VHAN social worker Amber Colbert often supports Medicare patients who have been hospitalized and then moved to a skilled nursing facility (SNF). Sometimes these patients face difficult end-of-life choices. A recent case illustrated the vital role a social worker plays in this process and how collaboration between the social worker and other team members can ease pain and give patients greater comfort and a sense of peace.
As we approach the last quarter of the year, it’s essential to focus on triple-weighted measures on your Medicare Advantage (MA) contracts. These measures—related mainly to medication adherence, diabetes control, blood pressure control—count more towards your performance than single weighted measures in the Centers for Medicare and Medicaid Service’s (CMS) pay-for-performance Star Ratings system. Triple-weighted measures play a critical role in a health plan’s ability to earn four or more Stars, the threshold at which practices can achieve a higher proportion of shared savings dollars and quality bonuses. Learn more about how VHAN can help members succeed in these important areas.
In her job as a VHAN social worker, Amber Colbert has helped countless patients make the transition from hospital to a skilled nursing facility. Typically, Colbert works with Medicare patients 65 or older, monitoring their health care journey and helping them find the right facility when needed. That experience served her well in her care for an Alzheimer’s patient and his caregiver wife. Read the full story to learn how VHAN social workers help patients and their families at every stage of life.
Several of VHAN’s contracts include triple-weighted measures, which have a larger impact on quality results. Medication adherence is particularly important, as it is triple weighted across all Medicare Advantage (MA) contracts. Additionally, medication adherence provides an opportunity for year-round focus and impact, unlike other measures that may be addressed at certain times throughout the year. VHAN’s Pharmacy Team offers tools to help your patients with medication adherence.
Returning to school can cause some children and teens anxiety, stress and depression. As young patients return to school next month, be prepared to offer them and their caregivers behavioral health support should the need arise. Read the full article for a complete list of resources VHAN offers members, patients and their caregivers.
CMS announced 395 new ICD-10-CM codes, set to take effect on October 1, 2023. The new codes must be used for discharges occurring from October 1, 2023 through September 30, 2024 and for patient encounters occurring from October 1, 2023 through September 30, 2024. Read the full article for some key codes your staff should be aware of.
In the future, social determinants of health are expected to play a more prominent role in healthcare payer models as the industry continues to recognize their impact on patient outcomes and overall healthcare costs. What do you need to know about the social determinants that affect your patients?
Many who have cared for a loved one at the end of their life understand the role social workers can play in helping patients and families make their way through a stressful and emotionally charged time. Providing social work services for palliative and hospice care can be extra challenging, but for VHAN social worker team manager Cate Mart, LCSW, the connections she establishes with patients and their families make her job gratifying and worthwhile. Read the full article to learn how Cate helped one family make important end-of-life decisions.
Adolescence, those formative years between childhood and adulthood, can be a confusing and sometimes challenging time as young people go through changes both emotional and physical. It’s also a time of discovery as they learn to form their individual identity. A big part of that journey is sexuality, finding where they fit in and how they identify on the spectrum. VHAN Social Workers support young patients through all stages of life, providing behavioral health referrals when needed along the way.