Mom and daughter walking on beach
Article

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.

Patient talking with doctor
Article

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.

Doctor assisting woman in a wheelchair
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.

 

Man getting ready to go for a run
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.

Article

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.

 

News

NHRMC Physician Practice To Help Pilot a State Health Care Initiative

A primary care practice affiliated with New Hanover Regional Medical Center is one of only three practices chosen to participate in the State Health Plan’s pilot of a health care initiative, the N.C. State Treasurer’s Office announced this week.

The other health care practices piloting the initiative are CaroMont Health in Gaston and Mecklenburg counties and Eagle Physicians and Associates in Guilford County, according to the release.

Read More(hyperlink to:
http://www.wilmingtonbiz.com/health_care/2015/06/19/nhrmc_physician_practice_to_help_pilot_a_state_health_care_initiative/13455)

Webinar

Webinar: Combat the Opioid Epidemic with Evidence-based Analytics

Combat the Opioid Epidemic with Evidence-based Analytics

View Now

Opioids are an important part of modern medicine that have improved the quality of life for millions of people. However, we find ourselves amidst an opioid epidemic that continues to escalate. Studies show that 11.5 million people misused prescription opioids1, with economic costs reaching $504 billion2.

In this webinar, join us to learn how to:

Identify and address the significant connection between behavioral health and the misuse of opioids
Leverage evidenced-based analytics to identify health improvement opportunities for members whose pain management may be at variance with the CDC guidelines for opioid use and may be putting them at risk
Actively coordinate communication between providers and patients around pain management and opioid use risks
Deploy targeted care management services stratified for your population at high, moderate or low risk for opioid related events

Speakers:

Dr. Jonathan S. Rubens
Chief Medical Officer, ActiveHealth

Ms. Nancy Slattery
Clinical Team Lead, ActiveHealth

Dr. Gianna Bryan
Clinical Pharmacy Manager, ActiveHealth

 

 

1 2016 National Survey on Drug Use and Health Accessible at:https://www.samhsa.gov/data/sites/default/files/NSDUH-DetTabs-2016/NSDUH...
2 Mortality in the United States, 2016 NCHS Data Brief No. 293, December 2017. Accessible at:https://www.cdc.gov/nchs/data/databriefs/db293.pdf

News

ActiveHealth Attends SALGBA Conference

ActiveHealth attended the annual State and Local Government Benefits Association (SALGBA) conference in Jacksonville, FL April 29 – May 2, 2018. ActiveHealth showcased innovative tools and approaches that deliver personalized population health management.

We have multiple state and local government clients across the United States with one large state health plan achieving 100% contacted*, 98% engaged**, 12% lifestyle risk reduction and 3.8:1 validated ROI.

Conference attendees connected with ActiveHealth representatives to discuss solutions and strategies that enable organizations to improve employee health while enjoying strong returns on investment.

Connect with us to learn how we can help your organization!

 

 

 

*Population is based on the average number of members eligible for the reporting time period.
**Engagement is calculated by those working with a nurse/coach in Disease Management, Wellness Coaching, or members engaged in online coaching modules who have completed the initial/baseline assessment for any module