Providers Partners Health Plans offer all the benefits of traditional Medicare, including Part D prescription drug coverage, plus a Nurse Practitioner and RN Care Coordinator.
BENEFITS FOR PARTNERS
Tech-enabled Knowledge
Provider Partners Real Time Interventional Analytics alerts Nurse Practitioners and RN Care Coordinators to negative changes in patient condition or mobility. This allows for earlier intervention and helps prevent acute illness or unnecessary hospitalizations.
Reduce hospital readmissions, manage care coordination, and identify early warning signs of infectious disease.
Quality of Care
The programs add Nurse Practitioners and RN Care Coordinators to help deliver exceptional timely and coordinated care to members.
Reduce hospital readmissions, manage care coordination, and identify early warning signs of infectious disease.
Revenue Share Program
Provider Partners Health Plans receives a monthly premium payment from Medicare and then pays the facility an upfront capitated payment every month.
Partnering with us gives a participating facility a new monthly revenue stream and the potential to participate in a year-end P4P bonus.
Reduce hospital readmissions, manage care coordination, and identify early warning signs of infectious disease.
BENEFITS FOR RESIDENTS
Nurse Practitioner & RN Care Coordinator
An on-site Nurse Practitioner and RN Care Coordinator is provided to each facility to collaborate with residents’ care team and family to create a personalized care plan. Together, the clinicians will provide proactive care to reduce unnecessary hospitalizations.
Dental
Oral health is extremely important for the senior population, and dental care is not covered by Traditional Medicare. Provider Partners Health Plans offers routine and comprehensive dental coverage to keep residents healthy
Vision
Medicare doesn’t cover routine eye exams and glasses. With a high percentage of diabetes in this population, eye care is really important. Members are eligible for a yearly routine eye exam as well as an allowance for eye wear.
Over the Counter
Members receive a catalog consisting of items such as lotions, shampoos, heating pads, and incontinence products that they can order quarterly. Facilities may experience reduced expenses for these lifestyle items.
Podiatry
Routine foot care is one of the easiest ways to keep seniors out of hospitals. Without regular podiatry care, they can end up with cuts and wounds which can lead to amputations. Plans cover routine visits to prevent any complications.
Medical Transport
Members are able to schedule transport to and from medical appointments with ease. In some markets, a health aide can accompany residents to provide additional assistance if requested.
Hearing
When seniors experience hearing loss, they can experience depression and feel isolated. Provider Partners Health Plans ensure they have access to routine audiology exams and hearing aids.
Non-Medicare Covered Wheelchair
In some markets of our I-SNP plan, members that struggle with mobility have the option to order a wheelchair provided by the plan. This can help residents live a more independent, active, healthy, and happy lifestyle.
Home & Bathroom Safety Devices and Modification
Members will receive a catalog of items that can improve safety, reduce falls, and monitor chronic conditions that they are able to choose from separate from the Over- the-Counter allowance. This benefit is for select markets of our IE-SNP plan.
Fitness
In select markets of our IE-SNP plan, members can benefit from rotating group classes that can improve mobility, memory and cognitive function.
Beauty Shop
Under the Special Supplemental benefit for the chronically ill, eligible members will have an allowance to utilize at their local barber/ beauty shop.