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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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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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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
Leer más About Anthem Blue Cross Blue Shield y Renown Health anuncian un nuevo acuerdo contractual
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5 Benefits of Medicare Advantage Plans
If you are approaching age 65, you may be starting to think about the government benefits you will soon qualify for. For example, your healthcare option to elect between Original Medicare or a Medicare Advantage plan. What’s the difference? Original Medicare comes in two parts: Part A and Part B. Part A covers a portion of hospitalization expenses, and Part B applies to doctor visits and medical expenses, such as lab tests and some preventative screenings. A Medicare Advantage plan, also known as Part C, is an “all-in-one” alternative to Original Medicare. These “bundled” plans include the benefits of Part A, Part B and Part D (prescription drugs). Some people choose a Medicare Advantage Plans over Original Medicare because these plans offer coverage like vision, hearing, dental and more. Saves You Money First and foremost, Medicare Advantage Plans save Medicare members money –and not just a little bit of money, but a lot of money. Original Medicare only pays 80% of the cost of medical care – the Medicare beneficiary is responsible for the other 20%. A Medicare Advantage Plan is different. The Medicare Beneficiary is only responsible for a small copay, typically less than 20% of a doctor visit or procedure. More importantly, Medicare Advantage Plans have a maximum out-of-pocket amount, meaning that once you reach the limit, the Plan pays 100% of all medical services. That alone can save thousands of dollars per year – particularly if there is a hospitalization involved. Dental, Vision and Hearing Coverage What sets Medicare Advantage plans apart is the additional benefits provided that Original Medicare doesn’t cover. These benefits include dental coverage, vision coverage, hearing exams and hearing aid coverage. None of these important health care benefits are included in Original Medicare. Also, most Medicare Advantage Plans include prescription drug coverage at no additional cost, while individuals with Original Medicare need to sign-up and pay extra for Part D prescription drug coverage. Medicare Advantage Plans offer more benefits than Original Medicare and they help members save on their health care costs. Focus on Accessibility, Wellness and Preventative Health Accessible healthcare coverage is key to staying on top of your health. To join a Medicare Advantage Plan you must have Part A and Part B coverage and live in the plan’s service area. It is important to remember that Original Medicare is only valid in the United States. Fortunately, many Medicare Advantage Plans offer worldwide emergency coverage. Another important healthcare consideration to keep in mind is Medicare Advantage Plans focus on your overall well-being. They offer preventative and wellness-related benefits at no cost to you. This includes important benefits like free over-the-counter medicines and free gym memberships. You won’t find those types of benefits with Original Medicare. Medicare Supplement Plans (Medigap) Some people confuse a Medicare Supplement Plan, also known as a Medigap Plan, with Medicare Advantage Plans. They are different and the biggest difference is Medicare Supplement plans come with ever-increasing premiums because they are based on your age. This means the cost of these plans increase every year. Plus, they don’t offer any supplemental benefit coverage like vision, dental or hearing. That’s not the case with a Medicare Advantage Plan. In many cases, there is no monthly premium and you receive all manner of supplemental benefits. These benefit-rich, zero-dollar premium Medicare Advantage plans are enticing people to say goodbye to pricy Medicare supplement plans and hello to Medicare Advantage Plans. Don’t worry, if you join a Medicare Advantage Plan for the first time and you aren’t happy with the plan, you’ll have special rights under federal law to buy a Medigap policy and a Medicare drug plan if you return to Original Medicare within 12 months of joining the Medicare Advantage Plan. The Flexibility to Change Your Mind A common misconception about Medicare Advantage Plans is that when you join, you are still on Medicare and are not giving up your Medicare coverage. Medicare Advantage Plans are considered “Medicare Part C.” This means they combine your Medicare Part A (hospital coverage), Part B (doctor’s coverage) and Part D (prescription drug coverage) into one convenient package that costs less and provides more. You can only join, switch or drop a Medicare Advantage Plan during the enrollment periods: Initial Enrollment Period: When you first become eligible for Medicare, you can sign up during your Initial Enrollment Period. For many, this is the seven-month period that begins three months before the month you turn 65, includes the month you turn 65, and ends three months after the month you turn 65. General Enrollment Period: If you have Part A coverage and you get Part B for the first time during this period (between January 1 - March 31 each year), you can also join a Medicare Advantage Plan. Your coverage may not start until July 1. Annual Election Period: Between October 15 and December 7, anyone with Medicare can join, switch or drop a Medicare Advantage Plan. Your coverage will begin on January 1 (as long as the plan receives your request by December 7). Medicare Advantage Plans have been around for more than 25 years and continue to grow in popularity. In some parts of the country, more than half of all Medicare beneficiaries are enrolled in a Medicare Advantage Plan. Only 40% are enrolled here in Nevada, but that number is growing every year.
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A Facility Designed with Seniors in Mind
Did you know that members of Senior Care Plus, the largest Medicare Advantage Plan in northern Nevada, have access to an exclusive, senior-focused Renown Health primary care office right here in Reno? The facility – and the Medicare plan itself – are both designed with seniors in mind; this includes specialty staff, longer appointment times, on-site services, supportive furniture and more. 4 Benefits of an Exclusive Senior Care Plus Facility Centrally Located with Senior-Focused Staff The Senior Care Plus facility, located on Del Monte Lane, is only open to members of Senior Care Plus. This exclusive access means that the bilingual staff – including doctors, medical assistants, nurses and personal assistants – works daily with aging health needs. On-Site Services and Enrollment Specialists The Senior Care Plus providers understand that seniors often require complex care management and geriatric-focused services. That is why this location offers on-site lab draws, saving travel time and stress. Another essential service this location offers is longer appointment times, ensuring members don’t feel rushed when discussing their health needs with providers. Another perk of the Del Monte location – on-site enrollment specialists. Members, and potential members, can stop by this location on weekdays between 9 a.m. and 4 p.m. to have their SCP-related questions answered. Furniture Designed with Seniors in Mind Senior Care Plus makes a doctor visit as stress-free as possible. The office has furniture that makes each visit more comfortable for members. All of the office chairs have armrests, so seniors can easily get in and out of them. Also helpful are the exam room chairs with remote controls for reclining the chair and lifting the patient’s legs. This makes exams, such as a diabetic foot exam, less of a strain. Community Rooms Social connections are an important part of health. That is why the Del Monte Lane office has community rooms used for informative seminars and as a gathering place for members to mingle. The seminars focus on many interesting topics for older adults, such as diabetes, COPD, asthma, weight loss, nutrition, yoga and chair exercises.
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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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How Referrals Work at Hometown Health and Senior Care Plus
Your provider wants to send you to a specialist. Now what? You are about to enter the referral process. A referral is your provider’s recommendation for you to see a specialist or receive specialized treatment. When it comes to referrals, the process can seem like the wild west for people not familiar with it. At Hometown Health and Senior Care Plus, we make the process simple for all our members. We know that access to specialists is a vital aspect of total health, and our goal is to break down those barriers to care at every level. Here is a step-by-step guide to how the referral process with your Hometown Health or Senior Care Plus provider works: 1. Your primary care provider (PCP) or urgent care provider will send a referral to the specialist’s office. A referral can also be sent from another specialist or after discharge from the hospital. This is usually done via email or fax. 2. As your referral is sent, now would be the ideal time to discuss with your provider’s office how the specialist will receive your medical records prior to your appointment. Your provider’s office will most likely send these records to the specialist for you, but it is always a good idea to double-check with them directly. At Renown, the referrals team will send the following items to your specialist’s office when available: ID Insurance card Most recent and relevant office notes to support the referral The referral order Any relevant labs or imaging pertaining to the referral Demographics information 3. The specialist’s office will call you to schedule the appointment after they receive the referral. Each office processes the referrals they receive in a slightly different time frame, so if you have any questions about the status of your referral, it is best to call their office directly. At Renown, if you are enrolled in MyChart, you can access the phone number for your specialist as soon as the team processes the referral. Those not enrolled MyChart will receive a letter in the mail with scheduling information. 4. The specialist will start to develop a course of treatment. That may include procedures, diagnostic tests or medications. Some of these treatments may require prior authorization from your insurance plan, so don’t forget to discuss how and when your specialist will receive the authorizations before you begin your course of care to avoid any surprise bills. What can I expect if I have a Renown specialist? At Renown, we handle a lot of the behind-the-scenes nitty-gritty so you don’t have to. After the referral is placed, it routes to Renown’s centralized referrals team and triaged to make sure you are scheduled with one of our providers with the right specialization for your specialty care needs. This team will also obtain the prior authorization you need and will you to a specialist that is in your network and based on you and/or your provider’s preference and continuity of care. The referrals team will attempt to find you a Renown provider first if you are not yet established elsewhere. For Hometown Health and Senior Care Plus members, prior authorization is not required for certain services if you are being referred to a Renown provider. This makes the scheduling process go quicker for both the provider and the patient. Our referrals team strives to keep their turnaround time for referrals within three business days, not including prior authorization wait times. If your referral is marked as ‘urgent,’ it will be reviewed within one business day so you are seen as soon as possible based on the needs of your medical condition, and you will receive a direct phone call with scheduling information. After prior authorization is obtained, the Renown scheduling team will call you through an automated phone system or via a message in MyChart with a direct link to schedule your appointment. To speak with a Renown scheduler or if you have any questions, please call 775-982-5000. What does prior authorization mean? Prior authorization isn’t as scary as it sounds! Essentially, prior authorization is your provider “going to bat” for you to receive this specialty level of care. Some medical services, including many specialists, are covered only if your ordering provider (usually your PCP) submits an authorization request to your insurance plan. They will include specific details about the type and duration of treatment they would like you to receive and any medical records that support your need for the specialist. After your insurer receives the request, a licensed medical professional will review the request, your records and your plan benefits. They will decide whether the specialty treatment is considered medically necessary based on recognized standards of care. Where can I go for more information? Your referrals and authorizations can be viewed in MyChart. To view them, navigate to Your Menu in the upper left corner of the page, scroll to the Insurance section and click on “Referrals.” The Renown referrals team is available to answer your questions and address any concerns. Give them a call at 775-982-2707 Monday through Friday from 8 a.m. to 5 p.m. Any questions you may have related to referrals and authorizations, including outside-of-Renown providers, can be directed to our expert Hometown Health or Senior Care Plus customer engagement representatives.
Read More About How Referrals Work at Hometown Health and Senior Care Plus
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Renown Health Encourages Non-Profits to Apply for Sponsorships
Renown Health seeks partnerships to help improve the health and well-being of all northern Nevadans. El proceso de solicitud para la financiación del evento estará abierto desde ahora hasta el 30 de abril. Renown Health’s mission is to make a genuine difference in the health and well-being of people and communities. Renown is seeking to partner with other non-profit organizations focused on inspiring better health in Nevada, and to help fund their efforts. “Improving the health and wellness of an entire population of people is not easy. It is a huge task. At Renown, we believe it is a battle worth fighting. We focus on preventing illnesses, and we are working across the state with partners who believe in our mission- to keep people healthy, to make healthcare more accessible and affordable, and to achieve the vision of a healthy Nevada,” says Tony Slonim, MD, DrPH, President and CEO of Renown Health. Nevada continues to rank near the bottom of overall health rankings in the U.S., and suffers from high mortality rates for chronic conditions like heart disease, cancer and chronic respiratory disease. These staggering statistics have solidified Renown’s commitment to advancing equitable clinical care and improving the health and well-being of our community. “La atención médica clínica solo afecta a una pequeña parte del estado de salud de una persona, menos del 20 %. The larger influence comes from social determinants of health (SDoH), which are the conditions in which people are born, grow, live, work and age. The specific factors that drive the greatest health improvements are health-related behaviors, socioeconomic factors and environmental factors. Each one of these determinants works independently and interacts with each other to affect your overall health status,” says Dr. Slonim. “It takes collaboration and dedication to make a difference, and we know our community is a healthier place for all, thanks to our partners’ remarkable contributions.” “Through its community development program, Renown strives to make real and positive change for real people in our community,” said Erica Murich, executive director of Truckee Meadows Tomorrow. “El apoyo de Renown nos ha permitido desarrollar y lanzar el portal de datos de la comunidad NevadaTomorrow.org, llevar a cabo nuestra increíblemente popular serie de conversaciones con la comunidad, y poner en marcha nuestro tan esperado informe de la comunidad que se publicará en otoño de 2021. Renown's generosity and willingness to build bridges and partnerships has made it possible for Truckee Meadows Tomorrow to not only survive these challenging times, but to thrive and grow.” “Even in the thick of the most trying year for the medical community, Renown never lost its focus on the partnerships it’s worked hard to build on behalf of a healthier, happier community,” said Fayth Ross, executive director of Urban Roots. “Hemos trabajado con Renown desde 2016, el punto medio de nuestros once años en la comunidad, y han sido fundamentales para ayudarnos a desarrollar nuestras ofertas: funding the creation of curriculum, helping source materials to build our farm, and the very ground the farm is on presently. Without their ability to see our mission is very clearly aligned with their own, I don’t know that Urban Roots would be in the same position it is today.” “We are so grateful to Renown Health for the community sponsorship,” said Sean Hill, vice president of advancement at Sierra Nevada Journeys. “This program provided us with start-up funding for a community needs assessment, a critical process we are undergoing to increase access to STEM and outdoor experiences for underrepresented kids and families in our community.” New to the funding application this year, all applicants will visit NevadaTomorrow.org to identify five data indicators that their organizations will use to help measure the impact of their event or program. Using this tool, applicants can access quality of life indicators—such as obesity, alcoholism, homelessness, or depression—and identify trends, challenges and opportunities in our local communities. “Every organization we support through our community events and project sponsorship makes a positive difference in our community,” said Annie Zucker, manager of community impact at Renown. “Now, every applicants is aligned to the same powerful national database to help identify credible national and state sources, down to census track level to drive their health improvement efforts and measure progress. Once their event or program is complete, they’ll be able to reflect back on the data and see the direct impact of their work. We are excited to see how they use their research to guide lasting change for our community.” Over the years, Renown has supported hundreds of organizations throughout our community as they set out to enhance lives and create a lasting impact in the northern Nevada region. These organizations include Truckee Meadows Tomorrow, Urban Roots, Sierra Nevada Journeys, Boys & Girls Club of Western Nevada, Nevada Cancer Coalition, Girls on the Run, Nevada Humane Society and many others. En 2016, Renown comenzó a abordar las tasas excesivas de cáncer, enfermedad pulmonar y enfermedad cardíaca a través del lanzamiento del primer estudio de salud poblacional comunitario del país, llamado The Healthy Nevada Project®. To assure payment is not a barrier to health improvement, testing is offered at no charge to Nevadans. En 2019, el Healthy Nevada Project se expandió al sur de Nevada, en colaboración con el Centro Médico Universitario del Sur de Nevada en Las Vegas. Con 60,000 participantes en el estudio hasta la fecha, el Healthy Nevada Project® es el estudio genético con la mayor velocidad de inscripción en el país. The Project is also the first of its kind to return clinical results to study volunteers, which means participants can learn their genetic risks tied to heart disease and certain cancers, as well as lifestyle changes that could potentially help reduce their risk and prevent disease. El estudio de investigación sigue en curso y los kits de pruebas genéticas para el hogar aún están disponibles sin cargo para los nevadenses mayores de 18 en este sitio web. As a non-profit organization, Renown reinvests every dollar earned back to the community, in staffing, technology, treatments, training and research to improve health and prevent illness. En el año fiscal 2019, Renown invirtió casi el doble de lo que invirtió el hospital sin fines de lucro promedio en beneficios comunitarios, o casi $158 millones en educación sobre salud, apoyo a otras iniciativas comunitarias relacionadas con la salud sin fines de lucro y servicios de atención médica sin reembolso. En los últimos cinco años, Renown ha invertido más de $8 millones de dólares en subvenciones para la comunidad. Solo el año pasado, Renown destinó $1.5 millones de dólares en subvenciones comunitarias. “El largo legado de servicio de Renown, arraigado en Nevada, comenzó en 1862 como un hospital del condado, el Washoe Medical Center”, comenta David Hansen, director ejecutivo de Hometown Health. “Now, Renown Health, northern Nevada’s largest locally - governed, not-for-profit, integrated healthcare network serves the community by providing care through hospitals, medical offices, and our not- for-profit insurance plan, Hometown Health.” Funds are limited, and the organization is unable to approve every request. A request for sponsorship or funding must benefit the geographic area served by Renown Health or Hometown Health, relate to identified community health priorities and align with Renown’s mission, vision and values. A complete list of sponsorship criteria is found here. Any organization receiving previous funding needs to apply online each year for any new requests. Todas las solicitudes se realizan en línea entre el 1 de marzo y el 30 de abril de 2021.
Leer más About Renown Health Encourages Non-Profits to Apply for Sponsorships
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Departamento destacado: Patient Access
Health systems across the country recently celebrated Patient Access Week from April 2-8. Join us in recognizing our Patient Access team at Renown! Fighting the Good Fight starts the moment a patient steps onto the grounds of our health system. When patients visit Renown on their healthcare journey, they look to the experts to not only help them navigate through the complexities of the process but also ensure their experience with us starts off on the right foot. Renown Health’s Patient Access Representatives (also referred to as “PARs”) are the faces of this entire process. As the key links between patients, providers and insurers, they strive to create a welcoming and respectful environment for everyone. PARs are committed to providing all of Renown’s patients access to the quality care when needed. After all, it’s in their name! A Friendly Face PARs are the front faces of almost all clinical areas at Renown. As the starting point for much of the patient experience, the day-in-the-life of PARs can vary. Checking patients in and out, getting demographic information, verifying insurance, answering phone calls, fostering communication between patients and their care teams, scheduling patients for follow-ups, explaining financial responsibilities and our financial aid programs, creating an overall positive experience and environment, the list goes on – but they all remain united under one goal: setting patients off on the right foot as they access care through our health system. “Each day, PARs are met with new patients who are seeking solutions to different concerns,” said Macy Betts, PAR for Renown Women’s Health. “We are the front doors to this department. We are not just checking patients in and out; we are the first step to the patients receiving the care they deserve.” “We take pride in our work,” added Tanya Quintanilla, Shari Longley and Nancy Arroyo Garcia, PARs for Renown Pediatrics. “Usually, we are the first point of contact within Renown, so we don’t take our role lightly. For example, when we see a newborn, we must ensure the registration has been verified, which consists of patient demographics, patient preferences and insurance verification. We need to be consistent and thorough because what we do affects every point of contact a patient may have within Renown.” “As my team’s senior PAR, my day begins with gathering the outpatient therapy work queue numbers and assigning the team to work them,” added Logan Johnson, Senior PAR in Pre-Registration at Renown. “Our goal is to contact and schedule patients for physical, occupational and/or speech therapy as soon as possible so that they have the maximum benefit and can get back to a normal life as quickly as possible. Our encounters can make or break the entire experience.” PARs never underestimate the power of good communication and compassion. Even during the busiest of times, our PARs work diligently to ensure all patients and their care teams fully understand the administrative side of whichever part of their journey they are about to embark on, lending a helping hand and a smile. “Whether you’re communicating with patients, leaders or coworkers, communication is key,” said Jonathan Figueroa, PAR for the Renown Institute for Heart & Vascular Health (IHVH). “We try and make sure that we do everything possible to make their visit go as smoothly as possible.” “Communication makes the world go round,” added Keith Madrona, Sherry Riley, Erika Rios and Andie Kilpatrick, PARs at Renown Urgent Care – Ryland. “Having a friendly attitude and demeanor is very important. “The PARs in Labor & Delivery do so much more than just registering patients – from escorting expectant parents to their rooms, welcoming newborn babies, processing pre-estimates and more – and the patience and excellent communication I receive from other teams is what keeps me going,” added Nanci Barash-Vietti, PAR for Renown Labor & Delivery (L&D). “This is critical to the success and effectiveness of the PARs in our department.” Shift changes for PARs mimic other teams at Renown, leveraging technology and both written and spoken communication to ensure the next shift begins successfully. "When I come in, the night shift will give me a report on what is going on and what the schedule looks like during the day; then I log in to my computer and get everything that I will need for that day up on the screen,” said Allie Boracchia, PAR for Renown L&D. “Usually around this time we have a 7-8 a.m. induction scheduled for the first patient, so I will grab the pre-made packet that the night shift put together, the unit clerk will call the nurse to get a room number, and I take the patient to the room and have them sign all the forms. After the patient has the baby, then we admit them and finish registration. This is continuous all day long.” Our PARs all agree that regardless of the setting, whether it be emergent or routine, every patient is looking for that advocate from the moment they enter through our doors. “Being friendly, patient and understanding is a must,” said Sheryl Lundgren, PAR for the William N. Pennington Institute for Cancer. “It is so nice being able to brighten the days of patients who are living with a cancer diagnosis.” “In the urgent care setting, a lot of the patients we see are not feeling their best, so it is important that we show them we care and are here to help make check in go smoothly,” added Sam Deithrich, PAR at the Renown Urgent Care – Los Altos. “Patients are relieved that they are speaking to a real person that will help set up appointments,” added Rick Jordan and Celeste Landry, PARs in Lab Services at Renown South Meadows. PARs embrace lifelong learning at Renown, especially as their roles differ day-to-day. They are always ready to jump in and assist on tasks that might be new for them, growing their skills on the job and never hesitating to say, “How can I help?” “As a PAR, you are always learning new things, even when it seems like you know just about everything,” said Liz Cardenas-Ramos, PAR for Renown Endocrinology. “It’s been such a positive experience.” “Giving yourself grace to learn and grow in Patient Access is the key,” said Maggie Savoie, PAR for Renown Primary Care – Fernley. “I find myself learning every day at Renown, and if you’re learning, you’re growing. Being able to take a breath and say, ‘this is a learning opportunity for me, and tomorrow I will be better a better PAR because I’ve gained this knowledge’ is an amazing way to stay positive in the position.” “In L&D, we are all multi-tasking, and every day I am learning something new about my department and patients, as well as how to excel in my position,” added Nanci Barash-Vietti. Renown PARs are the front lines to health care access, and they wear that badge with pride. Jeanette Flores, PAR in the Emergency Department at Renown South Meadows, sums up the role of Patient Access well: “Talk about first impressions!” “I am proud of our team and the excellent care we give our patients,” said Dawn Linker, PAR for the Renown IHVH. “We want them to have a good experience.” Impactful Accomplishments The role of our Patient Access team members goes beyond the desk. A patient’s healthcare journey begins, and sometimes even ends, with the helping hands of our PARs, leaving a lasting positive impression of Renown. "Our interactions with the patients make a difference before they see the provider, so we always demonstrate a welcoming and helpful atmosphere for the patients to feel like their needs are being met,” said Mary Dettling, PAR for Renown Endocrinology. “I love seeing the difference we make in peoples’ lives,” added Shannon Leone, PAR for the Stacie Mathewson Behavioral Health & Addiction Institute. “We can get patients at their toughest and worst times. Watching them overcome their fears, traumas and addictions has been very rewarding.” Our PARs don’t just make goals for themselves – time and time again, they surpass them, all in the name of patient experience and excellence. “We have not only met our monthly point-of-sale scores, but we also have exceeded our stretch goal for the last eight months and our scores have been in the 50th percentile or higher,” said Jeanette Flores. “Along with being the top point-of-sale collectors, we have also been known to be some of the sweetest and most helpful staff at South Meadows,” said Katie Morrill, PAR in the Emergency Department at Renown South Meadows. As their teams grow, so does their impact on our patients. PARs are dedicated to providing the best customer service possible, and with their expanding teams, that service goes even further, even throughout the pandemic. “A year ago, we only had one PAR; now, we have a full and amazing team,” said Alex Bucholz, PAR for Renown Advanced Wound Care. “We have come so far in a short amount of time.” "During the pandemic, we have maintained a core group of individuals who come in every day and help keep this office and all its parts moving smoothly,” added Shannon Leone. “We have maintained a full patient load the last three years and never had to close our office for any reason. We have even had the opportunity to start our Medicated Assisted Treatment and Transcranial Magnetic Stimulation programs.” "We successfully operated and maintained our pediatric COVID clinic, which is the only one within our five clinics,” added Tanya Quintanilla, Shari Longley and Nancy Arroyo Garcia. “We feel proud knowing our tiny humans are protected with the COVID vaccine.” Like many other teams at Renown, our PARs are masters at teamwork. Despite any obstacles that may happen along the way, they are always there for each other to ensure every patient gets the care and attention they deserve. “We call ourselves the ‘A-Team’ here in Pulmonary,” said Shannon Birnberg, PAR for Renown Pulmonary & Sleep Medicine. “We have persevered through changes, additions and departures. We are most proud of bringing different personalities to the team and being super strong and effective.” “I have noticed the team always steps up whenever needed,” added Brittany Hughes, PAR for the Renown IHVH. “Everyone has a great attitude and is very positive!” “While our team is fairly new, we are growing together, learning our strengths and weaknesses and always pushing for stronger unity,” added Angel Freer, PAR in the Emergency Department at Renown Regional. When our PARs find ways to simplify a process or make a workflow run more efficiently, they don’t waste any time in making that happen. They take any opportunity to enhance patient experience. “Our team came up with a solution on how to get patients registered faster,” said Jess Castillo-Marquez, PAR in Lab Services at Renown Regional. “We came up with modalities which assign each PAR their own procedure in which they will be registering for during their scheduled shift. It has been a great success, helping our productivity and keeping our patients satisfied with our service.” “We are proud of our successful implementation of our new therapy workflow,” added Logan Johnson. “Patients are now waiting much less to be contacted about their care.” Our PARs know that teamwork makes the dream work, and their commitment to the patients they serve – and the goals they continue to blow out of the water – continue to inspire them daily. “You are only as strong as your team,” said Aundie Yonker, PAR in the Emergency Department at Renown Regional.
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Three More Renown Urgent Cares Now Accepting Patients with Medicaid for a Total of Six Locations Across Northern Nevada
Renown Health now offers urgent care services to patients with Medicaid insurance at the locations on USA Parkway, Los Altos and in Carson City. Renown’s 10 Urgent Care locations see patients 365 days a year for medical concerns that are urgent but not life-threatening. Renown has recently expanded the number of urgent care sites accepting Medicaid insurance to include the USA Parkway, Los Altos and Carson City locations. Medicaid provides health coverage to thousands of Nevadans, including eligible low-income adults, children, pregnant women, elderly adults, and people with disabilities. Medicaid is now accepted at six Renown Health Urgent Care locations at the following addresses: 440 NV-439 #1, USA Parkway 202 Los Altos Pkwy, Sparks 2814 N. Carson St., Ste 101, Carson City 975 Ryland St., Reno 1343 W. Newlands Dr., Fernley 560 E. Williams Ave., Fallon “As Reno’s only not-for-profit health care provider, we see all patients, regardless of their ability to pay. Increasing access to urgent care medical services remains a priority for us,” said Brian Erling, MD, MBA, Renown Health President, and CEO. “With a lack of medical providers and long wait lists for care in Washoe County, many people may not seek treatment when ill, and their conditions become more advanced, making treatment more difficult and costlier. We are working to hire additional physicians and medical providers to meet the need. We are pleased to help reduce barriers to care by accepting people with Medicaid insurance at six urgent care locations in Reno-Sparks and in our neighboring communities.” Government initiatives like Medicaid are designed to help uninsured individuals secure health care coverage. Medicaid is the largest health insurance provider in the United States, providing coverage to millions of Americans. As of July 2023, 835,888 Nevadans have enrolled in Medicaid and CHIP (Children’s Health Insurance Program). Statistics show that 21% of people in Washoe County have Medicaid coverage (2021). “We continue to seek new ways to meet the healthcare needs of everyone in our community,” said Rahul Mediwala, MD, CPE, Renown Medical Group CEO. “Our skilled providers at all Renown Urgent Care locations are able to diagnose and treat a variety of non-life-threatening illnesses, including respiratory illness; allergic reactions; minor burns, cuts and bites; sprains; urinary tract infections and more.” For life-threatening emergencies and when urgent care locations are closed, the Emergency Rooms at Renown Regional Medical Center, Renown South Meadows Medical Center and Renown Children’s Hospital are ready to treat and care for all patients, 24/7. The current hours of operation for all Renown Health locations are available at renown.org/locations. About Renown Health Renown Health is the region’s largest, locally governed, not-for-profit integrated healthcare network serving Nevada, Lake Tahoe, and northeast California. With a diverse workforce of more than 7,000 employees, Renown has fostered a longstanding culture of excellence, determination, and innovation. 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.
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