The I-SNP is designed for eligible Medicare enrollees
who reside in a long-term care facility.
Simply put, the I-SNP is an all-inclusive plan that replaces traditional Medicare. It covers:
- Inpatient care (Part A)
- Outpatient and primary care (Part B)
- Supplemental benefits including vision, dental, hearing, etc. (Part C)
- Prescription drugs (Part D)
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The care team’s roles…
- Completes Annual Health Risk Assessment (HRA) to establish goals and improve health outcomes
- Onsite visits and available on call 24/7 to provide continuity of care
- Coordinates care with the members PCP, facility, and the interdisciplinary care team (ICT)
- Provides chronic disease management, addresses polypharmacy and goals of care
- Identifies, anticipates, and treats acute changes in condition
- Provides education to the facility and all members of the ICT to improve quality of care and outcomes
RN Care Coordinator:
- Rounds on assigned members to identify and escalate member changes in condition to the Primary Care Physician (PCP), Nurse Practitioner and facility to avoid unplanned transfers
- Coordinating integrated care plan development, including collaboration with nursing staff, leadership, as well as the entire ICT according to the Provider Partners Health Plans Model of Care
- Coordination of care needs such as transitions of care, prior authorization and skilling needs
- Assists in development and deployment of education to nursing facility and members
- Ensures members receive all necessary, preventative care and medication reviews to promote wellness and improved outcomes
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In short, the I-SNP is better for everyone.
Provide a higher standard of care. Residents won’t need to be hospitalized as often. Families and physicians will be kept up to date on residents’ care.
And unlike other I-SNPs, the facility shares in 100% of the revenue gained by lowering the cost of care.
Ask how I-SNP can help.