Providers Partners Health Plans offer all the benefits of traditional Medicare, including Part D prescription drug coverage, plus a Nurse Practitioner and RN Care Coordinator.
BENEFITS FOR PARTNERS
Tech-enabled Knowledge
Provider Partners Real Time Interventional Analytics alerts Nurse Practitioners and RN Care Coordinators to negative changes in patient condition or mobility. This allows for earlier intervention and helps prevent acute illness or unnecessary hospitalizations.
Reduce hospital readmissions, manage care coordination, and identify early warning signs of infectious disease.
Quality of Care
The programs add Nurse Practitioners and RN Care Coordinators to help deliver exceptional timely and coordinated care to members.
Reduce hospital readmissions, manage care coordination, and identify early warning signs of infectious disease.
Revenue Share Program
Provider Partners Health Plans receives a monthly premium payment from Medicare and then pays the facility an upfront capitated payment every month.
Partnering with us gives a participating facility a new monthly revenue stream and the potential to participate in a year-end P4P bonus.
Reduce hospital readmissions, manage care coordination, and identify early warning signs of infectious disease.
BENEFITS FOR RESIDENTS
Nurse Practitioner & RN Care Coordinator
An on-site Nurse Practitioner and RN Care Coordinator is provided to each facility to collaborate with residents’ care team and family to create a personalized care plan. Together, the clinicians will provide proactive care to reduce unnecessary hospitalizations.
Dental
Oral health is extremely important for the senior population, and dental care is not covered by Medicare. Provider Partners Health Plans can bring routine and comprehensive dental coverage to keep residents healthy
Vision
Medicare doesn’t cover routine eye exams and glasses. With a high percentage of diabetes in this population, eye care is really important. Eligible residents can get these exams covered and a new pair of glasses every year.
Over the Counter
Residents receive a catalog of items to choose from. Anything from lotions, shampoos, heating pads, incontinence products, and more are included. Because these are covered, facilities can experience reduced expenses.
Podiatry
Routine foot care is one of the easiest ways to keep seniors out of hospitals. Without regular podiatry care, they can end up with cuts and wounds which can even lead to amputations. Plans cover bimonthly podiatry care and help to prevent any complications.
Medical Transport
Residents are able to get to and from medical appointments with ease. A health aide can accompany residents if requested to provide additional assistance.
Hearing
When seniors experience hearing loss, they get isolated and can experience a deep depression. Provider Partners Health Plans ensure they have access to routine audiology exams and hearing aids.
Non-Medicare Covered Wheelchair
To help with mobility, residents will receive a special supplemental wheelchair paid for by the plan. This can help residents live a more independent, active, healthy, and happy lifestyle.
Home & Bathroom Safety Devices and Modification
Residents receive a catalog of items to choose from including an enhanced selection of Home and Bathroom safety products not found in the Over the Counter catalog. These items improve safety, reduce falls and monitor chronic conditions.