“It looks great on paper, but getting timely access to those and pulling all those together together is next to impossible.” “The health plans are running around adding all of these supplemental benefits,” Kang said. When they are utilized, the plans have a hard time keeping track of them. Those benefits are there for seniors to gain access to a larger suite of services, but many go unutilized. Take Medicare Advantage (MA) supplemental benefits, for example. Kang believes WellBe’s model is especially valuable to plans because they have a hard time bringing all of these services together for their members. In certain markets, such as Chicago and Atlanta, the company partners with Aetna to deliver at-home primary care services to thousands of patients. WellBe’s model was created to care for patients throughout their care journeys, whether it be for chronic care, acute care, palliative care, post-acute care or end-of-life care. There’s that general contractor function that is totally missed … and we have the power of the pen, we can write the order.” “But no one is really asking the patient to help them do it. “The point is, everyone just wants to do their little piece,” Kang said. But Kang believes there needs to be a WellBe to make sure all of those types of care are leveraged properly and available to patients. There’s also emerging models like hospital at home and SNF at home that allow higher-acuity patients to receive care in their most preferred and comfortable setting.Īll of those things are great, in a vacuum. Home-based primary care is an old idea with new legs, especially after the public health emergency kept people – especially seniors – from visiting brick-and-mortar facilities for health care.īoth home health care and personal care are also more popular than they have been in modern history. “I think it’s providers that are willing to do this on a full-risk basis, rather than a fee-for-service basis.” “I don’t think it’s plan interest that’s changed,” Kang continued. The Chicago-based WellBe offers at-home primary care services in six states: Georgia, Illinois, Ohio, Utah, West Virginia and Pennsylvania. The difference is, we’re prepared to do this on a full-risk basis with guaranteed earnings improvement upfront.” The challenge there is they get worried that utilization will go up. “I think the key really is that most groups wanted to do it on a fee-for-service basis. “I think that interest has always been there,” Kang said, referring to home-based primary care specifically.
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