VNSNY Care360° Solutions Longitudinal Care Management is designed to manage high-risk, complex members over an extended time frame. We use an integrated care coordination approach to effectively manage clinical and psycho-social needs, avoiding unnecessary hospital and ED visits and enabling members to remain at home and in the community.
Working in collaboration with your existing network partners, our care management experts will screen for risk factors and develop a customized plan of care.
Target Population
Complex members at high risk for readmissions, including those struggling with multiple chronic illnesses, lack of social support, and self-management challenges.
Benefits
- Effective management of medical, behavioral and social needs over an extended time frame, including use of remote patient monitoring to help prevent condition exacerbation
- Seamless coordination with other care providers, such as home care, skilled nursing facilities and community based organizations.
- Decrease in avoidable re-hospitalizations and ED visits, while helping to meet quality goals and HEDIS measures
- Reduction in total cost of care through performance-based payment arrangements
Model of Care
VNSNY Care360° Solutions uses evidence-based, integrated clinical care activities tailored to effectively manage members’ medical, social, and behavioral health needs. Learn more about our model of care.
Demonstrated Outcomes
As a leader in providing care for vulnerable populations in the home and community, we leverage our local knowledge, population health best practices, and clinical expertise to have a significant impact on your members’ health. See examples of our excellent outcomes.
