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Senior Whole Health Provider Portal

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How Can I Book An Appointment Online With A Senior Whole Health Psychiatrist

CenterWell Senior Primary Care | Health Portal

Zocdoc is a free online service that helps patients find Senior Whole Health Psychiatrists and book appointments instantly. You can search for Senior Whole Health Psychiatrists by symptom or visit reason. Then, choose your location. Based on that information, youll see a list of providers who meet your search criteria, along with their available appointment slots.

The Impact Of Specialty Drug Trend And Spend

Even though less than 2% of the population uses specialty drugs, those prescriptions account for a staggering 51% of total pharmacy spending1. Since specialty medications typically impact drug trend the most addressing the high cost of specialty medication is crucial.

At a member level, plan sponsors see an average annual cost of $38,000 to cover a specialty patients drugs compared to just $492 for the coverage of a non-specialty patients costs. That is 75x more to cover a specialty patient over the course of a year.1 For most patients, these are life-sustaining, and even life-saving therapies, which presents the challenge of balancing affordability with the access to care.

Additionally, plans will continue to be impacted from the COVID-19 pandemic and delayed care resulting in delayed diagnoses of specialty conditions. For example, oncology patient doctor visits declined approximately 20% for some of 2021, while cancer screenings also significantly declined . This indicates that the market is expecting a rebound of visits and specialty patients to come, which could continue to drive up specialty drug trend.

Senior Whole Health Provider Login

Looking for Senior Whole Health Provider Login? Get direct access to Senior Whole Health Provider through official links provided below.

  • Step 1. Go to Senior Whole Health Provider Login page via official link below.
  • Step 2. Login using your username and password. Login screen appears upon successful login.
  • Step 3. If you still can’t access Senior Whole Health Provider Login then see Troublshooting options here.

Added by: Lanell Tabara

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Solutions For Independent Primary Care

If you’re an independent primary care provider, Empire wants you to be able to retain your independence. When and where needed, we connect you with our experienced business partners who can assist you in improving care, lowering costs, and earning shared savings. With the tools, talent, and technology these partners can provide, sustainable success through value-based care is within your reach.

Our Mission Is To Enable The Most Effective Homecare Ecosystem Every Day

Wellness Centers

We are passionate about helping people who are aging or have disabilities thrive in their homes and communities through the creation of a homecare ecosystem that seamlessly connects states, managed care organizations, providers, caregivers, and patients.

HHAeXchange was founded in 2008 by software development and healthcare professionals with the belief that healthcare should be simple, effective, and transparent.

Today, HHAeXchange is the premiere homecare management software for the Medicaid home and community-based services population, and the only solution that connects the entire homecare ecosystem in one platform.

Our software has helped thousands of personal care providers, self-direction program administrators, managed care organizations , and state Medicaid agencies achieve operational efficiency, increase compliance, and improve member outcomes.

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Benefits Of Senior Whole Health Provider Portal

The Senior Whole Health provider portal helps you spend less time on administration so you can focus more on patient care. You get a one-stop portal to quickly perform essential functions you do every day

With the provider portal, you can do the following:

  • Check member eligibility/benefits
  • Submit and check the status of your claims
  • Submit and check the status of your service or request authorizations
  • View your HEDIS scores
  • Access Provider Rosters

You can also stay up to date with the latest applications, resources and news from us.

Swh Of Ny And The Availity Provider Portal

On the Provider Portal you can:

  • Check member eligibility and benefits
  • Submit claims, send supporting documentation and check status
  • View remittances and EOPs
  • Access SWH of NY specific apps, resources, and news

New Availity users

Already have Availity log-in information?

For Dates of Service prior to 4/1/2021 for SWH of NY MLTC, and 1/1/2022 for SWH of NY Medicare, please contact Provider Services.

Important Provider Documents

Important Reminder:

It is important to Senior Whole Health of New York and your patients that your provider directory demographics are accurate. Please visit our Provider Online Directory at : providersearch.molinahealthcare.com to validate your information and notify us if there are any updates.

Please notify Senior Whole Health of New York at least 30 days in advance when you have any of the following:

Change in office location, office hours, phone, fax, or emailAddition or closure of office locationAddition or termination of a providerChange in Tax ID and/or NPIOpen or close your practice to new patients

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Enable Better Caregiver & Patient Experiences With The Mobile App

Agencies looking for an easy way to connect with and empower caregivers rely on modern technology. Its no secret that with 85% of Americans owning a smartphone, todays workflows must be accessible from the device thats in the palm of their hands and constantly on the move with them. HHAeXchanges Mobile App is the only EVV solution with more than one million mobile visit verifications processed each week!

PROBLEM: TODAYS CAREGIVERS ARE MOBILE IN MORE WAYS THAN ONE

Agencies must recognize that todays caregivers are not only mobile as owners of smartphones, but also recognize that they are physically mobile or on-the-go. This makes flexibility, saving time, and being able to accept cases on-the-go more critical than ever. Relying on traditional telephony methods can be cumbersome, error-prone, and consume valuable time that could be spent with the patient.

APPROACH: MOBILE IS A NATURAL TOOL FOR YOUR CAREGIVERS

We get it! Any new technology for your caregiver may appear daunting at first. Therefore the HHAeXchange approach has been around building the simplest experience for caregivers, while providing agencies a means to simplify EVV clock-in/outs, schedule and broadcast cases to caregivers, and collect valuable data to impact patient outcomes. When agencies equip their caregivers with the HHAeXchange Mobile App, they are enabling growth, empowering caregivers, and influencing patient outcomes in the process.

OUTCOME: 5 REASONS YOUR AGENCY NEEDS TO GO MOBILE

Welcome New York Providers

SWH Massachusetts Medicare Advantage Commercial 2

Contracted providers are an essential part of delivering quality care to our members. We value our partnership and appreciate the family-like relationship that you pass on to our members.As our partner, assisting you is one of our highest priorities. We welcome your feedback and look forward to supporting all your efforts to provide quality care.If you have any questions, please call Provider Relations at 1-877-353-9819.

Need a Prior Authorization?

PA Lookup tool is under maintenance.

Please refer to the state specific Excel matrix while the PA Lookup Tool is disabled.

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How To Register On Senior Whole Health Provider Portal

To access the Senior Whole Health provider portal, you need to register and have an account with them.

  • Visit the Senior Whole Health Provider Portal
  • Provide your personal details to sign up.

The Senior Whole Health provider portals may only be accessed using a supported browser such as the latest versions of Google Chrome or Microsoft Edge. The Portals will not work well, or not work at all, with other browsers.

How Can I Find A Top

You can use Zocdoc to find Senior Whole Health Psychiatrists who are highly rated by other patients. These ratings are based on verified reviews submitted by real patients. Every time a patient completes an appointment booked on Zocdoc, theyre invited to review their experience. Each review must comply with Zocdocs guidelines.

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What Is Drug Trend And How Is It Calculated

Drug trend is calculated as the percentage change in total drug costs from one year to the next. Total drug costs represent the total cost of the medication paid per person by plan sponsors and plan members.

Typically, drug trend for plan sponsors is broken out into two components: unit cost trend and utilization trend. Unit cost trend is the rate of change in unit costs due to the combined impact of inflation, discounts and drug mix. Utilization trend is the rate of change in total days supply of medication dispensed across all prescriptions and a good indicator of adherence.

Senior Whole Health Information Center

Whole Person Care. Celebrating National Health Center Week.

HHAeXchange & Senior Whole Health of New York, a Molina Company Partnership

Senior Whole Health of New York, a Molina Company, has partnered with HHAeXchange to leverage our platform to implement Electronic Visit Verification for Personal Care services. As part of the approach for the 21st Century Cures Act, Senior Whole Health of New York, a Molina Company, has elected to have HHAeXchange transmit EVV data via a web interface to eMedNY on behalf of the network providers.

Through the HHAX platform we will be able to electronically send new home health aide cases to you, manage authorizations, confirm visits using EVV, and most importantly send all communications in real-time.

What does the HHAeXchange Portal provide to homecare agencies?

The HHAeXchange Portal provides a direct connection from the agency to Senior Whole Health of New York, a Molina Company for:

  • Electronic case broadcasting, authorizations, plan of care management and entering confirmed visits

  • Real-time two-way communications and messaging with Senior Whole Health of New York, a Molina Company

  • Free EVV solution for time & attendance and duty tracking

  • Electronic billing along with pre-billing review

Your Agencys Options & Onboarding Process:

Enterprise Agencies currently using HHAeXchange: You currently pay for the HHAeXchange Full Enterprise platform. With Senior Whole Health of New York, you will be able to continue using HHAeXchange, utilizing the systems enhanced Linked Contract functionality.

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How To Manage Pharmacy

Since 65% of specialty medications are paid under the pharmacy benefit, pharmacy trend controls are core strategies that all plans should have in place to manage spend now and in the future. Some of these include:

  • A formulary that directs patients from costly specialty medications to clinically comparable, lower cost alternatives
  • Utilization management that ensures a therapy and dosing are appropriate for the patient
  • Value-based programs in high cost disease states that reimburse plan sponsors for events like early discontinuation of therapy
  • Copay solutions that drive year-over-year savings for plans while offering a $0 patient out of pocket cost for most specialty therapies.
  • Network optimization strategies via exclusive or limited pharmacy partnerships and channel optimization strategies to understand and route therapies to the lowest cost channel either the pharmacy or medical benefit, depending on the therapy and other factors

How Can I Make A Same

On average, patients who use Zocdoc can search for a Psychiatrist who takes Senior Whole Health insurance, book an appointment, and see the Psychiatrist within 24 hours. Same-day appointments are often available, you can search for real-time availability of Psychiatrists who accept Senior Whole Health insurance and make an appointment online.

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Are Video Visits With A Psychiatrist Online Covered By Senior Whole Health

Most insurers provide coverage for video visits at the same cost as in-person visits. You can search on Zocdoc specifically for Psychiatrists who accept Senior Whole Health for video visits by selecting your carrier and plan from the drop-down menu at the top of the page. We recommend you check with your insurance carrier directly to confirm your coverage and out of pocket costs for video visits.

How We Help

About Senior Whole Health

Your success is important to us. Empire has two fundamental principles that inform all we do:

Improve whole health by integrating our services and delivering personalized, seamless care.

Be a trusted, lifetime health partner.

These basic principles provide the foundation for our value-based care models for both small practices and large hospital systems.

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