Wellvana

🛼 For the next 53 days, seniors are making big decisions about their healthcare. It's all-skate. The Annual Open Enrollment Period allows anyone 65 and over to start a new Part D prescription plan, Medigap or Medicare Advantage plan. They can also switch MA plans or return to Original Medicare. But most don’t. A KFF analysis published this year found 7 in 10 Medicare beneficiaries did not compare their coverage, even though benefits and networks change each year. (link in comments) 🌊 It can seem like a tidal wave of information. It's complicated, which is why we’ve boiled it down in our 2024 Medicare Review, fresh with checklists and room for notes. (At least make sure the doctors you’ve seen in 2024 will honor your plan in 2025.) Share with (or tag) anyone who is approaching or beyond their Medicare birthday. As a value-based care enabler, Wellvana supports patients with all types of coverage, and those patients never see a bill for our help between appointments. But we know how important the right plan or combination of plans can be. Just like taking a 30-minute walk, meditating, scheduling annual screenings and your wellness visit, it’s good for your health – and your wallet – to take a yearly look at your coverage.

🫡 On Primary Care Week, we salute the heroes of value-based care — Primary Care physicians and health professionals.     🤔 Think about this: Primary Care benefits everyone, everywhere. And the more you visit your PCP and engage with their team, the lower your total cost of care will be in the long run.  According to a 2022 NIH study, the effect of primary care visits on total patient care cost is even more stark for patients with multiple chronic conditions. (Link to study in comments)     💡 Consider doing more than saluting your primary care team this week. Schedule time to see them, too.  Thanks to our Chief Medical Officer, Matt Rosenberg, MD who offers clinical leadership to hundreds of Wellvana’s partners who seek a better way to deliver care through value-based models. And we’re forever grateful to our physician co-founder Saleh Jaafar, MD for making Wellvana what it is today.    Thanks also to the advocates for primary care in Washington, especially Accountable for Health, Primary Care Collaborative, America's Physician Groups and others.   The way to Wellvana is in the hands of our skilled primary care professionals. https://lnkd.in/gp2JNRsQ #primarycare #valuedbasedcare #preventivecare

A patient in Georgia had a life-changing summer thanks to Foundational Care support from Ashley H., RN. This patient was in desperate need of inspiration. At 90 years old, she wasn’t sure it was even worth the effort to focus on her diabetes.  Her blood sugar was out of control, and she’d stopped taking her insulin. Plus, her blood pressure was in the danger zone. “Why waste my time?” she asked Ashley when they started working together in July.  In short order, this patient began to see that she could always improve her quality of life.  After a couple of months talking about diet and medication, this patient was doing so well that her blood pressure was barely in the hypertensive range. And her blood sugar was down by two-thirds.    As a result, this patient hasn’t been to the hospital one time.  By the numbers, the support between in-office appointments from Foundational Care results in 14% lower ED visits and a 15% reduction in their costs.  Thank you to Ashley and the work of all our Foundational Care nurses. The service is vital to bringing more value to patients and their doctors. https://lnkd.in/g7Byi4pi  #valuebasedcare #primarycare #nurses

🎩 He’s worn so many hats since making his way to Wellvana in 2021. Here’s a new one for Readus Smith — President for National Partnerships U.S.  No one is better suited to lead Wellvana’s new venture, the Wellvana Interfaith Network, bringing the benefits of value-based care to faith communities, than Readus.  If you’ve ever been in a meeting with Readus, you know he leads with his heart. He’s a force of nature while being a friend to all.  🩺 An experienced healthcare executive and entrepreneur with a passion for bringing world-class care to underserved communities.  💯 A relentless optimist who won’t rest in pursuit of a worthy goal.  🫵 A charismatic leader who delivers on the hype. While value-based care is his vocation, his calling is as a lay leader in the Church of God in Christ. He serves as the Pentecostal denomination’s Secretary General of Health and Business. The appointment means he oversees the wellbeing of millions who are members of local congregations in all 50 states. And now his vocation and calling will come together.  He’s ideally suited to help the 5,000 doctors who are COGIC members - and thousands more clinicians in other faith communities - to transition from volume-based fee-for-service to patient-centered value-based care and bring new benefits to their communities.  It’s a novel partnership, but we hope it is the first of many as we spread the gospel about the Wellvana Interfaith Network.  (More details in comments). Readus is leading a new way to Wellvana through our strong communities of faith. 

When Nelsabeth Gonzalez completed medical school in the Dominican Republic, she worked for three years in primary care then moved to the United States where she fell in love with value-based care.   Her initial plan was to begin a residency in order to practice medicine in the U.S., so she started working as a medical assistant. Soon, she found herself tapping into her primary care background from the D.R.    Because she had the clinical fundamentals, Nelsabeth was able to help Accountable Care Organizations navigate risk adjustment and clinical documentation accuracy. This is how Medicare knows what kind of resources each patient will require each year. Without accurate risk adjustment, value-based care can’t work. During Hispanic Heritage Month, we honor Nelsabeth’s way to Wellvana and her contributions to transforming the U.S. healthcare system.

🚀 We're Hiring: Director of Accounting 🚀 Seeking a CPA with healthcare and Big Four experience who can turn spreadsheets into digestible stories while overseeing a team to manage day-to-day functions. This is someone who can: ✅ Manage AP — from invoice to payment. ✅ Expedite the monthly close cycle. ✅ Get hands-on with treasury planning, tax filings and audits.  ✅ Be the SOX guru, developing financial reporting controls. ✅ Stay ahead of new accounting standards. If you’re an accountant looking to be on the forefront of value-based care, let’s talk. #AccountingJobs #FinanceLeadership #WeAreHiring https://lnkd.in/ewk7RsAX

📊 Few industries are creating as much data as healthcare.   Nearly a third of data volume is now attributable to all the technology surrounding patient care, according to one popular estimate. And IDC estimates roughly 270 GB of healthcare and life science data is created per patient in one year.     While making sense of this data explosion grows more challenging by the day, the opportunity is off the charts.   Imagine if every PCP: 🏠 Had access to a list of potential social determinants of health for patients.  🏥 Received an alert when a patient visited the ER in order to schedule a timely follow-up.   🔮 Knew which patients were at higher risk of disease and could use additional attention. Our analytics experts are committed to using all we’re learning about patients to improve their care and reduce costs in the process. Thanks to Andrew Spice and his entire team for all they do to streamline patient care and bring more value to Medicare patients and their physicians. 

Our team loved listening to this inspiring "Backstory" of Phil Roe, Wellvana board member and exceptional healthcare leader and advisor. We appreciate his excitement for our mission and core values - integrity, clarity, advocacy and dependability - and his life-changing experiences.

👩⚕️ + 📱We’re big believers that the secret to value-based care is a high-touch, human experience. But it’s the pairing with data and technology that enables life-changing primary care. Behind every good piece of technology is a responsive team, constantly innovating, updating and planning for what’s next. Desiree Reyes manages the team over our Clarity™ EHR overlay. Through this tool, physicians see a fuller picture of their patients between appointments — from hospitalizations to social determinants of health. And they’re presented with actionable insights at the point of care. By helping practices get the most out of Clarity and improving the experience through regular updates, Desiree is leading the way to Wellvana.

🤕 One wrong number is all it takes.   A patient in Michigan was hospitalized in July and ended up septic. Before going home, he spent some time in a skilled nursing facility.   Upon discharge, Crystal Lemos, RN, called to support the patient as a standard practice in Wellvana’s Foundational Care. Our nurses always ask about medication at times like these since changes in medication often lead to confusion.   This patient didn’t know what he was taking.   A few more questions revealed he also didn’t have any help at home. And he didn’t know if home health was coming to assist.   So Crystal traces back his steps through the health system. She discovers the SNF did order home health. But when she calls the home health agency, she learns that they couldn’t reach the patient, even after several attempts.   Just to be sure, she confirms that the agency has the same phone number for the patient that she has.   There’s the disconnect. Wrong number.   Without this kind of persistent support after hospitalizations, Medicare patients are more likely to wind up back in the hospital. Wellvana has seen a reduction in readmissions for practices who participate, on average removing approximately $1,200 in cost per patient from the healthcare system.    https://lnkd.in/eHyxBPvD