A patient in South Texas had run out of her anti-psychotic medication three weeks ago. She went to the ER because insurance denied her medication. She couldn’t get a refill. The ER gave her one dose. Wellvana’s Care Team received the discharge alert and sprung into action. By this time, she said she was hearing voices again, and they were not telling her good things. A Wellvana RN and a Licensed Clinical Social Worker figured out there was some confusion about this patient’s anti-depressant and her anti-psychotic — two very different medications. Once the wires were uncrossed, the primary care practice pushed through the patient’s appeal. She was able to get back on her medication and thanked Wellvana. “Who knows what would have happened,” she said. The patient is now working closely with Christine Empeno, RN, who has been able to help this patient navigate other medication challenges as they pop up and keep her from an unnecessary hospitalization. Patients never pay for Wellvana’s discharge support. And our latest study found it’s reducing 30-day readmissions, increasing in-office follow ups and reducing per-patient medical costs by $1,100. Read more here: https://lnkd.in/eHyxBPvD That’s value-based care at work.
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📞 We can attest that Matt Rosenberg, MD, is a doctor who is always happy to take a call — from a patient or otherwise. Wellvana’s new Chief Medical Officer over Clinical Strategy and Quality is perfectly positioned to lead our partner physicians to success in value-based care because he’s a natural teacher. He’s also still in the trenches, transitioning the practice he founded in Jackson, Michigan, to value over volume. With his deep primary care experience and sardonic wit, he’s become the voice of the Wellvana newsletter. His bi-weekly barrage of business-critical updates is becoming a must-read for all Team Members and partner practices. Welcome to Wellvana. https://lnkd.in/es92Q8dr
When I was training to be a urologist, I was working for the department chair at Boston Children’s, the late W. Hardy Hendren, M.D. 👨⚕️ This was THE guy. Hendron did surgeries no one else would do. Some would last 12 or 15 hours. He earned the nickname “Hardly Human,” which even got a mention in his obituary by the American College of Surgeons. Link: https://lnkd.in/g6yANT6z One day, this world-renowned surgeon handed me his business card after a discussion about a patient. He told me to call that evening and let him know what I was thinking. I saw his home phone number (this was pre-cellphone) printed on the cards he gave to every patient. No way, I thought. “Is this really your home number?” I asked. “If a patient wants to find you, they will. And they’ll come looking before they really need you,” Dr. Hendron explained to me. “But if they know they can reach you if they need to, they'll wait until they really do.” 🤯 Wow. A thought I had never considered. It changed my entire approach. I freely give out my number to patients. No regrets. To other MDs, here's a multiple choice survey: Who gets your personal number? 📟 No one. That’s why I still only carry a pager. 👂 Patients who actually listen to me. 🚨 My staff, for emergencies only. 👨⚕️ Everyone. I’m going full Hendren/Rosenberg. Bring it on. Thirty years later, the only non-family photo on my desk is of Dr. Hendren. I can think of no better way to honor him than to encourage others to follow in his footsteps.
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On a night 25 years ago, our Chief Medical Officer, Matt Rosenberg, MD, had one of those “aha” moments that would inform his approach to primary care for decades to come. 💍 It was the night he got engaged. He was already in private practice delivering primary care in Jackson, Michigan. He made it very clear that he was not on call that night. And then he was called into the hospital anyway. A patient was dying, and his family was refusing intubation until they saw the doctor they trusted. In this article, Dr. Rosenberg explains how some have taken for granted the power of the doctor-patient relationship. https://lnkd.in/egbNUMbA
The Trust Issue
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🏆 We are proud to be recognized by Nashville Business Journal as a 2024 Best in Business Award winner in the “Private Company: 101-500 Employees” category. In Nashville and across the U.S., we help doctors deliver life-changing healthcare. We're always looking for the best talent who aspire to be a part of something that positively changes lives. #wearehiring View our open roles: https://lnkd.in/e7z7Scai Thanks to NBJ's Alison Nash and the independent panel of judges, Nashville business leaders Brian Bauer, Rachel Cook Freeman, Deeannah Seymour and Gulam Zade, who reviewed hundreds of applications, and recognized the growing strength of our company culture, business plan, financials and more. #valuebasedcare #healthcarejobs
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Wellvana proudly introduces Mauricio Calderon, a versatile leader with a knack for fostering growth across diverse industries and markets, to our finance team. 🌹 He turned a wilting flower exporter into a blooming botanical business. 🏠 He refurbished a real estate firm into a company with curb appeal. 🛫 He navigated a touch-and-go airline to high-flying performance. Mauricio now brings his wealth of experience and expertise to the realm of value-based care, where Wellvana pioneers innovative solutions to age-old healthcare challenges. https://lnkd.in/e7z7Scai
Mauricio Calderon, Senior Director of Financial Planning & Analysis
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🛌 Our nurses have to learn a skill that’s similar but not the same as working at the bedside. Supporting patients when there’s no body language or eye contact can be frustrating. But they find ways to connect. And that’s when the benefits kick in. Communication reveals they can’t get to their next appointment. Or they can’t afford their medication. Or they’re concerned about a new symptom. Our nurses are on it, every day, helping patients through it all. Thanks to Olga Mosy-Madugba and all of the nurses leading the way to Wellvana. #nursesweek
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🧠 You cannot overstate the emotional intelligence of nurses. They know when to listen, when to speak, and even when to offer silence. As our nurses support patients between appointments, it’s not uncommon for their calls to last an hour or more. Patients have much more on their plates than what usually appears on their medical record. #nursesweek
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So much of value-based care depends on better communication. Nurses are the connective tissue bringing more value to both providers and patients. Thanks to Vivian Hardison and all the nurses on our Care Team for what they do to keep patients on track between appointments. #nursesweek
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❤️At Wellvana, nurses are the heart of value-based care. When they start supporting a patient between appointments, the benefits become obvious — 22% fewer hospitalizations, 16% lower medical spend. And most importantly, patients gain a compassionate and creative problem solver who advocates for their health. Thanks to Brandy Monroe and all of the nurses who are leading us to Wellvana. Happy National Nurses Week
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News: Today Wellvana announces a multi-year partnership with Wellcare, the Medicare business of Centene Corporation, to expand affordable, patient-centered primary healthcare to thousands of Wellcare Medicare Advantage members in Georgia, Tennessee and Texas. Working together, Wellcare and Wellvana can advance equitable access to care, reduce unnecessary and expensive emergency department visits and improve access to quality care for risk-bearing Medicare and dual-eligible communities. Read more: https://wellvana.com/news Thanks to Michael Carson Tracy M. Henry Felton H. L. and Wellvana's Sherrie McCarthur-Kemp Kim Ebmeyer Daniel Graves Kevin Gallagher for their collaboration to accelerate patient-centered care delivery.
Welcome
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Senior Healthcare Consulting Leader | Healthcare Futurist/Strategist | Human-Centered Design for Clinical Efficiency | Mastering risk and outcomes-based program design to succeed in alternative payment models
1wWhat an awesome story and proof that care management and RN driven discharge support works! Thanks for posting!