Health Plan of San Mateo Partners for Home Care of Dual-Eligible Patients

Upward Health, an in-dwelling multidisciplinary service provider that partners with wellness ideas and other risk-bearing entities, has partnered with the Overall health Plan of San Mateo (HPSM) to care for dual-eligible individuals.

HPSM serves 1 in 5 people in San Mateo County, Calif., which include all of the County’s Medi-Cal suitable people, nearly 9,000 customers qualified for both Medicare and Medi-Cal, as effectively as households, seniors, people with disabilities and kids with elaborate healthcare problems. HPSM sponsors a number of courses to handle social determinants of overall health – from dwelling-based health care to courses that assist deal with social isolation and assistance getting housing.

Upward will supply a assortment of house-primarily based providers to HPSM’s CareAdvantage customers, who qualified for both equally Medicare and Medi-Cal. HPSM is a regional, nonprofit County Organized Health and fitness Process in Northern California, and works to make sure about 140,000 citizens of San Mateo County have obtain to superior-quality treatment, services, and supports. Upward Health will serve HPSM customers with intricate health care, behavioral and social worries, improving upon wellness by delivering and coordinating treatment directly in their households.

Upward Health is partnering with HPSM for its HomeAdvantage System, a home-dependent health-related treatment system serving customers throughout three tiers of service ranges. The HomeAdvantage longitudinal plan serves significant-acuity members with regular in-property care by way of a multidisciplinary group and treatment management companies to connect users to care and local community sources. The HomeAdvantage OnDemand services consists of annual in-house visits, accessibility to in-person urgent care, and phone entry to health care. HomeAdvantage FocusCare enrolls patients in the longitudinal software for 90 days just after an party this kind of as an inpatient, ER, or medical center take a look at.

Below the provisions of the settlement, Upward Health and fitness will serve HPSM patients throughout all a few HomeAdvantage company tiers. Expert services will be delivered in patients’ residences both on a scheduled and urgent care basis. “We are psyched to have Upward Health and fitness as our new associate for the HomeAdvantage method. In the course of a demanding analysis of probable community companions for this plan, we ended up amazed by Upward’s overall flexibility and transparency in building a plan to provide our members,” stated Amy Scribner, population health and fitness officer for HPSM, in a statement. “Upward Health’s commitment to collaborating with our community suppliers and group-primarily based companies in serving our users was an essential thing to consider for us.”