTS OF HEALTH: TRANSFORMING CARE AT HOMESOCIAL DETERMINANTS OF HEALTH WHO10 SOCIAL DETERMINANTS OF HEALTH12 SOCIAL DETERMINANTS OF HEALTHHEALTHCARE SOCIAL DETERMINANTS OF HEALTHSOCIAL DETERMINANTS OF CAREHOW TO ADDRESS SOCIAL DETERMINANTS OF HEAL… Social determinants of health (SDoH) are increasingly being recognized as important factors to take into consideration if we are to improve patient outcomes while reducing costs. As we transition from fee-for-service to value-based payment models, identifying which SDoH impact a patient’s path to healing is of outmost importance.REFERRAL FORM
REFERRAL FORM . Please note, failure to complete all of the fields on this form may result in delay of patient care. PATIENT DEMOGRAPHICS DATE REFERRAL SENT TO CARECENTRIX LAST NAME FIRST NAME DATE OF BIRTH CLAIM RECONSIDERATION FORM Claim Reconsideration Form Instructions: This form is to be completed by providers to request a claim reconsideration for members enrolled in a plan managed by CareCentrix. This form should only be used for claim reconsiderations; corrected claims & appealsCARETALK PODCAST
John and David weigh in on whether or not the USA should step in and help vaccinate the rest of the world against COVID. WEARABLE DEVICES TO HELP PATIENTS SLEEP BETTER Wrist-band based wearable devices are tools that insomnia sufferers and their doctors can use to help diagnose and treat several sleep problems. These devices detect movement, a measurement referred to by the scientific community as actigraphy. The ancestor of this technology is the pedometer, designed to count steps.DAVID WENNBERG
David Wennberg, MD, is the current CEO of Quartet Health a technology company transforming mental health. Prior to becoming CEO in October 2018, David was the Chief Science Officer, leading the Data Science function at Quartet and contributed significantly to business development. David previously served as the Chief Executive Officer ofthe
POST-ACUTE CARE RESOURCES CareCentrix is committed to a vision where anyone can heal or age at home. Take a closer look at how we are driving the conversation on post-acute care and care delivered to the home. PLANNING YOUR HOME HEALTH CARE AFTER SURGERY Move things. Spend a couple of days making a list of the things you use in the morning, day, evening, and night (e.g., toothbrush, water glass, contact lens solution). Before you leave the house for surgery, you should make sure to set these things out on counters, nightstands, etc. You won’t feel like (or maybe be able to) reaching into WHAT DOES A HOSPITAL CARE COORDINATOR DO? The basic description of a care coordinator’s job is implied by the title: the responsibility is to manage all the details of a patient’s care. Even though the care coordinator works in a hospital, her job is focused on everything that happens after youleave
HOW TO GET OUT OF THE HOSPITAL No one is ever released from a hospital, though the word “release” is most often used to describe the process. The proper term is ‘”discharge,” meaning simply that a person leaves the institution and goes someplace else. The word discharge may conjure images of patients being spit out onto the street like so manywatermelon seeds.
KEN GOULET | CARECENTRIX President of KRG Advisers, LLC Ken Goulet is a senior-level health care executive with 30+ years proven experience in growing and leading large health plan organizations. He has significant experience managing multi-billion dollar P&L and consumer-focused service operations organizations. Most recently, Goulet served as the executive vice president of Anthem Inc., and president of theSTEVEN J. SHULMAN
Steven J. Shulman. Mr. Shulman serves as managing partner of Shulman Family Ventures, a private equity firm since 2008. He is the former chairman and chief executive officer of Magellan Health Services (NASDAQ:MGLN), where he spearheaded the company’s successful turnaround, restructuring out of bankruptcy, and diversification intothe nation
STAFFING SHORTAGE IN HOME HEALTH INDUSTRY: WORKFORCE With 10,000 baby boomers in the United States expected to turn 65 every day, over the course of the next 20 years, the demand for home health staff is also projected to increase by 36 percent (more than 4 million open positions), according to the Bureau of Labor and Statistics. Normally, a surge in job opportunities is regarded as a sign that the economy is thriving. OPTIMIZING POST-ACUTE CARE, HOME HEALTH & MORE A successful patient transition from acute to post-acute care is crucial. Reducing avoidable hospital readmissions can be achieved through the integration of services including: a home first approach and unified care management, partnered with advanced data analytics and technology platform. PATIENTS - PAY YOUR BILL, FAQS, GET IN TOUCH Call us at 1-877-989-9059.Be sure to have the below ready: A copy of your bill. Your credit card or checking account information. Pen and paper to write down your confirmation number. CONTACT US – HEALTH PLANS, PATIENTS AND PROVIDERS Contact Information. Our regular business hours are 8:30 a.m. – 5 p.m. EST. General Inquiries: Please call 1-800-808-1902. Sales Inquiries: Please call 1-888-839-5122 CAREERS | CARECENTRIX CareCentrix team members take pride in living our core values, including We Care, in everything we do, both in and outside of the work place. We are a united and committed group of individuals with unique experiences, perspectives, differences, and backgrounds that we celebrate every day. Our inclusive culture empowers all of us toconnect
HOME HEALTH CARE AND HOME DME SOLUTIONS Unfortunately, many plans don’t have the resources or ability to affect this approach. Home Health expenditures are expected to grow to $157B by 2022 1. Demand for home DME is estimated to reach $43B by 2019 2. Waste and abuse is growing in these categories as THE BENEFITS OF INFUSION CHEMOTHERAPY AT HOME The increasing number of Americans living with cancer suggests that enormous resources must now be devoted to fighting the disease. This comes as the patient-centered treatment movement has gathered momentum. As a result, a growing body of literature has emerged to address home-based treatments for cancer. EDO BANACH | CARECENTRIX Edo Banach, JD is President & CEO of the National Hospice and Palliative Care Organization. He previously was a Partner in the firm of Gallagher, Evelius & Jones in Baltimore, MD. Prior to that, he was the Deputy Director of the Medicare-Medicaid Coordination Office at the Centers for Medicare & Medicaid Services and Associate GeneralCounsel
PROVIDER MANUAL
Provider Manual 2 | P a g e EDRC 983R REV – 02012021 HomeBridge® is a registered trademark of CareCentrix, Inc. *Applicable for Cigna members/patients with dates CLAIM RECONSIDERATION FORM Claim Reconsideration Form Instructions: This form is to be completed by providers to request a claim reconsideration for members enrolled in a plan managed by CareCentrix. This form should only be used for claim reconsiderations; corrected claims & appeals FREQUENTLY ASKED QUESTIONS 90 DAY GRACE PERIOD FOR CERTAIN FREQUENTLY ASKED QUESTIONS 90 Day Grace Period for Certain Members Enrolled in a Plan Through a Health Insurance Exchange EDRC 034 Q1: What is a premium grace period? OPTIMIZING POST-ACUTE CARE, HOME HEALTH & MORE A successful patient transition from acute to post-acute care is crucial. Reducing avoidable hospital readmissions can be achieved through the integration of services including: a home first approach and unified care management, partnered with advanced data analytics and technology platform. PATIENTS - PAY YOUR BILL, FAQS, GET IN TOUCH Call us at 1-877-989-9059.Be sure to have the below ready: A copy of your bill. Your credit card or checking account information. Pen and paper to write down your confirmation number. CONTACT US – HEALTH PLANS, PATIENTS AND PROVIDERS Contact Information. Our regular business hours are 8:30 a.m. – 5 p.m. EST. General Inquiries: Please call 1-800-808-1902. Sales Inquiries: Please call 1-888-839-5122 CAREERS | CARECENTRIX CareCentrix team members take pride in living our core values, including We Care, in everything we do, both in and outside of the work place. We are a united and committed group of individuals with unique experiences, perspectives, differences, and backgrounds that we celebrate every day. Our inclusive culture empowers all of us toconnect
HOME HEALTH CARE AND HOME DME SOLUTIONS Unfortunately, many plans don’t have the resources or ability to affect this approach. Home Health expenditures are expected to grow to $157B by 2022 1. Demand for home DME is estimated to reach $43B by 2019 2. Waste and abuse is growing in these categories as THE BENEFITS OF INFUSION CHEMOTHERAPY AT HOME The increasing number of Americans living with cancer suggests that enormous resources must now be devoted to fighting the disease. This comes as the patient-centered treatment movement has gathered momentum. As a result, a growing body of literature has emerged to address home-based treatments for cancer. EDO BANACH | CARECENTRIX Edo Banach, JD is President & CEO of the National Hospice and Palliative Care Organization. He previously was a Partner in the firm of Gallagher, Evelius & Jones in Baltimore, MD. Prior to that, he was the Deputy Director of the Medicare-Medicaid Coordination Office at the Centers for Medicare & Medicaid Services and Associate GeneralCounsel
PROVIDER MANUAL
Provider Manual 2 | P a g e EDRC 983R REV – 02012021 HomeBridge® is a registered trademark of CareCentrix, Inc. *Applicable for Cigna members/patients with dates CLAIM RECONSIDERATION FORM Claim Reconsideration Form Instructions: This form is to be completed by providers to request a claim reconsideration for members enrolled in a plan managed by CareCentrix. This form should only be used for claim reconsiderations; corrected claims & appeals FREQUENTLY ASKED QUESTIONS 90 DAY GRACE PERIOD FOR CERTAIN FREQUENTLY ASKED QUESTIONS 90 Day Grace Period for Certain Members Enrolled in a Plan Through a Health Insurance Exchange EDRC 034 Q1: What is a premium grace period? HOME HEALTH CARE AND HOME DME SOLUTIONS Unfortunately, many plans don’t have the resources or ability to affect this approach. Home Health expenditures are expected to grow to $157B by 2022 1. Demand for home DME is estimated to reach $43B by 2019 2. Waste and abuse is growing in these categories asCARETALK PODCAST
John and David weigh in on whether or not the USA should step in and help vaccinate the rest of the world against COVID. POST-ACUTE CARE RESOURCES CareCentrix is committed to a vision where anyone can heal or age at home. Take a closer look at how we are driving the conversation on post-acute care and care delivered to the home. WHAT DOES A HOSPITAL CARE COORDINATOR DO? The basic description of a care coordinator’s job is implied by the title: the responsibility is to manage all the details of a patient’s care. Even though the care coordinator works in a hospital, her job is focused on everything that happens after youleave
WHAT IS A VULNERABLE POPULATION IN HEALTHCARE? The difference between “vulnerable” and “at-risk” populations comes down to the difference between condition versus status. Vulnerability refers to one’s general condition or state, such as age, gender (or incarceration status). For example, seniors are vulnerable by virtue of their relatively decreased physical capacity.“Risk
HOW TO GET OUT OF THE HOSPITAL No one is ever released from a hospital, though the word “release” is most often used to describe the process. The proper term is ‘”discharge,” meaning simply that a person leaves the institution and goes someplace else. The word discharge may conjure images of patients being spit out onto the street like so manywatermelon seeds.
DAVID WENNBERG
David Wennberg, MD, is the current CEO of Quartet Health a technology company transforming mental health. Prior to becoming CEO in October 2018, David was the Chief Science Officer, leading the Data Science function at Quartet and contributed significantly to business development. David previously served as the Chief Executive Officer ofthe
HOME INFUSION: BENEFITS AND BARRIERS Home infusion therapy is likely to succeed in the long run because most patients prefer being cared for at home. It is well known that people recover more quickly and more completely in familiar surroundings. The movement toward home and away from hospitals is likely to be driven as much by patient preference as by the emergenceof smart pumps
KEN GOULET | CARECENTRIX President of KRG Advisers, LLC Ken Goulet is a senior-level health care executive with 30+ years proven experience in growing and leading large health plan organizations. He has significant experience managing multi-billion dollar P&L and consumer-focused service operations organizations. Most recently, Goulet served as the executive vice president of Anthem Inc., and president of thePROVIDER MANUAL
Provider Manual 2 | P a g e EDRC 983R REV – 02012021 HomeBridge® is a registered trademark of CareCentrix, Inc. *Applicable for Cigna members/patients with dates OPTIMIZING POST-ACUTE CARE, HOME HEALTH & MORE A successful patient transition from acute to post-acute care is crucial. Reducing avoidable hospital readmissions can be achieved through the integration of services including: a home first approach and unified care management, partnered with advanced data analytics and technology platform. PATIENTS - PAY YOUR BILL, FAQS, GET IN TOUCH Call us at 1-877-989-9059.Be sure to have the below ready: A copy of your bill. Your credit card or checking account information. Pen and paper to write down your confirmation number. CAREERS | CARECENTRIX CareCentrix Cares “I had an unexpected visit to the hospital in the beginning of the year and was not prepared for how much it would cost meThanks to this program I was nearly able to pay off my hospital bill and had a lot of stress taken off me. CONTACT US – HEALTH PLANS, PATIENTS AND PROVIDERS Contact Information. Our regular business hours are 8:30 a.m. – 5 p.m. EST. General Inquiries: Please call 1-800-808-1902. Sales Inquiries: Please call 1-888-839-5122 HOME HEALTH CARE AND HOME DME SOLUTIONS What is Home Health and DME? After patients undergo treatment, surgical or otherwise, they will be discharged for post-acute care. This care may occur at a facility, such as a skilled nursing facility or long-term acute care facility, but, in many cases, it can be administered in the patient’s home instead. THE BENEFITS OF INFUSION CHEMOTHERAPY AT HOME The increasing number of Americans living with cancer suggests that enormous resources must now be devoted to fighting the disease. This comes as the patient-centered treatment movement has gathered momentum. As a result, a growing body of literature has emerged to address home-based treatments for cancer. WEARABLE DEVICES TO HELP PATIENTS SLEEP BETTER Wrist-band based wearable devices are tools that insomnia sufferers and their doctors can use to help diagnose and treat several sleep problems. These devices detect movement, a measurement referred to by the scientific community as actigraphy.PROVIDER MANUAL
Provider Manual 2 | P a g e EDRC 983R REV – 02012021 HomeBridge® is a registered trademark of CareCentrix, Inc. *Applicable for Cigna members/patients with dates WHY MEDICARE ADVANTAGE PLANS ARE GROWING IN POPULARITY In the wake the Affordable Care Act (ACA) that placed various limits on Medicare Advantage (MA) managed care plans, enrollments have been steadily increasing. Today, one in three Medicare beneficiaries is enrolled in an MA plan. What explains this paradox? FREQUENTLY ASKED QUESTIONS 90 DAY GRACE PERIOD FOR CERTAIN FREQUENTLY ASKED QUESTIONS 90 Day Grace Period for Certain Members Enrolled in a Plan Through a Health Insurance Exchange EDRC 034 Q1: What is a premium grace period? OPTIMIZING POST-ACUTE CARE, HOME HEALTH & MORE A successful patient transition from acute to post-acute care is crucial. Reducing avoidable hospital readmissions can be achieved through the integration of services including: a home first approach and unified care management, partnered with advanced data analytics and technology platform. PATIENTS - PAY YOUR BILL, FAQS, GET IN TOUCH Call us at 1-877-989-9059.Be sure to have the below ready: A copy of your bill. Your credit card or checking account information. Pen and paper to write down your confirmation number. CAREERS | CARECENTRIX CareCentrix Cares “I had an unexpected visit to the hospital in the beginning of the year and was not prepared for how much it would cost meThanks to this program I was nearly able to pay off my hospital bill and had a lot of stress taken off me. CONTACT US – HEALTH PLANS, PATIENTS AND PROVIDERS Contact Information. Our regular business hours are 8:30 a.m. – 5 p.m. EST. General Inquiries: Please call 1-800-808-1902. Sales Inquiries: Please call 1-888-839-5122 HOME HEALTH CARE AND HOME DME SOLUTIONS What is Home Health and DME? After patients undergo treatment, surgical or otherwise, they will be discharged for post-acute care. This care may occur at a facility, such as a skilled nursing facility or long-term acute care facility, but, in many cases, it can be administered in the patient’s home instead. THE BENEFITS OF INFUSION CHEMOTHERAPY AT HOME The increasing number of Americans living with cancer suggests that enormous resources must now be devoted to fighting the disease. This comes as the patient-centered treatment movement has gathered momentum. As a result, a growing body of literature has emerged to address home-based treatments for cancer. WEARABLE DEVICES TO HELP PATIENTS SLEEP BETTER Wrist-band based wearable devices are tools that insomnia sufferers and their doctors can use to help diagnose and treat several sleep problems. These devices detect movement, a measurement referred to by the scientific community as actigraphy.PROVIDER MANUAL
Provider Manual 2 | P a g e EDRC 983R REV – 02012021 HomeBridge® is a registered trademark of CareCentrix, Inc. *Applicable for Cigna members/patients with dates WHY MEDICARE ADVANTAGE PLANS ARE GROWING IN POPULARITY In the wake the Affordable Care Act (ACA) that placed various limits on Medicare Advantage (MA) managed care plans, enrollments have been steadily increasing. Today, one in three Medicare beneficiaries is enrolled in an MA plan. What explains this paradox? FREQUENTLY ASKED QUESTIONS 90 DAY GRACE PERIOD FOR CERTAIN FREQUENTLY ASKED QUESTIONS 90 Day Grace Period for Certain Members Enrolled in a Plan Through a Health Insurance Exchange EDRC 034 Q1: What is a premium grace period? HOME HEALTH CARE AND HOME DME SOLUTIONS What is Home Health and DME? After patients undergo treatment, surgical or otherwise, they will be discharged for post-acute care. This care may occur at a facility, such as a skilled nursing facility or long-term acute care facility, but, in many cases, it can be administered in the patient’s home instead.CARETALK PODCAST
John and David weigh in on whether or not the USA should step in and help vaccinate the rest of the world against COVID. THE BENEFITS OF INFUSION CHEMOTHERAPY AT HOME The increasing number of Americans living with cancer suggests that enormous resources must now be devoted to fighting the disease. This comes as the patient-centered treatment movement has gathered momentum. As a result, a growing body of literature has emerged to address home-based treatments for cancer. POST-ACUTE CARE RESOURCES CareCentrix is committed to a vision where anyone can heal or age at home. Take a closer look at how we are driving the conversation on post-acute care and care delivered to the home. HOW TO GET OUT OF THE HOSPITAL For many people who have been in the hospital for an illness or surgery, the best part of the experience is leaving the hospital. But leaving a hospital is not as simple and straightforward as leaving an airport (although there are some eerie similarities between hospitals and air travel, including inexplicable delays and strange-lookingfood).
HOME INFUSION: BENEFITS AND BARRIERS If you have difficulty understanding English, we offer language assistance and interpretation services at no cost to you. For help, please call 1-844-359-5381.DAVID WENNBERG
Chief Executive Officer of Quartet Health David Wennberg, MD, is the current CEO of Quartet Health a technology company transforming mental health. Prior to becoming CEO in October 2018, David was the Chief Science Officer, leading the Data Science function at Quartet and contributed significantly to business development. David previously served as the Chief Executive WHAT IS A VULNERABLE POPULATION IN HEALTHCARE? There are a number of groups in healthcare that are considered vulnerable due to high risk and poor health. Learn more about the definition of a vulnerable population and examples of KEN GOULET | CARECENTRIX President of KRG Advisers, LLC Ken Goulet is a senior-level health care executive with 30+ years proven experience in growing and leading large health plan organizations. He has significant experience managing multi-billion dollar P&L and consumer-focused service operations organizations. Most recently, Goulet served as the executive vice president of Anthem Inc., and president of thePROVIDER MANUAL
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LET’S BRING
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Download HEALTH-AT-HOME 2020 for key insights A MESSAGE TO PATIENTS, CUSTOMERS, AND PROVIDERS REGARDING COVID-19 WE ARE TAKING EVERY ACTION POSSIBLE TO SUPPORT HEALTH PLAN MEMBERS, PROVIDERS, OUR EMPLOYEES, AND THE COMMUNITY RELATED TO COVID-19 (CORONAVIRUS). READ MORE NEED HELP OPTIMIZING YOUR STRATEGY? Request a consultation INTELLIGENT PATHWAYSHAPPIER PATIENTS
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CareCentrix has developed purpose-built technology, analytics, and experience to guide care that keeps patients on the path to the ultimate site of care: home. To address the complexities of post-acute care, we engage patients and caregivers, coordinate care transitions, improve clinical outcomes, and do all we can to help patients heal or age at home. By finding new ways to break down the silos across the continuum of care, we are able to identify and capture savings health plans cancount on.
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The best way to bend the cost curve is to guide and support care tothe home.
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CELEBRATING OUR NATION’S CAREGIVERS: HELPING FAMILIES FACE NEW REALITIES DURING COVID-19 PANDEMIC Turn-Key Health, a CareCentrix company, recognizes the critical role of family caregivers and their ongoing support, especially those who support loved ones with serious illness. As we celebrate National Family Caregivers Month this November, we acknowledge their tireless efforts to optimize individual patient care and care coordination and improve quality of life in the home.Read More
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MEDICARE ADVANTAGE PREMIUMS TO DECREASE, BENEFITS TO INCREASE On September 24, 2020, the Centers for Medicare & Medicaid Services(CMS)...
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BUILDING A BETTER MODEL FOR CARE AT HOME "Building a Better Model for Care at Home,” an AHIP webinarpresented...
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CareCentrix Patient Story VideoTestimonial
WHAT DO MEMBERS THINK? Vanessa, a health plan member, sustained multiple fractures and injuries in an accident. CareCentrix provided care coordination, medical equipment, and nurse coaching to support her transition back to independent living. All while allowing her to heal where she most wanted to be… at home.FEATURED RESOURCES
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REDUCING AVOIDABLE HOSPITAL READMISSIONS AND COSTS THROUGH AN INTEGRATED APPROACH TO POST-ACUTE CARE A successful patient transition from acute to post-acute care is crucial. Reducing avoidable hospital readmissions can be achieved through the integration of services including: a home first approach and unified care management, partnered with advanced data analytics and technology platform. Download our most recent whitepaper, Reducing Avoidable Hospital Readmissions and Costs through an Integrated Approach to Post-acute Care, to learn about this process and how a successful patient transition can be achieved.Download Now
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HEALTH AT HOME: THE NEW NORMAL OF CARE COVID-19 exposed the fragility of our health care system and demonstrated once again the value of providing care to the home. As the pandemic unfolded, we showed in hot-spots ranging from New York and Connecticut to Florida and Louisiana that the home can be a superior destination for care. Download our webinar with Fierce Healthcare to learn why health and aging in the home has never been more important during a global pandemic and beyond.Download Now
Salesforce CRM and Population Health Video _“IF WE LEVERAGE NURSES, SOCIAL WORKERS, AND TECHNOLOGY SO PATIENT RELATIONS ARE MANAGED IN A MORE INTELLIGENT, HOLISTIC WAY AND THE TEAM IS CONNECTING AND COLLABORATING IN A MORE EFFECTIVE WAY—__WE’RE NOT GOING TO BEND THE COST CURVE, WE’RE GOING TO BREAK IT.”_ –John Driscoll
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Under the CareCentrix Utilization Management (UM) Program: 1) UM decision making is based on appropriateness of care & service and existence of coverage; 2) CareCentrix does not specifically reward practitioners or other individuals for issuing denials of coverage or service care; and 3) Financial incentives for UM decision makers do not encourage decisions that result in under-utilization. CareCentrix maintains a drug-free workplace. Copyright © 2020 CareCentrix, Inc. All rights reserved. HomeBridge® is a registered trademark of CareCentrix, Inc. Terms and Conditions| Privacy Policy
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