Your DPC Toolkit Sharing Personalized Care with Your Members - - PowerPoint PPT Presentation

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Your DPC Toolkit Sharing Personalized Care with Your Members - - PowerPoint PPT Presentation

Jan 27, 2023 288 likes •502 views

1 Your DPC Toolkit Sharing Personalized Care with Your Members March 27, 2019 A Union Created Program CWA is very excited to be at the start of this cutting edge healthcare pilot. We believe that primary care is the future of wellness

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March 27, 2019

Your DPC Toolkit – Sharing Personalized Care with Your Members

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A Union Created Program

“CWA is very excited to be at the start of this cutting edge healthcare pilot. We believe that primary care is the future

  • f wellness and preventative medicine. This is a union-

designed program that has healthcare outcomes as its goal.”

  • Hetty Rosenstein, Area Director of CWA New Jersey,

November 2016

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Why the Unions Created DPC

  • Help achieve savings in healthcare costs by lowering

usage of ER, urgent care, and specialists by delivering access to personalized, primary care doctors who are part

  • f the Direct Primary Care program
  • Provide 24/7 access to enhanced primary care
  • Over time, will lower the healthcare premium costs paid

by members

Better Care at Lower Costs

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What Is Direct Primary Care?

  • Access to an exclusive network of

personalized primary care doctors

  • Doctors have fewer patients, giving

them more time with their patients – longer appointments, less wait

  • No co-pays or out-of-pocket costs to

see your doctor

  • Same-day and next-day urgent

appointments

  • 24/7 access to a personal doctor via

digital and phone access

  • Labs, immunizations, and

medications onsite at no additional cost “This should be the model for American healthcare. It’s the best doctor’s experience I have ever had.”

  • R-Health Patient
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NJWELL – A New Incentive for DPC

NJWELL is offering a $250 wellness incentive to active SHBP and SEHBP members and their covered spouses or partners who participate in the state’s DPC program. MEMBERS AND COVERED SPOUSES OR PARTNERS CAN EACH EARN $250.

Any active member of Paladina Health or R-Health will automatically qualify for the NJWELL reward card when you:

  • Complete a health assessment through your health plan’s online portal
  • Complete a comprehensive physical examination and at least one follow up

appointment with your Paladina Health or R-Health doctor

  • Create a health map in partnership with your Paladina Health or R-Health

doctor

  • Complete all of the above between November 1

and October 31, 2019

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The Basics – Common Questions

Using the New Jersey DPC program…

  • DOES NOT change the existing

health benefits provided by Horizon and Aetna

  • There are no additional costs –

nothing extra comes out of your paycheck

  • DOES NOT require referrals to

specialists or usage of only certain hospitals or health systems

“I’m recommending that everyone try Paladina

  • Health. I love the care that

I’ve received.”

  • Kene Booker-Mahatha,

CWA member

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The Basics – What Is Different?

DPC providers see ~70% fewer patients compared to a typical primary care doctor.

Traditional Primary Care Direct Primary Care

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The Basics – What Is Covered?

DPC providers can treat up to 90% of healthcare concerns.

Primary & Preventive Care

  • Basic vision screening (color & near vision)
  • Biometric screening
  • Blood pressure and vitals screening
  • Chronic personal evaluation including routine check ups
  • Coordination with other providers (specialists, hospitals)
  • Fitness & nutrition coaching
  • Health risk assessment
  • Hearing screening (audiometry)
  • Lifestyle & risk-reduction coaching
  • Pediatric visits
  • Sports physicals
  • Women’s health
  • Routine adult physicals
  • Pre-op evaluations and clearance
  • Acute illness visits & treatment

Treatments & Procedures

  • Asthma/pulmonary treatments
  • Dermatologic procedures
  • Mole removal
  • Skin cyst removal
  • Skin tag and wart removal (cryo)
  • Basic wound care
  • Basic ENT procedures
  • Ingrown toenail removal
  • Skin biopsy (lab not included)

Diagnostic Testing & Vitals

  • EKG
  • Blood pressure & vitals
  • Peak flow testing
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The Basics – Why Use It?

6 in 10 American adults have at least one chronic condition…

…defined as conditions that last one year or more and require ongoing medical attention and/or limit the activities of daily living

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The Basics – Why Use It?

Common chronic conditions can include:

  • Anxiety
  • Depression
  • Asthma
  • Migraines
  • Heart disease
  • High blood pressure
  • COPD
  • Diabetes
  • Arthritis
  • Pain
  • Autoimmune Disease
  • Addiction
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The Basics – Why Use It?

DPC providers manage chronic conditions better through:

  • Established relationship with personal provider
  • More time with patients
  • Primary care providers can treat up to 90% of all healthcare

concerns

  • Tools to identify risk and manage complex care
  • Removal/minimizing of cost-of-care barrier
  • “Quarterback of Care” outside of the office
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Who Can Use the DPC Program?

  • Anyone who has their health benefits through the New Jersey

SHBP or SEBHP with one of the following plans:

  • Horizon NJ Direct
  • Horizon Omnia
  • Aetna Liberty
  • Aetna Freedom
  • New CWA PPO Plans
  • Available for employees and their covered dependents (family

members)

  • It’s an individual selection – not all family members need to use

a DPC doctor

  • Not available for members with HMO or high deductible plans
  • Not available for Medicare retirees
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Who are the Providers?

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Paladina Health Locations

Hamilton

  • 3840 Quakerbridge Rd, Suite 110

Hamilton, NJ 08619 609-528-2144

  • Dr. Antonio Funches, Family Medicine, Sports Medicine

Clifton

  • 4 Brighton Road, Suite 208

Clifton, NJ 07012 973-321-9884

  • Dr. Pearl Guerzon, Family Medicine, Newborns to Geriatric

Jersey City

  • Coming Soon!
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R-Health Locations

Cherry Hill

  • Dr. Julia Snyder

Family Medicine Ages: Infants & up Ewing

  • Dr. Sumeera Baig

Internal Medicine Ages: 16 & up

  • Dr. Kimberly Jones-

Mudd Family Medicine Ages: 5 & up Hamilton

  • Dr. Cindy Geng

Internal Medicine Ages: 15 & up Moorestown

  • Dr. Steven Horvitz

Family Medicine Ages: 6 & up New Brunswick

  • Dr. James Bancroft

Ages: 6 & up Voorhees

  • Dr. Kindra Smith

Family Medicine Ages: Infants & up West Orange

  • Opening June 2019
  • Dr. Binita Prajapati

Family Medicine Ages: 5 & up Lower Bucks, PA

  • Location TBD
  • Opening July 2019
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The Stats

  • 99% of R-Health patients

are satisfied with the care they received

  • 98% of R-Health patients

had a wait of 10 minutes

  • r less
  • 97% of R-Health patients

are satisfied with their ability to contact their doctor after office hours

  • NPS score of +92 from

post-appointment surveys

  • 99% of Paladina Health

patients are satisfied with their overall care experience

  • 96% of patient

appointments began on time

  • 98% of patients are

satisfied with their ability to access their provider

  • NPS score of +90 from

post-appointment surveys

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How to Sign Up

  • Online

www.r-health.md/nj

  • Phone

800.797.1289

  • Paper registration

Can be downloaded from the CWA Steward Website

  • Online

www.paladinahealth.com/ newjersey

  • Phone

866.808.6005

  • Paper registration

Can be downloaded from the CWA Steward Website

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How You Can Help?

  • Hand out flyers at your worksite
  • Hang flyers at your worksite
  • Flyers for Paladina Health and R-Health can be downloaded from

the CWA steward website

  • Invite Paladina Health and R-Health to present to your

members at your worksites

  • Send your members an e-mail about the DPC program
  • Download script from the CWA steward website
  • Share information on the DPC program on social media
  • Sign up yourself and share your experience with fellow

members

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Social Media

  • Facebook

https://www.facebook.com /rhealthmd/

  • Twitter

https://twitter.com/RHealth MD

  • Instagram

https://www.instagram.co m/rhealthmd/

  • YouTube

https://www.youtube.com/ channel/UCKCNTV6krv8B T6QJXZcrg-g

  • Facebook

https://www.facebook.com /PaladinaHealth/

  • Twitter

https://twitter.com/Paladin aHealth

  • LinkedIn

https://www.linkedin.com/c

  • mpany/paladina-health/
  • YouTube

https://www.youtube.com/ channel/UCqucaKdfJJWG 2h4ka6e4ryw

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Contacts for Questions / Meeting

Amber van Niekerk Assistant VP, Marketing & Engagement R-Health 215.600.4590 ext. 1010 amber@r-health.md Craig Peterson Account Manager, Paladina Health 908.500.7155

Craig.Peterson@paladinahealth.com