Special Needs Plans aim to focus on quality and coordination of care
PITTSBURGH-(August 2, 2018) –– Gateway Health is pleased to announce a collaboration with Community Care Physician Network, LLC (CCPN) to serve beneficiaries in Dual Eligible Special Needs Plans (D-SNPs) in North Carolina beginning August 1, 2018. D-SNPs serve those individuals who are eligible for both full or partial Medicaid benefits and Medicare benefits.
CCPN is a clinically-integrated network of more than 2,200 clinicians in 700 practices across North Carolina. Under the agreement, CCPN will contract with Gateway Health to provide medical services to its members as well as intensive care management outreach that can be beneficial to the patient. CCPN will also deliver provider support services, assist with risk stratification and targeted analytics and collect and report annual quality data and outcomes.
“We’re excited by the potential to improve the care experience for both patients and health care providers,” said CCPN CEO Steve Wegner, M.D., J.D. “Many dually eligible recipients have complex health care needs and we are familiar with what it takes to serve this population well. Gateway’s commitment to serving this population aligns well with that of CCPN members. We will work closely with Gateway to find new and better ways to improve health care outcomes and the patient experience.”
“Gateway Health is uniquely positioned to deliver access to quality healthcare to the D-SNP population and has been doing so with success for more than a decade. CCPN will ensure we stay connected with our members in North Carolina, and be a valuable partner to these often vulnerable members who may be facing health challenges or simply want to maintain good health,” said Patricia J. Darnley, president and CEO, Gateway Health. “This unique partnership will combine the best of CCPN’s clinical operations infused with Gateway’s expertise with D-SNPs to improve coordination of care and potentially healthier outcomes,” Darnley added.
About Gateway Health
Gateway Health is a nationally-ranked managed care organization that focuses on providing the best possible healthcare to a growing number of Medicaid and Medicare Advantage consumers. A not-for-profit organization, Gateway Health serves the needs of at risk and vulnerable citizens with not only healthcare coverage, but services such as disease management, health and wellness programs and preventive care. The organization provides Medicaid services in Pennsylvania, Delaware, West Virginia and Arkansas and Medicare coverage in Pennsylvania, Kentucky, Ohio and North Carolina. Our commitment to helping our members and their communities get and stay healthy is what keeps members, providers, communities and partners “Good with Gateway.” To learn more about Gateway Health, visit us online at https://www.gatewayhealthplan.com/about-gateway-health
About Community Care Physician Network
CCPN is a physician-led, clinically-integrated network that provides practices with an aligned network focused on delivering effective primary care and an infrastructure to deliver and coordinate patient care across conditions, providers, settings and time. CCPN members have a strong focus on patient populations and shared accountability for hitting quality targets.