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 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
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 of 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
What Is Direct Primary Care? • Access to an exclusive network of “This should be the model personalized primary care doctors for American healthcare. • Doctors have fewer patients , giving It’s the best doctor’s them more time with their patients – experience I have ever longer appointments, less wait had.” • No co-pays or out-of-pocket costs to - R-Health Patient 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
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
The Basics – Common Questions “I’m recommending that Using the New Jersey DPC everyone try Paladina program… Health. I love the care that I’ve received.” • DOES NOT change the existing - Kene Booker-Mahatha, health benefits provided by CWA member 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
The Basics – What Is Different? DPC providers see ~70% fewer patients compared to a typical primary care doctor. Direct Traditional Primary Care Primary Care
The Basics – What Is Covered? DPC providers can treat up to 90% of healthcare concerns. Primary & Preventive Care Treatments & Procedures • Basic vision screening (color & near vision) • Asthma/pulmonary treatments • Biometric screening • Dermatologic procedures • Blood pressure and vitals screening • Mole removal • Chronic personal evaluation including routine check ups • Skin cyst removal • Coordination with other providers (specialists, hospitals) • Skin tag and wart removal (cryo) • Fitness & nutrition coaching • Basic wound care • Health risk assessment • Basic ENT procedures • Hearing screening (audiometry) • Ingrown toenail removal • Lifestyle & risk-reduction coaching • Skin biopsy (lab not included) • Pediatric visits • Sports physicals Diagnostic Testing & Vitals • Women’s health • EKG • Routine adult physicals • Blood pressure & vitals • Pre-op evaluations and clearance • Peak flow testing • Acute illness visits & treatment
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
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
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
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
Who are the Providers?
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!
R-Health Locations Voorhees Hamilton Cherry Hill • Dr. Kindra Smith • Dr. Cindy Geng • Dr. Julia Snyder Family Medicine Internal Medicine Family Medicine Ages: Infants & up Ages: 15 & up Ages: Infants & up West Orange Moorestown • Opening June 2019 Ewing • Dr. Steven Horvitz • Dr. Binita Prajapati • Dr. Sumeera Baig Family Medicine Family Medicine Internal Medicine Ages: 6 & up Ages: 5 & up Ages: 16 & up • Dr. Kimberly Jones- Lower Bucks, PA New Brunswick Mudd • Location TBD • Dr. James Bancroft Family Medicine • Opening July 2019 Ages: 6 & up Ages: 5 & up
The Stats • 99% of Paladina Health • 99% of R-Health patients patients are satisfied with are satisfied with the care their overall care they received experience • 98% of R-Health patients • 96% of patient had a wait of 10 minutes appointments began on or less time • 97% of R-Health patients • 98% of patients are are satisfied with their satisfied with their ability ability to contact their to access their provider doctor after office hours • NPS score of +90 from • NPS score of +92 from post-appointment surveys post-appointment surveys
How to Sign Up • Online • Online www.paladinahealth.com/ www.r-health.md/nj newjersey • Phone • Phone 800.797.1289 866.808.6005 • Paper registration • Paper registration Can be downloaded from Can be downloaded the CWA Steward from the CWA Steward Website Website
18 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
Social Media • Facebook • Facebook https://www.facebook.com https://www.facebook.com /PaladinaHealth/ /rhealthmd/ • Twitter • Twitter https://twitter.com/Paladin https://twitter.com/RHealth aHealth MD • LinkedIn • Instagram https://www.linkedin.com/c https://www.instagram.co ompany/paladina-health/ m/rhealthmd/ • YouTube • YouTube https://www.youtube.com/ https://www.youtube.com/ channel/UCqucaKdfJJWG channel/UCKCNTV6krv8B 2h4ka6e4ryw T6QJXZcrg-g
Contacts for Questions / Meeting Craig Peterson Amber van Niekerk Assistant VP, Marketing Account Manager, & Engagement Paladina Health R-Health 908.500.7155 215.600.4590 ext. 1010 Craig.Peterson@paladinahealth.com amber@r-health.md
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