Addus Homecare Announces Value-Based Agreement With Blue Cross and Blue Shield of New Mexico
Addus HomeCare Corporation (NASDAQ: ADUS) has announced a new value-based agreement with Blue Cross and Blue Shield of New Mexico (BCBSNM) for Medicaid members served by its Ambercare subsidiary. The "Stay Healthy at Home" program aims to facilitate timely care for members identified with care gaps, reducing the need for emergency visits. Addus will provide training for caregivers to better recognize urgent needs and coordinate care with BCBSNM. This agreement is anticipated to enhance member outcomes and satisfaction while promoting effective home-based care delivery.
- New value-based agreement with BCBSNM could enhance patient care and financial outcomes.
- Training for caregivers will improve identification of urgent health needs, potentially reducing hospital admissions.
- Agreement supports better health outcomes for Medicaid members in New Mexico.
- None.
The “Stay Healthy at Home” program is designed to help BCBSNM members obtain appropriate and timely care when a care gap or potential disease acceleration is identified by the client and/or their Addus caregiver. With that information, the Addus team will work with BCBSNM care coordination staff to remove barriers to service, coordinate with the member’s primary care physician (PCP), and, when appropriate, mobilize community-based clinical care as an alternative to emergency room visits or hospital admissions. Service metrics and clinical quality outcome measures are key features of the program.
The program will also include specific training for Addus’ home care aides so they can more effectively identify and report changes in a member’s condition that could require urgent intervention. These reports will be reviewed and coordinated by Addus care transition coordinators and communicated to the health plan and member’s PCP for follow up. Addus will also assist with coordination and scheduling of medical procedures needed by members to close known Healthcare Effectiveness Data and Information Set (HEDIS) care gaps.
Commenting on the announcement,
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Executive Vice President,
Chief Financial Officer
(469) 535-8200
investorrelations@addus.com
(615) 324-7346
dru.anderson@finnpartners.com
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