CARE IMPROVEMENT PLUS OBTAINS CONDITIONAL CMS APPROVAL TO EXPAND MEDICARE HEALTH PLAN INTO SOUTHERN MARYLAND
Baltimore, MD August 15, 2006 Care Improvement Plus has obtained conditional approval from the Centers for Medicare & Medicaid Services (CMS) to expand its Special Needs Plan into Maryland’s Calvert, Charles and St. Mary’s counties. In 2007, the Medicare Advantage plan intends to focus exclusively on the unique healthcare needs of chronically ill Medicare beneficiaries living with diabetes, heart failure, chronic obstructive pulmonary disease, and end-stage renal disease (ESRD).
Pending formal CMS approval, Care Improvement Plus will offer all Medicare covered services, a tailored Medicare Part D drug benefit, disease management services, and additional services not typically covered by Medicare to approximately 6,400 eligible beneficiaries residing in the expanded Maryland service area. The plan is offered by XLHealth, one of the nation’s fastest-growing disease management companies, and is currently available for beneficiaries with diabetes, heart failure, and ESRD in Baltimore City and Maryland’s Anne Arundel, Baltimore, Carroll, Harford, Howard, Montgomery and Prince George’s counties.
“Our program focuses on empowering our members and helping them learn to manage their conditions,” said Nelson Sabatini, president of Care Improvement Plus in Maryland. “We also support physicians by coordinating care with other medical professionals and providing valuable patient data they might otherwise have trouble obtaining. We’ve found that this two-pronged approach not only reduces the incidence of complications such as heart attack, blindness and amputation, but also improves quality of life and lowers healthcare costs.”
Pending formal CMS approval late this summer, the plan will begin marketing to Medicare beneficiaries in the three new counties on October 1, 2006, and will open enrollment on November 15 for services effective January 1, 2007.
Each plan member is assigned a Care Improvement Plus care team comprising a dedicated local healthcare manager, local field nurse and telephone coach nurse all of whom work closely with the beneficiary’s physicians to coordinate services and help provide optimal care. Members receive coverage that offers the advantages of traditional Medicare, plus additional care coordination and services as appropriate, such as:
- access to an open network of all physicians and other healthcare providers who participate in Medicare
- comprehensive prescription drug coverage under Medicare Part D with a formulary specifically designed for chronically ill members
- medication and appointment reminders
- nursing support
- health education
- tools to help monitor and manage health
- patient advocacy support
Care Improvement Plus supports participating physicians with a variety of services designed to help them care for chronically ill patients, such as: compensation for time spent on non-Medicare covered services, an open-access model that doesn’t require referrals, collection of medical histories in advance of office visits, and easy-to-read reports containing all of each patient’s up-to-date information.
Care Improvement Plus is in the process of expanding its network of providers; to date, approximately 2,000 providers in Maryland have joined the plan’s network. Providers or other organizations interested in working with Care Improvement Plus can call (888) 858-5175, e-mail [email protected] or visit the plan’s Web site at http://www.careimprovementplus.com for more information.About Care Improvement Plus
Care Improvement Plus, a new health plan that focuses on the unique healthcare needs of chronically ill Medicare beneficiaries, provides a Medicare Advantage health plan and disease management services to Medicare beneficiaries living with heart failure, diabetes, chronic obstructive pulmonary disease and/or end-stage renal disease. Care Improvement Plus also provides tailored Medicare Part D drug coverage, along with a variety of services designed to support physicians’ efforts to care for their chronically ill patients. The plan is administered by Baltimore-based XLHealth, which recently earned Full Accreditation from the National Committee for Quality Assurance (NCQA) under its standards for patient and practitioner-oriented accreditation of disease management programs. More information about XLHealth and Care Improvement Plus can be found at http://www.careimprovementplus.com.