News

Onlife Health and PopHealthCare commit $50,000 in COVID-19 support for Nashville

Onlife Health and PopHealthCare commit $50,000 in COVID-19 support for Nashville Crisis relief donation helps urgent community health and economic needs March 26, 2020, NASHVILLE, TN. – Onlife Health and PopHealthCare, together with their parent company GuideWell, announced today an initial investment of $50,000 for urgent health and safety needs in communities across the Nashville area in response to the COVID-19 public health crisis. The contributions will address middle Tennessee emergency assistance efforts. Together, the Nashville-based companies Onlife and PopHealthCare employ 800 people in Tennessee and the donation will support emergency needs around their area offices. The gift from their parent company, GuideWell, is being made to the United Way of Greater Nashville COVID-19 Response Fund. The fund was recently established to quickly and effectively address both the health and economic challenges of this virus – for Tennesseans who have lost their job or are experiencing loss of income and…

HNC Virtual Solutions and PopHealthCare Team up to Equip Healthcare Professionals with New Technology to Improve In-Home Care for Patients

HNC Virtual Solutions and PopHealthCare Team up to Equip Healthcare Professionals with New Technology to Improve In-Home Care for Patients HNC Virtual Solutions and PopHealthCare are proud to announce a strategic collaborative effort to offer health services to patients in their homes. The combination of HNC’s easy-to-use technology with PopHealthCare’s clinical workforce extends the availability and quality of healthcare to targeted patients. Equipped with HNC’s market-leading mobile telehealth solution, PopHealthCare’s community outreach workers can perform vitals tests during in-home visits, connect patients with their medical providers, and remotely evaluate patient health. HNC’s technology bundle enables PopHealthCare to expand its clinical workforce of physicians, nurse practitioners, and nurses to include community health workers. HNC’s kit includes an assortment of medical instruments for clinicians to collect patients’ vitals to share with their medical providers. “Using telemedicine, case managers can now monitor real-time data from the field and make better informed, timelier determinations…

Meet Michelle Waters, DNP, APRN FNP-C

Meet Michelle Waters, DNP, APRN FNP-C Michelle Waters is a Clinical Services Manager at PopHealthCare where she oversees a team of nurse practitioners and registered nurses who deliver CareSight to members in North Florida. We caught up with Michelle to learn more about her role and what she loves about providing individualized care to patients in their homes. What compelled you to work at Pop HealthCare? My choice to come to Pop HealthCare was centered around the opportunity to provide an intimate level of care to members. Through CareSight, my team of clinicians comes to a member’s home to positively impact their health and well-being. We get to spend quality time with a member to explain their doctors’ instructions, improve the care they currently receive, and answer all their questions. What do you enjoy most about your work? I love the one-on-one interaction I get with members and the relationships…

PopHealthCare Summary of the 2020 Advance Notice and Draft Call Letter

PopHealthCare Summary of the 2020 Advance Notice and Draft Call Letter The estimated Medicare Advantage and Fee-for-Service (FFS) effective growth rate is approximately 5.62 percent. Overall, the expected change in revenue is predicted to be 2.53 percent, with significant variances depending on county and plan. Year-to-Year Percentage Change in Payment Impact 2020 Rate Announcement Effective Growth Rate 5.62% Rebasing -0.02% Change in Star Rating -0.14% MA Coding Intensity 0.0% Risk Model Revision 0.21% Encounter Data Transition -0.06% EGWP Payment Policy 0.0% Normalization -3.08% Expected Average Change in Revenue 2.53% MA CODING PATTERN ADJUSTMENT As dictated by law, CMS is required to annually adjust plan payments to reflect the variance in diagnosis between MA plans and FFS providers. In the 2020 Announcement, CMS stated they will implement an MA coding pattern difference adjustment of 5.90 percent. This value remains constant from the prior year. NORMALIZATION FACTORS A normalization factor is a…

PopHealthCare and Florida Blue Partner to deliver In-home Health Care Services

PopHealthCare and Florida Blue Partner to deliver In-home Health Care Services Florida Blue, a health insurer in Florida, announced a partnership with PopHealthCare to deliver a suite of in-home patient care services to clinically fragile members in the state. The demand for in-home health care services has never been greater. According to the Bureau of Labor Statistics, home health professionals are projected to be among the fastest growing occupations over the next decade. An aging baby boomer population, longer life expectancies, and the growing rate of chronic conditions are key factors contributing to the escalating demand for in-home care. PopHealthCare’s in-home patient care is specifically designed to assist members who have had recent stays in hospitals, or who have complex chronic medical conditions. These high-touch, proactive programs—administered by doctors, physician assistants and nurse practitioners—help high-risk patients avoid hospital readmissions or unnecessary emergency room visits. “As a mission-based organization dedicated to…