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.