posted on April 23 2014
Casenet, LLC, a leading provider of extensible care management solutions, today announced its collaboration with Independent Care Health Plan to deliver home and community-based services to its members using TruCare®. Enhanced coordination of care, including home and community-based services, is essential to reducing medical costs and delivering improved individual and population health. The AARP Public Policy Institute estimates that on average, Medicaid can provide home and community-based services to three people for the cost of serving one person in a nursing home1. The Casenet® TruCare solution delivers the only integrated care management platform with an embedded home and community-based services (HCBS) solution which supports the unique requirements of long-term care and waiver programs including those of Medicaid and other government-sponsored programs.
“The ability to quickly determine what home and community-based programs our members are eligible for and easily enroll them ensures we provide the best care for our members,” states Peggy Grimmer, MSW, APSW, Family Care Partnership program director, Independent Care Health Plan. “TruCare Home and Community Services™ facilitates better team-based care because it assigns tasks to a team rather than an individual and includes medical authorizations and service requests within the member care plan.”
Independent Care Health Plan (iCare) has been using TruCare Home and Community Services to manage its members who prefer to live in a more familiar, independent setting while allowing treatment to be administered in a cost-effective manner. The iCare Family Care Partnership is a managed care program for the people of Wisconsin that fully integrates Medicare and Medicaid services, including long-term care services, and is designed to enable people with nursing home levels of needs to continue living in the community.
TruCare Home and Community Services enables coordinated, team-based management of long-term care and waiver programs including the selection and scheduling of home and community-based providers, authorizations and the costing of services. Personalized, member-centered care plans, including non-clinical, community-based services such as home meal programs and transportation are synchronized within the member profile and with all other care management activity, delivering a single platform for all care coordination needs. The resulting individual service plan (ISP) summarizes all of the activities related to the member’s care, including both clinical and home and community-based services, which can be brought together into a single document to be printed and used for member review and signoff.
The TruCare Home and Community Services module provides an efficient and effective way to manage the unique needs of members who need community-based care while also developing the person-centered care plans required by CMS. TruCare HCS enables care managers to:
The TruCare Home and Community Services offering, when used in conjunction with the TruCare care management member-focused platform, will provide care managers and other caregivers the tools they need to collaborate and manage members more holistically and safely.
“TruCare Home and Community Services allows our clients to proficiently manage their most at-risk members in a more familiar, independent setting and play a proactive role in their care,” said Peter Masanotti, Casenet president and chief executive officer. “Cost-effectively managing those members enables the continuation of the important home and community-based services programs that improve member satisfaction and quality of life.”
1 AARP Public Policy Institute, June 2009 report
About Casenet, LLC
Casenet provides a comprehensive suite of extensible, enterprise care management software and services solutions for commercial, Medicaid, Medicare, TPA, provider/ACO and carveout organizations. These solutions enable our customers to improve care coordination and the quality and delivery of care through enhanced case, disease, utilization and home and community-based services management as well as tools for total population management. Casenet supports small to very large enterprise customers that require tremendous scalability, have many lines of business with benefits that are complex and complicated to administer, and require comprehensive configuration for each targeted member population. These solutions enable organizations to meet their unique requirements and adapt quickly to changing market and regulatory dynamics, identify and target populations having unique risk characteristics and deliver specific care management programs for those members — taking the first step toward better individual health and total population health management. For more information, visit http://www.casenetllc.com.
Independent Care Health Plan was formed in 1994 as a joint venture between Humana Wisconsin Health Organization Insurance Corporation and the Milwaukee Center for Independence (MCFI). Independent Care Health Plan is a managed care organization offering both Medicare and Medicaid insurance benefits, and covers medical, dental, behavioral health, vision, and social services through a unique care management model.