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HomeTown Health Webinar

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Presentation on theme: "HomeTown Health Webinar"— Presentation transcript:

1 HomeTown Health Webinar
Tonya Davis Director, Network Development January 4, 2017

2 Network Development Team
CareSource Network Development Team is fully engaged in network development throughout the entire state of Georgia.

3 Actively Engaged Messenger Model Hospitals
Appling Hospital Bleckley Memorial Hospital Burke Medical Center Candler County Hospital Coffee Regional Medical Center Crisp Regional Hospital Dodge County Hospital Dorminy Medical Center Donalsonville Hospital Effingham Health System Emanuel Medical Center Evans Memorial Hospital Irwin County Hospital Jeff Davis Hospital Liberty Regional Medical Center Memorial Hospital and Manor Monroe County Hospital Morgan Memorial Hospital Perry Hospital Putnam General Hospital Taylor Regional Hospital Warm Springs Medical Center Wayne Memorial Hospital

4 Actively Engaged Direct Negotiation Hospitals
Archbold Memorial Hospital Chatuge Regional Hospital & Nursing Home Chestatee Regional Hospital Clinch Memorial Hospital Fairview Park Hospital Higgins General Hospital Miller County Hospital Mountain Lakes Medical Center Northridge Medical Center Optim Medical Center – Jenkins, Screven, Tattnall Pioneer Community Hospital of Early Putnam General Hospital South Georgia Medical Center St. Mary’s Good Samaritan Hospital St. Mary’s Scared Heart Hospital Stephens County Hospital Taylor Regional Hospital Upson Regional Medical Center Willis Memorial Hospital

5 1.52M Our MISSION members CARESOURCE
To make a lasting difference in our members' lives by improving their health and well-being. CARESOURCE A nonprofit health plan and national leader in Managed Care 27-year history of serving the low-income populations across multiple states and insurance products Currently serving over 1.5 million members in Kentucky, Ohio, Indiana, West Virginia Preparing to serve Indiana and Georgia Medicaid members in 2017 1.52M members Confidential & Proprietary

6 Targeted Administrative Costs
Our COMMITMENT As a non-profit, member-centric company, we are accountable to our members and the communities we serve - not shareholders. We will always put people over profit. Best-in-class administrative cost ratio delivers maximum benefits to members while being responsible stewards of government funds Serving members across the continuum of government programs, coordinating care as their eligibility changes Comprehensive, member-centric models of care to address our entire population’s health and social needs Help members navigate through daily life challenges and obstacles Targeted Administrative Costs 90-92% Medical Cost Ratio 6% Confidential & Proprietary

7 TRANSFORMING Care Care4U is a game-changing, holistic population health model. Through tailored care plans, CareSource can address the needs with the greatest impact for each individual member. The model fully integrates our commitment to Primary Care & Prevention, Care Management, Behavioral Health and Life Services, promoting health and wellness across the entire continuum of the population we serve. CareSource continues to lead health care in an innovative, new direction. Confidential & Proprietary

8 We focus on our members’ health and socioeconomic needs.
Care4U We focus on our members’ health and socioeconomic needs. No matter where our members are in their stage of wellness, we have services and supports for them. CARE COORDINATION One-on-one attention to support health needs DISEASE MANAGEMENT Assistance managing issues like diabetes, asthma, high blood pressure or high cholesterol TOBACCO CESSATION Health coaching from a Certified Tobacco Treatment Specialist WOMEN & CHILDREN’S HEALTH Pre-pregnancy and pregnancy programs plus support for young children BEHAVIORAL HEALTH Mental health and substance use services and resources WELLNESS Online wellness tool to learn about health topics HEALTH RISK ASSESSMENT Clarity on personal health and wellness including physical, mental and social health Confidential & Proprietary

9 13 $ CareSource Foundation MILLION A FOUNDATION OF COLLABORATION
CareSource believes that passion, knowledge and vision create positive, long-lasting community change. Since 2006, the CareSource Foundation has awarded more than 1,000 grants totaling $13.7 million. These investments have created strong, strategic partnerships with outstanding nonprofits that share our goal of creating healthier communities. The CareSource Foundation provides grants to impact the social determinants of health, including: Economic Stability Safe, healthy homes and neighborhoods Access to health care, physical, mental and behavioral health Early childhood education and child development Healthy behaviors and lifestyle concerns Public policy surrounding critical need health issues Strategic public/private partnerships designed to increase healthy communities 13 $ MILLION Confidential & Proprietary

10 with Purpose PARTNER We partner to grow. We partner with ease.
At CareSource, we recognize a true partnership with you can only exist when we understand your needs. We are dedicated to partnering with you in the most effective way to improve member outcomes and make it easier for you to care for our members. We partner to grow. We partner with ease. We partner with purpose. Confidential & Proprietary

11 Educational Materials and Outreach
*Provider Manual *Quick Reference Guide *Formulary Provider Outreach Meet CareSource Forums *Pending Department of Community Health approval

12 Georgia Management Team
Bobby Jones – President Jason Bearden – VP, Market Operations Darren Morgan – VP, Community Relations & Network Development Jason Anavitarte – Director of Gov’t Relations Patricia Jones – VP, Care4U Jason Preece – Director of IT Shawana Davis – Human Relations Robert Land – Legal Dana Donaldson – Director of Finance

13 Meet CareSource Augusta, GA January 10, :30 am-9:00am and 12:00pm-1:30pm Courtyard by Marriott Hotel 1045 Stevens Creek Road Augusta, GA Savannah, GA January 11, :30 am-9:00am and 12:00pm -1:30pm Savannah Marriott Hotel 100 General McIntosh Blvd Savannah, GA 31401

14 Questions on how to partner with CareSource? Call: 1-888-901-0014
Need assistance with Provider Services questions? Call: or go to © 2016 CareSource. All Rights Reserved Confidential & Proprietary September 2016


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