Blue Cross Blue Defend of Arizona (AZ Blue) is partnering with Monogram Well being to offer in-home, evidence-based care and profit administration companies for sufferers residing with persistent kidney and end-stage kidney illness. Via this value-based care partnership, AZ Blue will use Monogram’s community of in-home suppliers and help companies to enhance the care of their members.
Monogram is a supplier of in-home nephrology, main care, and profit administration companies. It companions with well being plans to offer their members with an evidence-based renal care mannequin of scientific managed companies, together with complicated case and illness administration, utilization administration, and medicine remedy administration, to enhance affected person outcomes and high quality of life whereas dramatically decreasing prices for the healthcare system.
As a part of this collaboration, Monogram Well being will assume full monetary danger for BCBSAZ’s Well being Selection Pathway D-SNP (Twin Eligible Particular Wants Plans) Product members with kidney illness. This partnership will give this inhabitants throughout eight counties in Arizona entry to Monogram’s suite of specialised scientific and help companies together with evidence-based scientific pathways and protocols, in-home specialty care, complicated case and illness administration, and complete treatment remedy administration.
“Via our value-based danger platform, we’re reworking the best way care is delivered to highest value and most complicated kidney sufferers,” stated Aashish Shah, M.D., chief progress officer of Monogram Well being, in an announcement. “We’re excited to accomplice with Blue Cross Blue Defend of Arizona, residence to our operations hub, to increase our attain to susceptible populations who deserve best-in-class care to allow them to take pleasure in more healthy, happier, and extra fulfilling lives.”
Previous to becoming a member of Monogram final 12 months, Shah served as company vp for technique and product innovation for payer contracting and alignment at Nashville-based HCA Healthcare.
“We’re proud to embark on this value-based care journey with Monogram Well being to offer improved affected person experiences, obtain higher well being outcomes and scale back variability in care,” stated Shawn Nau, common supervisor, Medicaid Section at Blue Cross Blue Defend of Arizona, in an announcement. “We’re firmly dedicated to delivering modern companies, personalised care administration and help to the members we serve throughout Arizona. By combining AZ Blue’s high-value, cost-effective product with Monogram’s modern, evidence-based strategy to in-home care supply, we’ll have the ability to dramatically enhance the standard of life for our members navigating complicated persistent and finish stage kidney illness.”
Primarily based in Nashville and privately held by Frist Cressey Ventures, Norwest Enterprise Companions, and TPG Capital, Monogram Well being has quite a few value-based partnerships with well being plans, built-in supply techniques, and risk-bearing entities to look after sufferers throughout 35 states and all insurance coverage merchandise.
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