Medicaid Plans
Results-driven solutions for the medically complex and chronically ill
As a Medicaid plan, there is a portion of your membership that accounts for a significant percentage of the medical cost. Often, these members are in the Aged, Blind or Disabled (ABD) category. Today, one in three have two or more chronic conditions. Overall, one in four Americans have multiple chronic conditions. With the growth of the aging population and medical advances which significantly extend life expectancy, managing the complexities of this growing market will take a toll on the national healthcare system, the quality of care and escalating cost of care.
That is where INSPIRIS can help.
Traditional disease management and telephonic care fall short in meeting the needs of this high-risk patient population. Although effective for the majority of the population, evidence shows that the medically complex require more focus and intervention to achieve clinical results.
Provider-Led Complex Care and Care Management
INSPIRIS delivers hands-on, face-to-face care wherever the member resides, whether a residence, skilled nursing facility, assisted living center or other congregate housing. Managed by nurse practitioners and physicians who are employees of INSPIRIS, this proactive, preventative approach to care accurately assesses risk and avoids crisis situations that require emergency room visits or hospitalization.
Proven Solutions with Dependable Outcomes.
INSPIRIS programs are customized to your needs and the needs of your members. Programs can range from a single visit for clinical and HCC risk scoring assessment or short-term management of post-hospital discharged members to long-term needs for those members not accessing the current PCP.