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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.

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