Introducing a new way to work in partnership with providers throughout Wellcare to improve care coordination and outcomes for high-risk members who are receiving inpatient care.
How it works:
- Identification: Care managers will identify high-risk members who are receiving inpatient treatment.
- Assessment: A thorough assessment will be conducted to understand the members’ needs and develop a care plan.
- Coordination: The care manager will work closely with the member, facility staff, and other providers to coordinate care and ensure a smooth transition.
- Follow-Up: After discharge, the care manager will continue to follow up with the member to monitor progress and address any issues that arise.
FAQ
- What is the enhanced transition of care program? The enhanced transition of care program is a new initiative aimed at improving care coordination and outcomes for high-risk members receiving inpatient treatment. By providing targeted support before discharge, we aim to reduce readmission rates and enhance the overall quality of care.
- Introduction to the Care Management Team: The team is here to help our members coordinate medical, behavioral, and social needs prior to discharging and upon entering the community. We want to ensure they are equipped with appropriate resources and support to facilitate an easy transition from your facility.
- How can the program assist providers? The interaction is intended to support both the provider and the member. Some of the support provided can include assistance with discharge planning, and assistance in coordinating resources, addressing SDoH needs and care gaps. The goal is to ensure all discharge needs are addressed prior to returning to their community setting.
- Program Contact Information: If you have any questions regarding the program, please reach out to Wellcare Member Services at 1-888-550-5252.
Key Benefits
- Improved Member Outcomes: By coordinating care before discharge, members receive more comprehensive support, leading to better health outcomes.
- Reduced Readmission Rates: Aims to reduce the likelihood of members being readmitted to the hospital by ensuring they have the necessary resources and follow-up care in place.
- Enhanced Care Coordination: The program facilitates better communication between care providers, ensuring that all aspects of the members care are addressed.
- Member Empowerment: The program empowers members to take an active role in their care by providing them with the resources and support they need.
- Provider Collaboration: By engaging providers in a coordinated care approach, the program ensures that all stakeholders are informed and aligned on the members’ care plan.
