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Open Enrollment Set to Begin Nov. 1 – Renown’s Hometown Health to Offer Convenient Local Care Options
The Open Enrollment period begins Nov. 1 and runs through Nov. 30 Nevada’s largest locally owned, not-for-profit health insurance company, Hometown Health, is excited to announce the beginning of the open enrollment period starting Nov. 1 and running until Nov. 30. Individual and Family Plans (IFP) are available in Washoe, Douglas, Lyon and Storey Counties as well as Carson City. This expanded network increases healthcare access for thousands of Nevadans, including those in both our urban and rural communities. For 2023, Nevadans can continue to find affordable health insurance plans that fit their needs and budget through the Nevada Health Link, a website created by the Silver State Health Insurance Exchange. Nevada Health Link is an insurance resource that connects individuals to a variety of insurance plans from different health insurance companies, including Hometown Health. Certain individuals and plans may also qualify for federal tax credits and subsidies to help cover the cost of insurance. Renown Health is Nevada‘s largest provider network and members of Hometown Health can enjoy access to a wide variety of patient resources and top-rated providers. “Health insurance is vital to peace of mind, providing individuals and families with the tools they need to take charge of their health,” said Bethany Sexton, MBA, CEO at Hometown Health. “New and existing members can rest assured that they have a partner in their health and the best care options when they choose Hometown Health due to Renown’s thoughtful and innovative growth in our communities.” The facilities enhancement project is one example of the amplified care available at Renown Health. Renown South Meadows Medical Center will be the home of a new 121,000 gross square foot, three-story Specialty Care Center which will showcase the latest technology, enhance patient safety and improve the hospital experience. The team at Renown Regional Medical Center is also nearing completion on two new floors in the Tahoe Tower which will include a new state-of-the-art Neonatal Intensive Care Unit, Pediatric Intensive Care Unit and a Surgical Trauma Intensive Care Unit. More information on Renown’s larger facilities enhancement projects can be found at renown.org/ExpandingCare. IFP plans also include many convenient and cost-saving benefits including access to Renown Primary Care physicians for yearly health screenings and tests; Health Savings Account options to pay for eligible healthcare, dental or vision expenses; easy to navigate access to health information in one place through MyChart; local customer service representatives available to answer your healthcare benefit questions and convenient Renown Pharmacy locations. Derek Beenfeldt, MD, Chief Medical Officer at Hometown Health, stresses the importance of choosing a health insurance plan that provides on-demand, accessible care options. “When you or your family members are sick, the last thing you want to worry about is your insurance coverage. You want to know you are getting the best care possible and you want to trust that care will be in network. Access to Renown’s care, coordinated by Hometown Health, ensures our members receive the exceptional care – delivering the right care at the right time” said Dr. Beenfeldt. Hometown Health members also enjoy access to 24/7 virtual visits through Teladoc, in home care through Dispatch Health and various Renown Urgent Care locations. For details about Hometown Health® benefits or the open enrollment period, visit HometownHealth.com or call 775-982-3232. About Hometown Health Established in 1988, Hometown Health is northern Nevada’s only locally-owned, not-for-profit health insurance company. Providing wide-ranging medical coverage and great service to members, Hometown Health represents a philosophy of health care that emphasizes active partnerships between members and physicians. Hometown Health values prevention as a key component of comprehensive care - reducing the risks of illness and helping to treat small problems before they can become more severe. Hometown Health offers a number of insurance products including HMO, PPO, HSA, Dental, Vision, Individual and Family and Senior Care Plus, northern Nevada’s first Medicare Advantage Plan. Para obtener más información, llame al 775-982-3000 o visite hometownhealth.com. About Renown Health Renown Health is Nevada’s largest, locally governed, not-for-profit integrated healthcare network serving Nevada, Lake Tahoe and northeast California. Con una fuerza laboral diversa de más de 7,000 empleados, Renown ha fomentado una cultura de excelencia, determinación e innovación de larga data. The organization comprises a trauma center, two acute care hospitals, a children’s hospital, a rehabilitation hospital, a medical group and urgent care network, and the locally owned not-for-profit insurance company, Hometown Health. Actualmente, Renown está inscribiendo participantes en el estudio genético de salud poblacional basado en la comunidad más grande del mundo, el Healthy Nevada Project®. Visite renown.org para obtener más información.
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Renown Health y Anthem Blue Cross and Blue Shield se asocian para extender la atención basada en el valor a miembros de Medicaid de Anthem en el norte de Nevada
Anthem Blue Cross and Blue Shield Medicaid members will now have access to providers in the value-based Western Clinical Alliance, powered by Renown Health. RENO, Nev. (20 de dic. de 2021) – Los miembros de Medicaid de Anthem Blue Cross and Blue Shield en Nevada ahora pueden recibir atención de los proveedores de Western Clinical Alliance, mediante Renown Health. A first of its kind agreement, the partnership between Anthem Blue Cross and Blue Shield Medicaid and Renown Health extends care for Anthem members in northern Nevada. This agreement gives providers and patients in the region better access to care by focusing on health and well-being while reducing the overall cost of care. The Western Clinical Alliance is a value-based clinically integrated network that puts the patient at the center of care and allows collaboration between providers across the community. “The Western Clinical Alliance has been seeking this kind of innovative and forward-thinking partnership for a while, and we are excited to be working with Anthem Blue Cross and Blue Shield,” said Thomas Graf, MD, Chief Clinical and Quality Officer and Western Clinical Alliance chair. “The partnership creates an environment that eliminates many of the traditional barriers associated with providing the right care, in the right place, at the right time. For us, it is all about ensuring Anthem members have the greatest opportunity to live healthy lives; this includes their participation in preventative and wellness care as well as optimization of their chronic diseases” Western Clinical Alliance providers – including those at Renown hospitals, Renown medical groups and other community-based health organizations – have developed a relationship that makes vital data and insights readily available to better understand every patient’s journey through the healthcare system. Providers in the Western Clinical Alliance work together to drive better outcomes by helping patients receive care in the highest-value settings. “Anthem Blue Cross and Blue Shield is excited to partner with Renown Health and the Western Clinical Alliance because we believe effective health coverage begins with a trusted primary care provider who can guide our members through the complexities of the healthcare system, with an emphasis on prevention and wellness leading to better health outcomes,” said Lisa Bogard, President of Anthem Blue Cross and Blue Shield in Nevada. Muchas personas en la comunidad del norte de Nevada que están cubiertas bajo un plan de Medicaid como Anthem tendrán un plazo de inscripción abierta a partir del 1.º de enero de 2022. Además de tener la oportunidad para entablar relación con proveedores de Renown Health y Western Clinical Alliance, los miembros de Medicaid en Nevada pueden visitar www.chooseanthem.com para inscribirse en un plan que ofrece una variedad de beneficios adicionales para un buen estado físico, comidas nutritivas con entrega a domicilio, asistencia con el transporte, membresías al Boys and Girls Club, servicios de apoyo esenciales para padres primerizos y futuros padres, y más. About Western Clinical Alliance & Renown Health Western Clinical Alliance® is a Clinically Integrated Network (CIN) which joins together physicians across our community into a single comprehensive care delivery network. The CIN is in collaboration with Renown Health and other care providers that share a common set of goals focused on increasing value by improving outcomes and better managing the total cost of care for patients. Renown Health is the region’s largest not-for-profit integrated healthcare network serving Nevada, Lake Tahoe and northeast California. Con una fuerza laboral diversa de más de 7,000 empleados, Renown ha fomentado una cultura de excelencia, determinación e innovación de larga data. The organization comprises a trauma center, two acute care hospitals, a children’s hospital, a rehabilitation hospital and a medical group and urgent care network. Visite renown.org para obtener más información.
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Health Insurance Terms Explained: HMO, EPO and PPO Plans
When it comes to purchasing a health insurance plan, you’ve probably heard of the two plan types, HMO and PPO, but what exactly do these terms mean, and what is an EPO? Let’s learn more about these plan types and how you can choose the plan that meets your needs. What is an HMO Plan? HMO stands for “Health Maintenance Organization.” HMO plans contract with doctors and hospitals creating a network to provide health services for members in a specific area at lower rates, while also meeting quality standards. HMO plans typically require you to select a primary care physician (PCP) and obtain a referral from your PCP to see a specialist or to have certain tests done. If you choose to see a provider outside of the HMO’s network, the plan will not cover those services and you will be responsible for all charges. What is an EPO Plan? An EPO stands for “Exclusive Provider Organization.” This plan provides members with the opportunity to choose in-network providers within a broader network and to visit specialists without a referral from their primary care doctor. EPO plans offer a larger network than an HMO plan but typically do not have the out-of-network benefits of PPO plans. EPO plans do not require you to select a primary care physician (PCP) giving you a broader network of providers. EPO options are a great cost-saving option with more flexibility than a standard HMO plan. What is a PPO Plan? PPO stands for “Preferred Provider Organization.” PPO plans are often more flexible when it comes to choosing a doctor or a hospital. These plans still include a network of providers, but there are fewer restrictions on the providers you choose. PPO plans do not require you to select a primary care physician (PCP), giving you a broader network of providers. So, which plan should you choose? Each plan type has different benefits, so it depends on your health needs when choosing the right plan type. If you are looking for flexibility when choosing providers and locations, a PPO plan may better fit your needs. An EPO plan may be a better option if you want the flexibility of a larger network, but don’t necessarily need out-of-network benefits. If you regularly seek care in a certain geographic area and are looking for a health insurance plan at a lower price point, consider an HMO plan. To keep costs low, insurance carriers contract with providers and partner in plan members’ health to ensure quality care at the lowest cost. Whether you choose an HMO, EPO or PPO option, partnering with your health insurance carrier and your healthcare provider will help you receive the best care while controlling your out-of-pocket costs. Keep in mind that most insurance carriers offer emergency care coverage for all three plan options (HMO, PPO, EPO). Get the most out of your health insurance benefits! Established in 1988, Hometown Health is the insurance division of Renown Health and is northern Nevada’s largest and only locally-owned, not-for-profit insurance company providing wide-ranging medical coverage and great customer service to members.
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Hometown Health Enters Affordable Care Act Marketplace
Softheon and Hometown Health, Nevada's largest not-for-profit insurance company, have formed a partnership to serve Nevadans enrolling through Nevada Health Link state-based ACA marketplace. Nevada's largest not-for-profit health insurance company, Hometown Health, has entered the Affordable Care Act (ACA) marketplace and has expanded their health plan offerings through a partnership with Softheon, a leading cloud-based health insurance exchange and service provider. Softheon's innovative platform is helping bring quality health care to Nevada residents enrolling in Hometown Health insurance through Nevada Health Link. “Softheon’s expert knowledge of the ACA marketplace coupled with their leading enrollment and billing technology has made them the perfect partner during Hometown Health’s first open enrollment period on the exchange,” said David Hansen, Hometown Health CEO. “Hoy, más de 100,000 personas en Nevada eligen Hometown Health para sus necesidades de seguro. Thanks to Softheon, we look forward to expanding insurance coverage options, in a way that is simple and convenient, to our friends and families who use Nevada Health Link.” Desde el comienzo del 2021 período de inscripción abierta, más de 800 miembros nuevos se han inscrito sin problemas en el seguro de salud de Hometown Health gracias al software de vanguardia de Softheon. The partnership with Softheon will improve member enrollment, billing and communications, enabling Hometown Health to remain focused on their core mission of providing excellent healthcare to Nevada residents. As the health insurance division of Renown Health, northern Nevada’s leading healthcare provider, Hometown Health offers members competitive rates and the largest network of providers in the region. Renown Health brinda servicios médicos avanzados, que incluyen el Renown Regional Medical Center, un hospital regional de servicio completo con 808 camas; el Renown South Meadows Medical Center, un hospital comunitario de cuidados intensivos con 76 camas; el Renown Children’s Hospital, el único hospital para niños de la región con 83 camas; y el Renown Rehabilitation Hospital, un hospital de rehabilitación con 62 camas. These facilities provide quality healthcare for Renown's primary service area, Washoe County and the secondary service areas of northern Nevada and northern California. Renown Health cuenta con más de 7,000 empleados y presta servicio en el norte de Nevada, Lake Tahoe y el noreste de California, con una población total de más de 2 millones de habitantes. Además de los hospitales, Renown también cuenta con 110 consultorios del grupo médico, centros de atención de urgencia y centros de diagnóstico por imágenes para pacientes ambulatorios. Renown Health and Hometown Health offer advanced care for patients and embrace their role in improving the health and well-being of the people and communities. “The continued growth of the Affordable Care Act marketplace is welcome news for consumers who are seeking more options for accessing health coverage,” said Eugene Sayan, CEO and founder of Softheon. "We are excited to partner with Hometown Health on their entrance into the ACA marketplace to create seamless experiences for their members and connect more individuals in Nevada with quality health care.” Along with improving member enrollment, billing and communications, Softheon helps Hometown Health continue to ensure accuracy through monthly Advanced Premium Tax Credits premium reconciliation. The turnkey solution provided by Softheon has guided Hometown Health in handling all regulatory and operational requirements required of insurers in the ACA marketplace. The partnership has given Hometown Health the opportunity for expanded reach while making a bigger impact on communities across the state. Para obtener más información sobre Softheon, visite www.softheon.com. Para obtener más información sobre Hometown Health, visite www.hometownhealth.com. Acerca de Softheon Fundada en 2000, las soluciones de software como servicio (Software-as-a-Service, SaaS) y proceso empresarial como servicio (Business Process-as-a-Service, BPaaS) de Softheon resuelven complejos desafíos para los planes de salud y las agencias gubernamentales de salud. En la actualidad, las soluciones de Softheon sirven a 8 agencias estatales y a más de 90 planes de salud. Issuers and consumers utilizing Medicaid, Medicare, and the ACA Marketplace benefit from Softheon’s innovative technology that reduces administrative overhead and enhances user-experiences. Softheon is an Agent, Broker, and Merchant of Record that facilitates health insurance enrollment, billing, and renewal. Acerca de Hometown Health Establecida en 1988, Hometown Health es la división de seguros de Renown Health y es la compañía de seguros de salud sin fines de lucro local más grande del norte de Nevada. Providing wide-ranging medical coverage and great service to members, Hometown Health represents a philosophy of health care that emphasizes active partnerships between members and physicians. Para obtener más información, llame al 775-982-3000 o visite www.hometownhealth.com.
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Locally Owned Not-For-Profit Insurance Company, Hometown Health, Welcomes New CEO
David Hansen, MBA, joins Hometown Health to continue to serve future generations and improve the health and well-being of Nevadans Renown Health and Hometown Health are excited to announce David Hansen, MBA, is joining Hometown Health as its Chief Executive Officer (CEO). In his role as CEO, Hansen will oversee Hometown Health, contributing to its growth to ensure the not-for-profit company is here for generations to come and to assist Renown in developing new care models that will deliver healthcare that is both accessible and affordable. “We are pleased to welcome such an experienced and talented leader like David to our organization and to northern Nevada,” said Tony Slonim, MD, D.Ph., President and CEO, Renown Health. “Como director ejecutivo de Hometown Health, David seguirá fomentando una cultura de cuidado y excelencia, y, a la vez, garantizará una amplia cobertura médica y un excelente servicio al cliente a los más de 138,000 miembros de Hometown Health en todo el estado”. Hansen has spent the previous twenty years of his career working for UnitedHealthcare, a health insurance company based out of Minnetonka, Minnesota. During his time at UnitedHealthcare, Hansen held various roles including chief financial officer of clinical & network services, west region president of network & provider services, chief executive officer of the California Health Plan and chief executive officer of the Pacific Northwest Health Plan. He has also served in executive roles with PacifiCare and TransAmerica Occidental Life and began his career in the audit and management consulting practice of Deloitte & Touche. “Choosing healthcare coverage is one of the most important decisions people make. I am excited to begin my work with Hometown Health and Renown to help our members receive the quality coverage to enhance their health and well-being,” said Hansen. “Hometown Health is such a community-focused organization and I look forward to being a part of a team that gives back to improve the health and wellbeing of the communities we serve. ”David has an MBA in Finance and Business Policy from the University of Chicago, and a BA in Economics and Business from the University of California, Los Angeles. Acerca de Hometown Health Establecida en 1988, Hometown Health es la división de seguros de Renown Health y es la compañía de seguros de salud sin fines de lucro de propiedad local más grande del norte de Nevada. Providing wide-ranging medical coverage and great service to members, Hometown Health represents a philosophy of health care that emphasizes active partnerships between members and physicians. Para obtener más información, llame al 775-982-3000 o visite www.hometownhealth.com. About Renown Health Renown Health is the region’s largest, locally owned and governed, not-for-profit integrated healthcare network serving Nevada, Lake Tahoe and northeast California. Con una fuerza laboral diversa de más de 7,000 empleados, Renown ha fomentado una cultura de excelencia, determinación e innovación de larga data. La organización se compone de un centro de urgencias, dos hospitales de cuidados agudos, un hospital infantil, un hospital de rehabilitación, un grupo médico y una red de atención de urgencias y Hometown Health, la compañía de seguros sin fines de lucro más grande de la región y de propiedad local, Hometown Health. Renown’s institute model addresses social determinants of health and includes: Child Health, Behavioral Health & Addiction, Healthy Aging and Health Innovation. Clinical institutes include: Cancer, Heart and Vascular Heath, Neurosciences and Robotic Surgery. Actualmente, Renown está inscribiendo participantes en el estudio genético de salud poblacional basado en la comunidad más grande del mundo, el Healthy Nevada Project®. Visite renown.org para obtener más información.
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Dispatch Health Partners & Renown to Provide In-Home Medical Care
Hospital network brings high-quality, affordable, on-demand acute care to local residents. DispatchHealth, a provider of in-home medical care, today announced a partnership with Renown Health to provide Reno/Sparks residents with high- quality medical care in the comfort of their homes. The partnership aims to provide patients with another option for safe access to medical care during the COVID-19 pandemic and beyond. DispatchHealth and Renown’s goal is to offer the most vulnerable patients at-home care options if it is in the best interest of their health needs. DispatchHealth’s model is uniquely positioned to help treat an extensive range of common to complex injuries and illnesses, including but not limited to urinary tract infections, dehydration, fall injuries, nausea, sutures and more and is accepted by most major insurance plans. Si un paciente no tiene seguro, hay una tarifa plana de $275, que incluye todos los medicamentos administrados y los análisis de laboratorio en el sitio. “It’s more important than ever to be able to offer patients convenient, high-acuity medical care that is also cost-efficient,” said Bill Butcher, regional market director, DispatchHealth. “The partnership with Renown Health provides safe care for people without them having to leave their home, helping to ensure community members get the right care at the right place at the right time.” Los pacientes que necesiten servicios médicos para enfermedades repentinas o urgentes, como dolor de garganta o erupciones cutáneas, pueden solicitar atención a través del sitio web de DispatchHealth, de la aplicación móvil gratuita o de la línea telefónica 775-439-1529. Once contacted, the medical team arrives within a few hours to treat the patient in their place of need and consists of either a physician assistant or nurse practitioner, along with a medical technician. DispatchHealth’s medical teams wear appropriate personal protective equipment (PPE) during all visits, including masks, gloves, and protective eyewear. Additionally, kits and devices are sanitized during and between visits. The medical team is able to perform a variety of advanced tests and treatments, ranging from blood tests to a 12-lead EKG, to IV fluids and more. To ensure continuity of care, DispatchHealth provides a detailed report to each primary care physician, living community, or a home health agency, in addition to electronically sending prescriptions to a patient’s pharmacy if needed. En caso de emergencias, incluidas, entre otras, dolor torácico, signos de derrame cerebral, reacciones alérgicas o lesiones graves, se insta a las personas a llamar al 911 y solicitar cuidados agudos y seguros en una de las salas de emergencias de Renown. Renown has a variety of safety measures in place contributing to the overall health and safety of its patients and staff. Learn more about Renown’s commitment to keeping the community safe. “Renown is focused on the well-being of our patients and community. Our goal is to improve health through proactive community-based prevention, while creating the best healthcare system for those with acute and chronic disease,” said Dr. Tony Slonim, president and CEO of Renown Health. “We strive to find innovative ways to serve our community and are pleased to partner with DispatchHealth to bring affordable, on-demand in-home emergent and urgent healthcare delivery to patients in the Reno/Sparks area. In light of the COVID-19 pandemic, Renown and DispatchHealth worked diligently to accelerate the launch of this program in our community to help us continue fighting the good fight against the virus.” Renown accelerated the launch of DispatchHealth in order to help fulfil its mission of making a genuine difference in the health and well-being of the people and communities it serves. El primer vehículo médico móvil llegó al mercado el 20 de abril y un segundo vehículo estará operativo el 19 de mayo. DispatchHealth está disponible en 19 mercados en todo EE. UU., lo que incluye las áreas de Las Vegas y Reno, de 8 a.m. a 8 p.m., hora local, los 7 días de la semana, los 365 días del año, incluidos los días festivos. El horario de atención se extenderá de 8 a.m. a 10 p.m. con el lanzamiento del segundo vehículo el 19 de mayo. About DispatchHealth DispatchHealth has redefined healthcare delivery to offer on-demand acute care and advanced medical care for people of all ages in the comfort of their own home. DispatchHealth's emergency trained medical teams are equipped with all the tools necessary to treat common to complex injuries and illnesses. DispatchHealth works closely with payers, providers, health systems and others to deliver care in the home to reduce unnecessary emergency room visits, as well as hospital stays and readmissions. Una visita con DispatchHealth suele costar entre un 80 y un 90 % menos que una visita media a la sala de emergencias. Acute care medical teams are available during the day and also on weekends, evenings and holidays, and can be requested via app, online or a quick phone call. Advanced Care and Extended Care patients must be referred by a healthcare professional. DispatchHealth is partnered with most major insurance companies. For more information, visit DispatchHealth.com. About Renown Health Renown Health is a locally governed and locally owned, not-for-profit integrated healthcare network serving northern Nevada, Lake Tahoe and northeast California. Renown es uno de los mayores empleadores privados de la región y cuenta con una fuerza laboral de más de 7,000. It comprises three acute care hospitals, a rehabilitation hospital, the area’s most comprehensive medical group and urgent care network, and the region’s largest and only locally owned not-for-profit insurance company, Hometown Health. Renown has a long tradition and commitment to continually improve the care and the health of our community. Visite renown.org para obtener más información.
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Senior Care Plus to Provide Affordable, High-Quality Healthcare
New collaboration in Clark County grants aging adults access to a premier health plan with a nationally-recognized care model. Senior Care Plus, the Medicare Advantage plan from Hometown Health, and nationally-recognized CareMore Health, have joined forces to serve Clark County seniors with two exclusive Medicare Advantage plans, designed to improve health outcomes for aging adults and those with complex health needs. Mientras más de medio millón de beneficiarios de Medicare en Nevada toman decisiones sobre su atención médica durante el período anual de inscripción abierta de Medicare, que comienza el jueves, 15 de octubre, los residentes del condado de Clark tendrán la opción de recibir atención personalizada para atender sus necesidades de salud únicas a través de dos nuevos planes de salud Senior Care Plus, con acceso a los proveedores y servicios de CareMore Health. Los beneficios competitivos del plan incluyen primas de $0, cobertura dental preventiva e integral, copagos nulos o bajos para los servicios de uso frecuente, gastos máximos de bolsillo bajos y programas y beneficios diseñados para ayudar a cada miembro a optimizar su salud. “CareMore’s mission and its successful value-based model aligns perfectly with our commitment to offer those with Medicare insurance, the highest-quality care,” said David Hansen, CEO of Hometown Health, the non-profit health plan offered through Renown Health, the state’s most trusted health care system. “Estamos orgullosos de anunciar nuestra nueva asociación y los planes exclusivos de Medicare Advantage disponibles para los residentes del condado de Clark para mejorar su salud y experiencia en atención médica”. Durante más de 25 años, el modelo centrado en el paciente de CareMore ha proporcionado una atención integrada y altamente coordinada para ayudar a cada miembro a lograr resultados de salud óptimos, incluso a aquellos con condiciones crónicas como la enfermedad pulmonar obstructiva crónica (EPOC), la diabetes y la insuficiencia cardíaca congestiva (ICC). The model continues to evolve, adding new programs to address important issues like food inequity, mental health and senior isolation. El sistema de prestación de atención médica de CareMore ha servido a la comunidad del condado de Clark durante 10 años. The CareMore model includes an integrated team of healthcare professionals, including doctors, nurses, pharmacists, behavioral health and other specialists who work collaboratively to address patients’ medical, physical, and overall health and help address barriers to accessing needed care. As part of the Senior Care Plus and CareMore Health collaboration, patients will receive care where and when they need it, including care delivered in their home, virtually, in CareMore’s three Care Centers, and if needed, in the hospital. In response to COVID-19, the care delivery system has ramped up its telehealth capabilities, in addition to safety measures put in place, to ensure everyone’s safety. “This new partnership will deliver a premier healthcare solution and proven care delivery model for Medicare recipients in Clark County, said Peter Emigh, General Manager of CareMore Health, Nevada. “El sistema de prestación CareMore ha servido a la comunidad del condado de Clark durante 10 años, y esperamos trabajar con Hometown Health para ayudar a los residentes del área a alcanzar sus objetivos de salud y, de este modo, mejorar la salud y el bienestar de la comunidad”. Senior Care Plus ha servido con orgullo a residentes del condado de Clark desde 2019, y ofrece opciones de beneficios competitivos, un servicio al cliente excepcional y administración de la atención experimentada. The partnership with CareMore Health is the latest example of Senior Care Plus’ commitment to Nevada’s Medicare beneficiaries. El período de inscripción abierta anual de Medicare se extiende del 15 de octubre al 7 de diciembre de 2020. Virtual enrollment meetings, as well as online and phone enrollment options are now available. Visit SeniorCarePlus.com for more information about Senior Care Plus coverage options. Acerca de Senior Care Plus y Hometown Health Senior Care Plus es el mayor plan de Medicare Advantage en el norte de Nevada y presta servicios a más de 17,000 miembros. Senior Care Plus is offered by Reno-based Hometown Health, Nevada’s largest not-for-profit health insurance company and the insurance arm of Renown Health. Originalmente llamada Hospital Health Plan, Hometown Health fue fundada en 1988 y ha crecido hasta tener más de 160,000 miembros. The Hometown Health name reflects the organization’s commitment to the communities in which it operates and its involvement in what matters most, the people it serves. To learn more about Senior Care Plus visit SeniorCarePlus.com and to learn more about Hometown Health, please visit HometownHealth.com. About CareMore Health CareMore Health is a physician-founded, physician-led integrated care delivery system that harnesses the power of teamwork to treat the whole person. Through a focus on prevention and highly coordinated care, its clinical model and designed-for-purpose approach to managing chronic disease proactively addresses the medical, social and personal health needs of its patients, resulting in clinical outcomes above the national average and ultimately, healthier people and communities. Over the past nine years, CareMore has expanded from one state to ten. And today, the CareMore delivery system provides care for enrollees in Medicare Advantage and Medicaid health plans in Arizona, California, Connecticut, Georgia, Iowa, Nevada, Tennessee, Texas, Virginia, and Washington, DC. CareMore also is participating in a dual demonstration project in parts of Los Angeles County in conjunction with state and federal regulators to coordinate care for people eligible for both Medicare and Medicaid. Para obtener más información sobre CareMore, visite www.caremore.com y síganos en Twitter y Facebook: @caremorehealth. Contacto con los representantes de CareMore Health: Charla Hawkins M: 562-480-2130 E: charla.hawkins@caremore.com
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Renown Health & Cigna Reach Agreement
New contract provides Cigna members enrolled in employer-based HMO & PPO plans in-network access to Renown Medical Group and Renown hospitals Renown Health leaders have reached agreement on a new contract with Cigna that will go into effect starting today, Nov. 1, 2022. Leaders were able to work collaboratively towards a positive solution that will help further both team’s collective goals of providing expanded access to quality, affordable healthcare in northern Nevada. The agreement protects affordability and provides Cigna members with continued in-network access to all Renown hospitals and physicians. This agreement applies to Cigna consumers enrolled in employer-based HMO and PPO plans and provides continued in-network access to Renown affiliated care providers and facilities. Sy Johnson, interim President of Renown Health stated, “We appreciate the collaborative approach of both teams to reach resolution. As this community’s only not-for-profit healthcare organization, our mission is to make a genuine difference in the health and well-being of the community. As doctors, nurses and care givers, we are pleased to be able to continue to serve the healthcare needs of patients with Cigna health insurance without disruption.” Consumers with questions can contact Cigna by using the toll-free number on the back of their current Cigna identification card or by going to cigna.com/renown. In the most recent US News & World Report Best Hospital rankings, Renown Regional Medical Center was named as the number one hospital in Nevada. Ningún otro hospital del estado cumplió con sus estrictos estándares para el ranking de 2021. Renown is high performing, its highest rating possible, in eight procedures and conditions including heart failure, colon cancer surgery and chronic obstructive pulmonary disease, hip replacement and knee replacement. La calificación de un hospital se basa en múltiples categorías de datos, que incluyen resultados de los pacientes, seguridad y volúmenes. Hospitals earning a high performing rating were significantly better than the national average. About Renown Health Renown Health is Nevada’s largest, locally governed, not-for-profit integrated healthcare network serving Nevada, Lake Tahoe and northeast California. Con una fuerza laboral diversa de más de 6,500 empleados, Renown ha fomentado una cultura de excelencia, determinación e innovación de larga data. The organization comprises a trauma center, two acute care hospitals, a children’s hospital, a rehabilitation hospital, a medical group and urgent care network, and the locally owned not-for-profit insurance company, Hometown Health. Actualmente, Renown está inscribiendo participantes en el estudio genético de salud poblacional basado en la comunidad más grande del mundo, el Healthy Nevada Project®.
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Hometown Health CEO David Hansen Announces Retirement, Bethany Sexton Named Successor
Renown Health announced today that David Hansen, CEO will retire on 7 de octubre de 2022 from Hometown Health, Nevada’s largest not-for-profit insurance company. Over the last two years that Hansen has overseen Renown’s health plan, he has contributed significantly to ensuring wide-ranging medical coverage and excellent customer service for more than 100,000 members across Nevada. Bethany Sexton, MBA, will assume the role of CEO of Hometown Health effective 12 de septiembre de 2022 as part of a smooth transition and succession plan. Ms. Sexton currently serves as Chief Transformation Officer for Renown Health, responsible for value-based care delivery including insurance and managed care contracting, the Renown Direct Contracting Entity (DCE), Renown Accountable Care Organization (ACO) and Western Clinical Alliance, a clinically integrated network of physicians. Mr. Hansen led a number of significant accomplishments for Hometown Health including the addition of 82 new provider groups for northern Nevada health plan subscribers and a Medicare network in southern Nevada. Hansen, the Hometown Health team introduced a Transitional Care Navigator program resulting in reduced hospital readmission rates, added Renown-branded insurance products on Nevada Health Link, Nevada’s Health Insurance Exchange and helped to grow Senior Care Plus, Hometown Health’s Medicare Advantage Plan membership during the 2022 Annual Election Period. Hansen and the Hometown Health team implemented a number of Total Cost of Care initiatives in partnership with Renown Medical Group to make premiums and health care costs more affordable, including health outreach efforts and medical screenings to improve health care for members over age 65. "Leading Hometown Health for the past two years, and through the pandemic, has been a great honor. I am incredibly thankful to our members, my fellow employees, our broker and employer partners, and our leadership team for giving me the privilege to serve," said Hansen. “Hometown Health and Renown are community-focused organizations and it has been a privilege to be part of a team that gives back to improve the health and well-being of those we serve. I have spent hours working collaboratively with Bethany over the last few years and know she is perfect person to lead our health plan into a new era.” As CEO, Hansen worked closely with Renown senior leadership to put a thoughtful leadership transition plan in place, culminating with the promotion of Bethany Sexton to the position of CEO. Consistent with the plan, Hansen will continue to offer guidance and perspective as he and Sexton complete the transition over the next few weeks. "David’s vision of excellence, his drive and experience has transformed Hometown Health to be both member and customer-focused,” said Dr. Thomas Graf, CEO of Renown Health. “David has done much to modernize and build a first-rate health plan. We thank David for all his accomplishments and wish him a wonderfully satisfying retirement.” As CEO of Hometown Health, Ms. Sexton will be responsible for driving growth across the organization, including the development and execution of strategic plans; introduction of new programs and services; membership growth; operational, financial and customer service excellence; and continued improvements in clinical quality with a focus on lowering the cost of care for members in northern Nevada. Ms. Sexton has served in a number of key leadership roles for Renown Health over the past eight years, including Vice President of Operations & Development, VP/Administrator for the Department of Medicine, VP Strategic Planning and Performance Improvement, and VP of Revenue Cycle in Finance. With 20 years of health care experience, in both clinical and administrative settings, and more than 9 years at Renown, she has developed collaborative partnerships and created innovative new solutions to meet rapidly changing employee and customer expectations. "I believe one of the most important duties of a leader is preparing the next generation of leadership to succeed," added Dr. Graf. "There is no question that Bethany Sexton is the right person to lead Hometown Health into its next chapter. She has integrity, business acumen, energy, leadership skills and deep knowledge of value based care to ensure Hometown Health delights its membership and she will help Renown Health achieve our strategy of being both a Care Leader and a Health Partner for providers and patients in our community.” Bethany Sexton earned her Master of Business Administration (MBA) from the University of Nevada, Reno and her Bachelor of Arts (B.A.), Business Administration and Management from Western Washington University. She is passionate about community service, most recently serving as Chair, Board of Directors for Immunize Nevada, and as a former Board Member for Nevada Women's Fund, Healthcare Financial Management Association (HFMA) and the American Red Cross. Ms. Sexton and her family make their home in Reno, NV. Acerca de Renown Health Renown Health es la red de atención médica integrada de administración local y sin fines de lucro más grande de la región, que presta servicios a Nevada, Lake Tahoe y el noreste de California. Con una fuerza laboral diversa de más de 7,000 empleados, Renown ha fomentado una cultura de excelencia, determinación e innovación de larga data. La organización cuenta con un centro de urgencias, dos hospitales de cuidados agudos, un hospital para niños, un hospital de rehabilitación, un grupo médico y una red de atención de urgencia, y la compañía de seguros sin fines de lucro de propiedad local más grande de la región, Hometown Health. Actualmente, Renown está inscribiendo participantes en el estudio genético de salud poblacional basado en la comunidad más grande del mundo, el Healthy Nevada Project®. Visite renown.org para obtener más información.
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Anthem Blue Cross Blue Shield y Renown Health anuncian un nuevo acuerdo contractual
New contract protects affordability for Northern Nevada Consumers. Anthem Blue Cross Blue Shield (Anthem) and Renown Health (Renown) today announced they have reached an agreement on a new contract. The agreement protects affordability and provides Anthem members with continued in-network access to all Renown hospitals and physicians. This agreement applies to Anthem consumers enrolled in employer based HMO and PPO plans and provides continued in-network access to Renown affiliated care providers and facilities. “We are pleased to continue working with Renown to maintain and improve access to healthcare for consumers and employers in Northern Nevada. Our members remained our number one priority as we worked hard and in good faith to find common ground and reach an agreement that helps achieve greater affordability,” said Mike Murphy, president, Anthem Blue Cross Blue Shield of Nevada. “We value the relationships we have with the care providers in our network, which are important to creating choices for our consumers and fulfilling our mission of improving the lives of the people in the communities we serve.” Anthony Slonim, MD, D.Ph., FACHE, President and CEO of Renown Health stated, “We appreciate the collaborative approach of both teams to reach resolution. As this community’s only not-for-profit healthcare organization, our mission is to make a genuine difference in the health and well-being of the community. As doctors, nurses and care givers, we want to ensure the greatest access, experience and highest-quality care for every member of our community including those insured by Anthem.” Consumers with questions can contact Anthem by using the toll-free number on the back of their current Anthem identification card or going to anthem.com/renown. About Anthem Blue Cross Blue Shield: Anthem Blue Cross Blue Shield is the trade name of Rocky Mountain Hospital and Medical Service, Inc. HMO products are underwritten by HMO Colorado, Inc., dba HMO Nevada. Independent licensees of the Blue Cross and Blue Shield Association. ®ANTHEM is a registered trademark of Anthem Insurance Companies, Inc. The Blue Cross and Blue Shield names and symbols are registered marks of the Blue Cross Blue Shield Association. Puede obtener información adicional sobre Anthem Blue Cross Blue Shield en Nevada en www.anthem.com. Also, follow us on Twitter @AnthemBCBS or @AnthemBCBS_News and on Facebook at Anthem Blue Cross Blue Shield. About Renown Health: Renown Health is a locally governed and locally owned, not-for-profit integrated healthcare network serving Nevada, Lake Tahoe and northeast California. Renown es uno de los mayores empleadores de la región y cuenta con una fuerza laboral de más de 7,000 empleados. It comprises three acute care hospitals, a children’s hospital, a rehabilitation hospital, the area’s most comprehensive medical group and urgent care network, and the region’s largest and only locally owned not-for-profit insurance company, Hometown Health. Renown Health’s commitment has extended beyond traditional health care to include community health and well-being. For more information, visit www.renown.org.Additional Media Contacts:Mike BowmanAnthem Blue Cross Blue Shieldmichael.bowman@anthem.com916-584-6043
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Seminario web gratuito que explica los aspectos básicos de Medicare
Senior Care Plus llevará a cabo un seminario web gratuito diseñado para ayudar a los participantes que están por cumplir 65 años a tomar decisiones informadas sobre su cobertura médica. Navigating the Medicare alphabet can sometimes be confusing and overwhelming, which is why the experts of locally-owned Senior Care Plus, a Medicare Advantage Plan, are hosting a free webinar on the ABCs of Medicare. There are four basic parts of Medicare: A, B, C and D. Each part helps patients pay for important healthcare services such as hospital visits, doctor visits and prescription drug coverage. El seminario web gratuito, programado para los miércoles 5 y 19 de agosto a las 6 p.m., cubrirá los aspectos básicos de Medicare y responderá preguntas frecuentes para ayudar a los asistentes a aprovechar al máximo su cobertura médica. Both webinars will cover the same topics, however, two dates are offered as an added convenience to attendees. Visite SeniorCarePlus.com o llame al 775982-3191 para inscribirse. “With unfamiliar words and ideas you’ve likely never come across before, learning about Medicare may feel like learning a new language at first,” said David Hansen, CEO of Hometown Health. “As you begin the process of becoming a Medicare recipient, Senior Care Plus is committed to helping you become fluent in Medicare and help you understand the basics so you can make the best decisions for your unique healthcare needs.” From the convenience of a computer or mobile device, participants will learn about: The parts of Medicare - A, B, C and D; Eligibility and enrollment options; How to personalize their Medicare options based on their healthcare needs Serving as a partner in health to both northern and southern Nevadans, Senior Care Plus is the statewide leader in helping people take advantage of Medicare Advantage. Además, con ventajas para los miembros, como eventos educativos virtuales y descuentos exclusivos en recursos de salud y bienestar de vanguardia, Senior Care Plus está decidido a ayudar a sus miembros a mantenerse sanos y activos. Para obtener más detalles sobre Senior Care Plus y sus opciones de Medicare, para asistir a una reunión informativa o para programar una consulta personal, visite seniorcareplus.com o llame al 775-982-3158. Acerca de Hometown Health Establecida en 1988, Hometown Health es la división de seguros de Renown Health y es la compañía de seguros de salud sin fines de lucro de propiedad local más grande del norte de Nevada. Providing wide-ranging medical coverage and great service to members, Hometown Health represents a philosophy of health care that emphasizes active partnerships between members and physicians. Para obtener más información, llame al 775-982-3000 o visite hometownhealth.com. About Renown Health Renown Health is the region’s largest, locally owned and governed, not-for-profit integrated healthcare network serving Nevada, Lake Tahoe and northeast California. Con una fuerza laboral diversa de más de 7,000 empleados, Renown ha fomentado una cultura de excelencia, determinación e innovación de larga data. La organización se compone de un centro de urgencias, dos hospitales de cuidados agudos, un hospital infantil, un hospital de rehabilitación, un grupo médico y una red de atención de urgencias y Hometown Health, la compañía de seguros sin fines de lucro más grande de la región y de propiedad local, Hometown Health. Renown’s institute model addresses social determinants of health and includes: Child Health, Behavioral Health & Addiction, Healthy Aging and Health Innovation. Clinical institutes include: Cancer, Heart and Vascular Heath, Neurosciences and Robotic Surgery. Actualmente, Renown está inscribiendo participantes en el estudio genético de salud poblacional basado en la comunidad más grande del mundo, el Healthy Nevada Project®. Visite renown.org para obtener más información.
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