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.

Article

Population Health Management: Payers & Providers

In a new article published by Payers and Providers, Shawn Moore discusses the importance of health data analytics and program design, particularly around the use of incentives, as part of effective population health management. Check out the full article, “Population Health Meets Tracking: Payers Have an Opportunity through Tech, Analytics,” here: http://www.payersandproviders.com/opinion-detail.php?id=148

Article

Using Analytics to Promote Safe and Effective Opioid Use

Using Analytics to Promote Safe and Effective Opioid Use

We’ve been committed to helping people find their best health for over 20 years. Part of that mission is recognizing and responding to emerging health care concerns. Right now, there’s a growing epidemicof opioid misuse in the U.S. Together, we can help fight it.

Put our data to work
Our patented CareEngine technology includes thousands of Care ConsiderationSM alerts that are:
• Validated by Harvard Medical School
• Shaped by evidence-based sources, like the Centers for Disease Control and Prevention (CDC) and peer-reviewed journals

The CareEngine captures data from a wide variety of sources – not just the basics, like pharmacy and claims data. We want to create a picture that’s as holistic as possible. So, we’ve integrated health assessment data that allows us to include the member’s self-perception as well. We’re constantly looking for new sources of data. This lets us produce more accurate alerts and refine our clinical analytical models. And, we can specifically target areas of interest, like safe and effective opioid use.

Make the right connections

We apply evidence-based rules to help spot people using opioids in ways that aren’t consistent with CDC guidelines. They have a higher risk for adverse clinical outcomes, dependency and abuse. Pain management isn’t the only area we’re watching though. A 2017 study showed that 16 percent of Americans have diagnosed behavioral health conditions. But, they account for more than 50 percent of opioid prescriptions.4 So, we also look specifically for areas where opioid use and behavioral health conditions intersect.

Get the right message to the right people
As important as it is to find these opportunities to intervene, it’s important to know when not to. We apply exclusion criteria, like hospice involvement or an advanced illness diagnosis. This helps us ensure that we’re reaching out in ways that are sensitive and appropriate.

Envision an end to the epidemic
Since our founding, our mission has been to help members live their healthiest lives. It’s at the heart of everything we do. This advanced analytics package has the resources and strategy you need to help promote the safe, effective use of opioids.

Together we can make a difference.

Connect with us to learn more.

 

 

 

1,2 2016 National Survey on Drug Use and Health Accessible at: https://www.samhsa.gov/data/sites/default/files/NSDUH-DetTabs-2016/NSDUH...
3 Centers for Disease Control and Prevention National Syndromic Surveillance Program (NSSP) data, July 2016 – September 2017. Accessible at: https://www.cdc.gov/vitalsigns/opioid-overdoses/index.html
4 Davis, Matthew A et al. Prescription Opioid Use among Adults with Mental Health Disorders in the United States. Journal of the American Board of Family Medicine. July – August 2017. Accessed March 20, 2018. Available at: http://www.jabfm.org/content/30/4/407.full?sid=cc11a6c0-530c-4d62-b0c8-d...

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

Event

2018 America’s Health Insurance Plans (AHIP) Institute & Expo

ActiveHealth Management participated in AHIP's Institute & Expo in San Diego, CA June 20-22, 2018 . This year’s Institute brought together professionals from around the country to share solid ideas and build smart partnerships on topics ranging from population health to utilizing technology, data, and analytics.

Conference attendees connected with ActiveHealth representatives to learn more about the power of using evidence-based analytics to create winning solutions to help organizations improve the health of its population and achieve cost savings.

Improving the health and well-being of your population isn't always easy. The health care experience can be confusing and impersonal. We're here to change that. For more than 20 years, we've helped organizations like yours with:

  • Evidence-based population health solutions
  • Advanced clinical analytics to drive specific engagement
  • Highly personalized, targeted and simple member experiences

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

Webinar

Webinar: Engage Members through Data and Analytics

Webinar: Engage Members through Data and Analytics

View Now

When it comes to improving health and well-being, using data and analytics offers insight, but the collected data needs to go beyond just knowing how members prefer to be contacted, or what conditions they have or what medications they take. Harnessing the combined power of rich data, advanced analytics and consumer-facing tools creates more opportunities to promote better health and drive meaningful engagement.

In the new era of engagement, consumers yearn to play a more active role in their health. To keep pace with these demands, and to have a real effect on improving health outcomes and decreasing costs, population health and wellness solutions need to fulfill the unmet needs of the health-activated consumer. In this session, learn how harnessing the combined power of rich data, advanced analytics and consumer-facing tools creates more opportunities to promote better health, drive meaningful engagement and decrease costs.

Watch the on-demand webinar to learn how:

  • Data analytics play a key role and provide value in identifying potential clinical risks, gaps in care and opportunities for member health improvement
  • Data and analytics-driven personalized care plans help members achieve their best health
  • The integration of rich data, advanced analytics and consumer-facing tools paired with population health and well-being programs drive engagement and sustained behavior change

News

An Exclusive Webinar for Health Plans: Engaging Your High Cost Population in the New Consumer Paradigm

Is your organization driving sustainable healthcare savings in this consumer-centric market? Join our experts to find out how targeting the right people with the right tools at the right time – and delivering the highly personal experience they expect - drives better health and sustainable savings.

The New Consumer Paradigm: Engaging and Managing High Cost Populations in the New Consumer Paradigm
Thursday, May 19th at 2 p.m. EST

Join our experts to learn:

Benefits of putting deep clinical analytics in the hands of the plan and the member
Strategies to manage high cost claimants
Tactics to re-energize your member engagement and incentive strategies
Moving the needle on your overall population health and cost saving goals

Register Now