Today I am writing to share a few important changes that are taking place at AmeriHealth Caritas. As many of you may already know, Bob Gilman, our Senior Vice President (SVP) and General Counsel, has been planning to retire this year. Bob joined our company in 1994, and he has been instrumental to our success. For the past 22 years, he has been our trusted advisor and I am grateful for his unwavering commitment to AmeriHealth Caritas and all those we serve across the nation. Bob’s retirement will begin April 1, and we wish him much happiness as he begins this new and exciting journey. With this change, I am pleased to announce that Eileen Coggins, SVP Compliance and Risk Management, will transition to a new leadership position as our General Counsel and SVP Long Term Services & Supports/Medicare Solutions, effective April 1. Eileen is a highly skilled and veteran attorney with more than 24 years of legal experience in public and private health care companies, including prior roles as General Counsel and SVP Government Relations for Univita Health, Inc., a provider of home-based care management programs, and SVP, General Counsel and Corporate Secretary for Genesis Healthcare Corporation, one of the nation’s largest skilled …show more content…
Eileen has significant career experience working with Medicare and companies specializing in home care, long term care, DME and pharmacy, and in this capacity, she and her team will provide our Market Presidents with integrated market-driven solutions. As we look to our Market Presidents to be ultimately responsible for all products in their respective marketplace, this new model will provide them with the ability to access additional expertise and support at a company-wide
The purpose of this report is to summarize the findings of an interview with Rusty Metcalfe, Chief Information Officer of Fundamental Administrative Services, LLC, and analyze the competitive and strategic positioning of the firm within the long-term, post-acute senior care industry. I interviewed Mr. Metcalfe on Wednesday November 15, 2016 and covered a broad array of topics including the department’s history and structure, risks and opportunities, strategic alignment and near and long-term goals.
With implementation of healthcare reform, steps are being taken over the next several years to insure all American’s. Starting in 2014, a new resource called an Exchange will be available. According to HHS, a healthcare exchange will “provide a transparent and competitive insurance marketplace where individuals and small businesses can buy affordable and qualified health benefit plans”...
According to National HealthCare Corporation (2016), the organization also generates revenue by managing seven skilled nursing facilities, three assisted living facilities, and one independent living facility owned by third-party operators. Additionally, they have a partnership agreement and a 75.1% non-controlling ownership in Caris Healthcare. Caris Healthcare specializes in hospice care and has 26 locations in four states. Further, NCH provides accounting and financial services to 20 skilled nursing facilities for small operators. Lastly, the organization operates four regional pharmacy operations. These pharmacies serve 56 owned facilities, six managed facilities, and 13 third party entities.
Evidently, the healthcare management discipline has interests that overlap (and can be used to study) the Green House nursing home model. The Green House Project offers unique insights regarding changes in nursing home management philosophies that can improve both, the health of residents, as well as the job satisfaction of CNAs. Since nursing home budgets, residents’ healthcare and CNA turnover rates, are important factors in nursing home management, the Green House Project is an excellent case study for the field of healthcare management, as
Moss, A. J. et al. Design and operation of the 2010 National Survey of Residential Care Facilities. Vital Health Stat. 1. 1–131 (2011). at
Stone, R.I & Wiener, J. M. (2001). Who Will Care For Us? Addressing the Long-Term Care Workforce Crisis. The Urban Institute.
Healthcare in the U.S. has recently been affected by implementation of the Affordable Care Act (ACA) of 2010. The intent is to create a healthca...
A consumer-directed health plan (CDHP) offers lower premiums in exchange for higher patient deductibles than traditional plans. Those who adopt CDHPs are pay for most of their routine care. Its goal is to make cu...
To provide appropriate care, long-term care admissions must be well thought-out and explicit tasks fulfilled prior to the patient’s arrival. There should be a smooth transition between facilities to promote continuity of care (LaMantia, Scheunemann, Viera, Busby-Whitehead & Hanson, 2010). If discharge planning is inadequate, patient safety and health can be compromised. For example, scheduled drug regimens, such as antibiotics and controlled medications, must be available within a timely manner. Most long-term care facilities do not support an in-house pharmacy. In addition, many pharmacies require original hard scripts before filling controlled medications. If admitting orders are inadequate or cannot be carried out within the appropriate time span, the admitting facility may be unable to meet critical needs. I have experienced this first hand on more than one occasion. The most recent o...
IV. Today I will try and familiarize you with the great changes this business has gone through.
The primary mission of a social worker is to enhance human rights to those who are vulnerable, oppressed, or living in poverty. Caritas Processes was created to make the connection between caring, love, and human living processes (Watson, 2007). Caritas Processes has 10 factors that are identified to help make the connections. Social workers should be using Caritas Processes to successfully achieve their mission. This article will discuss Caritas Process and its relationship to social work. Caritas Process, human rights, and social workers work as a team to help vulnerable clients, without each other there would be no solution when people struggle in life.
As I began watching Reinventing Healthcare-A Fred Friendly Seminar (2008), I thought to myself, “man, things have changed since 2008.” And as the discussion progressed, I started to become irritated by how little had changed. The issues discussed were far-reaching, and the necessity for urgent change was a repeated theme. And yet, eight years later, health care has made changes, but many of its crucial problems still exist.
One of the largest nonprofit organizations in presently in health care is Banner Health. It is their mission to give precedence to quality patient care and want to be known as an innovative national leader that is constantly and consistently growing clinically. The Samaritan and Lutheran Health Systems joined together to make Banner Health what it is today. They provide various programs and services so that they can readily address health care needs for the next decade such as eICU, iCare, Banner Research, and Alzheimer’s Care. Banner health’s network has grown since it has been established and is one of the top leaders in health care. Banner Health lives up to their mission of providing outstanding patient care by offering innovation through technology and performance management programs.
After a 60 minute interview with Dr. Rob Geis, Director of Procurement at BayCare Health System, I was ready to take on the world. Dr. Geis completed his Masters and Doctoral degree at State University while working at BayCare. After completing the two advanced degrees he was promoted to Director. Currently he teaches two online classes at The University of Phoenix on Health Care management and procurement. As a director at BayCare Health System he has to hold trainings for potential vendors and current vendors along with the training sessions for employees that will directly intervene with the vendors of the behalf of the Health System. It was inspiring to see someone who has successfully blended three different adult learner experiences together; a student, corporate trainer, and adjunct professor.
The subspecialty I plan on focusing my career around is medication therapy management (MTM), whether I work in a retail setting or not. Pharmacy informatics will be important to me, as the programs I use to fill prescriptions will also monitor the possible interactions, duplicative therapies, contraindications, etc. of the medications my patients will be receiving. This system will be my resource to ascertain which patients are in need of MTM and why, and by combining the information contained in the pharmacy’s records of the patient with information I may get from the patient’s other health care providers and the patient themselves, I will be able to see what points I need to bring up during an MTM session.