Published: Dec 11, 2013

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December 18, 2013

Home Health Care Organization and Health Plan Selects Leading Care Management Provider to Help Meet State of New York’s New Care Coordination Guidelines for Dual Eligibles Programs

Altruista Health, Inc., an innovative provider of care and disease management technology for health plans, providers and coordinated care organizations, announces that they have signed an agreement with Visiting Nurse Service of New York (VNS) to implement Altruista’s GuidingCare care management solution. VNS, a leading provider of home health care services and affordable health plan options for the New York metro area, will implement GuidingCare to help streamline their care coordination workflow, improve outcomes and reduce costs in order to complete their dual-eligibles program demonstration for the state of New York.

New York is one of 26 states that have submitted Financial Alignment Demonstration Proposals to the Centers for Medicare and Medicaid Services (CMS) for improving outcomes and reducing costs of care for Medicare/Medicaid dual-eligible enrollees. As part of these proposals, health plans that manage Medicare and Medicaid enrollees within these states must demonstrate their ability to meet a host of new care coordination guidelines.

GuidingCare is a patient-centric care management system developed to meet the specific care management and coordination challenges of safety-net health plans such as VNS. GuidingCare is the only available care management technology solution to integrate the Chronic Illness and Disability Payment System (CDPS), the most accurate predictive model for Medicaid populations. With more than 300 clinical care, behavioral health and medication-related indicators, GuidingCare will provide VNS with the tools they need to quickly identify opportunities to improve outcomes and reduce costs of care for dual eligibles enrollees. The GuidingCare platform can be accessed remotely, providing a great advantage for VNS staff, who spend much of their time caring for patients in home or community environments.

Safety-net plans in the 26 states working with CMS have mandates to improve the quality and efficiency of care they deliver to their dual eligible enrollees,” said Ashish Kachru, CEO of Altruista Health. “Altruista has both the care management technology platform and leadership to guide these organizations they prepare for their upcoming CMS demonstrations.”

About the Visiting Nurse Service of New York
The Visiting Nurse Service of New York is the largest not-for-profit home health care organization in the country. VNS provided care for almost 150,000 New York metro area patients in 2011, and has served the area for 120 years. The organization’s VNSNY CHOICE program offers a variety of affordable health plan options that coordinate all crucial health care and support services around a home health setting. For more information, visit www.vnsny.org.

About Altruista Health
Altruista Health, Inc. provides patient-centric and customizable population care management solutions for health plans and providers. The company develops and delivers software tools, data analytics and support services that help streamline clinical and administrative processes, improve patient outcomes and reduce avoidable healthcare costs. Altruista Health clients include commercial and government health payers, health systems and care management organizations. For more information, visit www.altruistahealth.com.