In-Home Health

Vendors

100

CVS Vendor

CVS Healthspire Primary Care @ Home

200

Health Vendor

Landmark Health

300

Senior Vendor

WellBe Senior Medical

400

What do these programs offer?

This program offers in-home and telehealth visits by doctors or advanced practice providers.

500

Do these providers have specific office hours?

A member can reach designated providers 24 hours a day, 7 days a week including weekends and holidays. 

 

Eligibility

100

Can a mm self-refer?

Members CANNOT self-attest to this program.

200

How does a MM get assigned to specific Vendor?

 depending on location and plan

300

How is the MM selected?

These members have been selected based on claims received by Aetna showing the member has been diagnosed with specific chronic conditions.

400

Are mm's required to participate?

 Participation is voluntary.

500

In what KA can you find the eligibility for In-Home Health?

KA4305

KA 4417

100

What does VBC stand for?

Value-based care

200

NAME the 4 VBC Provider Specialty: 

Kidney, Oncology, Diabetes, and Complex Care

300

What specialty does Thyme Care cover?

Oncology 

400

These 2 main point are used to describe how these VBC providers may improve health care, for example, by prompting doctors to:

• Talk to each other and coordinate care across practices and appointments.
• Focus on an individual receiving care as a whole person by helping them address their medical and non-medical needs. 

500

Which specialty has the MOST partners?

*bonus point* NAME the partners... 

Complex Care 

WellBe, CVS HealthSpire, Landmark, Accompany Health, Harmony Cares, ConcertoCare, Upward Health, Patina, Homeward