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ActiveHealth awarded Direct Contracting Entity by CMS

November 2020

Serious illnesses take a toll on patients, their families and caregivers. It’s a confusing and emotional time, often involves navigating multiple providers and results in higher health care utilization and costs. It creates challenges for families, caregivers and providers too. High-need patients with serious chronic illnesses such as heart failure, cancer, or end-stage kidney disease require time and resources to manage.

The Centers for Medicare and Medicaid Services (CMS) has introduced new value-based payment models to address some of these challenges. They recently awarded Direct Contracting Entities (DCEs) to a select group of organizations focused exclusively on serving high-need Medicare beneficiaries.

ActiveHealth is proud to have been awarded a Direct Contracting Entity (DCE) to serve high-need patients and their families. During the first performance year, we’ll be collaborating with hospice, palliative care and home-based primary care providers in Florida, New York and Illinois. View the DCE Provider Partners

The Direct Contracting program for high-need Medicare beneficiaries will offer the following enhanced services:

  • Advocacy-driven care coordination
  • Help from a specialized interdisciplinary team
  • Health education and care planning support
  • 24/7 support for patients, families and caregivers
  • Referrals to community resources

About: ActiveHealth is a payor-agnostic care management and well-being solutions provider with over 20 years of experience and 20 million+ lives under management. ActiveHealth specializes in engaging and advocating for disengaged, vulnerable members who often have multiple medical, behavioral and social challenges. As a result, ActiveHealth is uniquely positioned to meaningfully improve health outcomes and costs.

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Return to care. A message from Dr. Jonathan Rubens, Chief Medical Officer

Return to care. A message from Dr. Jonathan Rubens, Chief Medical Officer

The vacation season is over – which means it’s time to go back to work, back to school and back to care. When the pandemic first hit, we locked down and stayed safe at home. Many of us delayed or cancelled needed health care. Read a message from ActiveHealth Chief Medical Officer Dr. Jonathan Rubens about taking care of ourselves as we switch gears into the fall season.

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Article

Maximizing serious illness support through intensive care management

Maximizing serious illness support through intensive care management

Patients with complex and serious illness require more intense specialized care. The Center for Medicare and Medicaid Innovation (CMMI) is working to lower costs for these patients while improving care quality.

CMMI is creating opportunities for alternative payment models to care for individuals with Serious Illness through Primary Care First and Direct Contracting. This is an opportunity for you to add new revenue streams with potential for quality-based bonuses. ActiveHealth Management can make it simple for you to participate.

Let’s work together to:

  • Improve the health care experience for your patients
  • Reduce financial risk while improving quality of care
  • Maximize your revenue with a care management partner with proven outcomes

Contact us at 855-217-9301 to learn more about our Serious Illness program.

 

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Article

How to create a sustainable wellness program

How to create a sustainable wellness program

Successful wellness programs keep people at the center. In our guide, you’ll learn how data can cut through one size fits all health programs to drive personalized wellness experiences. This person-centric approach can help reduce costs, boost workforce productivity and create a healthier culture overall. Learn how to build a successful wellness program, and track your success using our 7 key metrics. Get started today.

Nurse helping patient in a hospital.

Webinar, July 14, 2020: Maximizing serious illness support through intensive care management

Medicare Fee-for-Service beneficiaries with serious illness make up less than 10% of the population, but they incur a third of total Medicare cost. Join our AHIP webinar (July 14, 1pm-2pm ET) to hear from ActiveHealth about how a comprehensive care management model can help patients with serious illnesses. Register today to learn more.

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A message from Dr. Johnathan Ruben, Chief Medical Officer

A message from Dr. Jonathan Ruben, Chief Medical Officer

According to a recent poll, 45% of American adults say that daily worry and stress have taken a toll on their mental health.1

So, now more than ever, it’s important to create a safe environment for people to admit that they’re struggling and then connect them with support services that can help.

Read this letter from Dr. Jonathan Ruben, Chief Medical Officer at ActiveHealth, and learn how we reach out to members during these challenging times.

 

1 Kaiser Family Foundation. Panchal N, Kamal R, OrgeraK, et al. The Implications of COVID-19 for Mental Health and Substance Use. April 21, 2020. Available at https://www.kff.org/coronavirus-covid-19/issue-brief/the-implications-of-covid-19-for-mental-health-and-substance-use/Accessed May 19, 2020.

 

Mature couple dancing in living room.
Article

Helpful tips from ActiveHealth coaches for when you’re staying safe at home

Many of us are experiencing big changes in our daily lives right now. In times of change, sometimes it helps to have a little support. We asked three of our health coaches to film themselves at home. They share well-being tips that they recommend every day.

Watch these videos to see what the coaches have to say about:

Managing stress and anxiety
Being active at home
Eating healthy at home
Coping with quarantine

Mom exercising with baby in the living room.
Article

Health and well-being tips for when you need to stay home

When our minds are consumed by current events, it can impact our health and well-being. Here are some tips and ways to stay physically and mentally active while at home.

ActiveHealth offers health tips on the follow topics:

Tips for taking care of stress
Nutrition tips
Tips for staying active
Tips for getting good sleep

Follow us on LinkedIn for more health and well-being tips.

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Discover 3 ways to turbo charge digital engagement

Engaging people in healthier habits is hard work. In today’s always-on world, it’s important to integrate wellness into our busy lives. The best way to do that? With the same digital tools we use every day.

Smart phones and wearable devices open up new opportunities to create personalized health experiences. Digital tools like online health assessments and digital coaching can help optimize health and wellness programs.

Download the tip sheet