Renown Health and Anthem Blue Cross and Blue Shield Partner to Extend Value-Based Care For Anthem’s Medicaid Members in Northern Nevada
Anthem Blue Cross and Blue Shield Medicaid members will now have access to providers in the value-based Western Clinical Alliance, powered by Renown Health. RENO, Nev. (Dec. 20, 2021) – Members of Anthem Blue Cross and Blue Shield Medicaid in Nevada can now receive care from providers in the Western Clinical Alliance, powered by Renown Health. A first of its kind agreement, the partnership between Anthem Blue Cross and Blue Shield Medicaid and Renown Health extends care for Anthem members in northern Nevada. This agreement gives providers and patients in the region better access to care by focusing on health and well-being while reducing the overall cost of care. The Western Clinical Alliance is a value-based clinically integrated network that puts the patient at the center of care and allows collaboration between providers across the community. “The Western Clinical Alliance has been seeking this kind of innovative and forward-thinking partnership for a while, and we are excited to be working with Anthem Blue Cross and Blue Shield,” said Thomas Graf, MD, Chief Clinical and Quality Officer and Western Clinical Alliance chair. “The partnership creates an environment that eliminates many of the traditional barriers associated with providing the right care, in the right place, at the right time. For us, it is all about ensuring Anthem members have the greatest opportunity to live healthy lives; this includes their participation in preventative and wellness care as well as optimization of their chronic diseases” Western Clinical Alliance providers – including those at Renown hospitals, Renown medical groups and other community-based health organizations – have developed a relationship that makes vital data and insights readily available to better understand every patient’s journey through the healthcare system. Providers in the Western Clinical Alliance work together to drive better outcomes by helping patients receive care in the highest-value settings. “Anthem Blue Cross and Blue Shield is excited to partner with Renown Health and the Western Clinical Alliance because we believe effective health coverage begins with a trusted primary care provider who can guide our members through the complexities of the healthcare system, with an emphasis on prevention and wellness leading to better health outcomes,” said Lisa Bogard, President of Anthem Blue Cross and Blue Shield in Nevada. Many people in the northern Nevada community covered by a Medicaid plan like Anthem’s will have an open enrollment window starting Jan. 1, 2022. In addition to an opportunity to foster a relationship with providers from Renown Health and the Western Clinical Alliance, Medicaid members in Nevada can go to www.chooseanthem.com to enroll in a plan that offers a range of added benefits that promote physical fitness, nutritious home-delivered meals, transportation assistance, Boys and Girls Club memberships, essential support services for new and expecting parents and more. About Western Clinical Alliance & Renown Health Western Clinical Alliance® is a Clinically Integrated Network (CIN) which joins together physicians across our community into a single comprehensive care delivery network. The CIN is in collaboration with Renown Health and other care providers that share a common set of goals focused on increasing value by improving outcomes and better managing the total cost of care for patients. Renown Health is the region’s largest not-for-profit integrated healthcare network serving Nevada, Lake Tahoe and northeast California. With a diverse workforce of more than 7,000 employees, Renown has fostered a longstanding culture of excellence, determination and innovation. The organization comprises a trauma center, two acute care hospitals, a children’s hospital, a rehabilitation hospital and a medical group and urgent care network. For more information, visit renown.org.
Softheon and Hometown Health, Nevada's largest not-for-profit insurance company, have formed a partnership to serve Nevadans enrolling through Nevada Health Link state-based ACA marketplace. Nevada's largest not-for-profit health insurance company, Hometown Health, has entered the Affordable Care Act (ACA) marketplace and has expanded their health plan offerings through a partnership with Softheon, a leading cloud-based health insurance exchange and service provider. Softheon's innovative platform is helping bring quality health care to Nevada residents enrolling in Hometown Health insurance through Nevada Health Link. “Softheon’s expert knowledge of the ACA marketplace coupled with their leading enrollment and billing technology has made them the perfect partner during Hometown Health’s first open enrollment period on the exchange,” said David Hansen, Hometown Health CEO. “Today, more than 100,000 people in Nevada choose Hometown Health for their insurance needs. Thanks to Softheon, we look forward to expanding insurance coverage options, in a way that is simple and convenient, to our friends and families who use Nevada Health Link.” Since the beginning of the 2021 open enrollment period, over 800 new members have seamlessly enrolled in Hometown Health’s insurance thanks to Softheon’s cutting-edge software. The partnership with Softheon will improve member enrollment, billing and communications, enabling Hometown Health to remain focused on their core mission of providing excellent healthcare to Nevada residents. As the health insurance division of Renown Health, northern Nevada’s leading healthcare provider, Hometown Health offers members competitive rates and the largest network of providers in the region. Renown Health provides advanced medical services including Renown Regional Medical Center, an 808-bed full service regional hospital, Renown South Meadows Medical Center, a 76-bed acute care community hospital, Renown Children’s Hospital, the region’s only children’s hospital with 83 beds, and Renown Rehabilitation Hospital, a 62-bed rehabilitation hospital. These facilities provide quality healthcare for Renown's primary service area, Washoe County and the secondary service areas of northern Nevada and northern California. Renown Health has more than 7,000 employees and serves northern Nevada, Lake Tahoe and northeast California with a total population in excess of 2 million. In addition to hospitals, Renown also has 110 medical group practice sites, urgent care and outpatient imaging sites. Renown Health and Hometown Health offer advanced care for patients and embrace their role in improving the health and well-being of the people and communities. “The continued growth of the Affordable Care Act marketplace is welcome news for consumers who are seeking more options for accessing health coverage,” said Eugene Sayan, CEO and founder of Softheon. "We are excited to partner with Hometown Health on their entrance into the ACA marketplace to create seamless experiences for their members and connect more individuals in Nevada with quality health care.” Along with improving member enrollment, billing and communications, Softheon helps Hometown Health continue to ensure accuracy through monthly Advanced Premium Tax Credits premium reconciliation. The turnkey solution provided by Softheon has guided Hometown Health in handling all regulatory and operational requirements required of insurers in the ACA marketplace. The partnership has given Hometown Health the opportunity for expanded reach while making a bigger impact on communities across the state. To learn more about Softheon, visit www.softheon.com. To learn more about Hometown Health, visit www.hometownhealth.com. About Softheon Founded in 2000, Softheon’s Software-as-a-Service (SaaS) and Business Process-as-a-Service (BPaaS) solutions solve complex challenges for health plans and government health agencies. Currently, Softheon’s solutions serve 8 State agencies and over 90 health plans. Issuers and consumers utilizing Medicaid, Medicare, and the ACA Marketplace benefit from Softheon’s innovative technology that reduces administrative overhead and enhances user-experiences. Softheon is an Agent, Broker, and Merchant of Record that facilitates health insurance enrollment, billing, and renewal. About Hometown Health Established in 1988, Hometown Health is the insurance division of Renown Health and is northern Nevada's largest local, not-for-profit health insurance company. Providing wide-ranging medical coverage and great service to members, Hometown Health represents a philosophy of health care that emphasizes active partnerships between members and physicians. For more information, call 775-982-3000 or visit www.hometownhealth.com.
Renown Health seeks partnerships to help improve the health and well-being of all northern Nevadans. Application process for event funding open now through April 30. Renown Health’s mission is to make a genuine difference in the health and well-being of people and communities. Renown is seeking to partner with other non-profit organizations focused on inspiring better health in Nevada, and to help fund their efforts. “Improving the health and wellness of an entire population of people is not easy. It is a huge task. At Renown, we believe it is a battle worth fighting. We focus on preventing illnesses, and we are working across the state with partners who believe in our mission- to keep people healthy, to make healthcare more accessible and affordable, and to achieve the vision of a healthy Nevada,” says Tony Slonim, MD, DrPH, President and CEO of Renown Health. Nevada continues to rank near the bottom of overall health rankings in the U.S., and suffers from high mortality rates for chronic conditions like heart disease, cancer and chronic respiratory disease. These staggering statistics have solidified Renown’s commitment to advancing equitable clinical care and improving the health and well-being of our community. “Clinical healthcare affects only a small portion of a person’s health status, less than 20%. The larger influence comes from social determinants of health (SDoH), which are the conditions in which people are born, grow, live, work and age. The specific factors that drive the greatest health improvements are health-related behaviors, socioeconomic factors and environmental factors. Each one of these determinants works independently and interacts with each other to affect your overall health status,” says Dr. Slonim. “It takes collaboration and dedication to make a difference, and we know our community is a healthier place for all, thanks to our partners’ remarkable contributions.” “Through its community development program, Renown strives to make real and positive change for real people in our community,” said Erica Murich, executive director of Truckee Meadows Tomorrow. “Renown's support has allowed us to build and launch the NevadaTomorrow.org community data portal, our tremendously popular community conversation speaker series, and kick start our much-anticipated community report coming out fall of 2021. Renown's generosity and willingness to build bridges and partnerships has made it possible for Truckee Meadows Tomorrow to not only survive these challenging times, but to thrive and grow.” “Even in the thick of the most trying year for the medical community, Renown never lost its focus on the partnerships it’s worked hard to build on behalf of a healthier, happier community,” said Fayth Ross, executive director of Urban Roots. “We have been working with Renown since 2016, the halfway-point of our eleven years in our community, and they’ve been integral in helping us evolve our offerings: funding the creation of curriculum, helping source materials to build our farm, and the very ground the farm is on presently. Without their ability to see our mission is very clearly aligned with their own, I don’t know that Urban Roots would be in the same position it is today.” “We are so grateful to Renown Health for the community sponsorship,” said Sean Hill, vice president of advancement at Sierra Nevada Journeys. “This program provided us with start-up funding for a community needs assessment, a critical process we are undergoing to increase access to STEM and outdoor experiences for underrepresented kids and families in our community.” New to the funding application this year, all applicants will visit NevadaTomorrow.org to identify five data indicators that their organizations will use to help measure the impact of their event or program. Using this tool, applicants can access quality of life indicators—such as obesity, alcoholism, homelessness, or depression—and identify trends, challenges and opportunities in our local communities. “Every organization we support through our community events and project sponsorship makes a positive difference in our community,” said Annie Zucker, manager of community impact at Renown. “Now, every applicants is aligned to the same powerful national database to help identify credible national and state sources, down to census track level to drive their health improvement efforts and measure progress. Once their event or program is complete, they’ll be able to reflect back on the data and see the direct impact of their work. We are excited to see how they use their research to guide lasting change for our community.” Over the years, Renown has supported hundreds of organizations throughout our community as they set out to enhance lives and create a lasting impact in the northern Nevada region. These organizations include Truckee Meadows Tomorrow, Urban Roots, Sierra Nevada Journeys, Boys & Girls Club of Western Nevada, Nevada Cancer Coalition, Girls on the Run, Nevada Humane Society and many others. In 2016, Renown began to address the excessive rates of cancer, lung disease and heart disease through the launch of the country's first community-based population health study, called The Healthy Nevada Project®. To assure payment is not a barrier to health improvement, testing is offered at no charge to Nevadans. In 2019, the Healthy Nevada Project expanded to southern Nevada, with a collaboration with University Medical Center of Southern Nevada in Las Vegas. With 60,000 study participants enrolled to date, the Healthy Nevada Project® is the fastest-enrolling genetic study in the country. The Project is also the first of its kind to return clinical results to study volunteers, which means participants can learn their genetic risks tied to heart disease and certain cancers, as well as lifestyle changes that could potentially help reduce their risk and prevent disease. The research study is still open and home genetic testing kits are still available at no charge to Nevadans 18 and older at this web site. As a non-profit organization, Renown reinvests every dollar earned back to the community, in staffing, technology, treatments, training and research to improve health and prevent illness. In FY19, Renown invested almost twice what the average nonprofit hospital invested on community benefit, or almost $158 Million dollars for health education, supporting other non-profit health-related community initiatives and non-reimbursed healthcare services. Over the last five years, Renown has invested more than $8 Million dollars in community grants. Last year alone, Renown allocated $1.5 Million dollars in community grant funding. “Rooted in Nevada, Renown’s long legacy of service started in 1862 as a county hospital, Washoe Medical Center,” says David Hansen, CEO for Hometown Health. “Now, Renown Health, northern Nevada’s largest locally - governed, not-for-profit, integrated healthcare network serves the community by providing care through hospitals, medical offices, and our not- for-profit insurance plan, Hometown Health.” Funds are limited, and the organization is unable to approve every request. A request for sponsorship or funding must benefit the geographic area served by Renown Health or Hometown Health, relate to identified community health priorities and align with Renown’s mission, vision and values. A complete list of sponsorship criteria is found here. Any organization receiving previous funding needs to apply online each year for any new requests. All requests are made online between March 1 to April 30, 2021.