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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.

Leer más About 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

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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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.

Leer más About Hometown Health Enters Affordable Care Act Marketplace