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3 Reasons to Choose a Senior Care Plus Health Plan
Senior Care Plus was Nevada’s first Medicare Advantage Plan and is still providing healthcare coverage to qualifying members in Washoe, Carson City, Clark & Nye Counties. Senior Care Plus is administered by Hometown Health, the insurance division of Renown Health. That relationship means Senior Care Plus is the only Medicare Advantage Plan supported and accepted at Renown. This preferred access to Renown is a great benefit for northern Nevadans. When it comes to healthcare coverage, there are three key factors to keep in mind. Here’s why a Senior Care Plus Medicare Advantage Plan is your best choice. 1. Cost Cost matters when searching for the right insurance plan. Of the four Senior Care Plus plans available to residents of Washoe County and Carson City, three offer a zero-dollar monthly premium and all of them offer zero-dollar primary care office visits. That means no out-of-pocket costs for you. Additionally, all Senior Care Plus plans have an annual out-of-pocket maximum. This means when you reach this amount, that’s all you will pay. Senior Care Plus pays all other covered medical benefits for the rest of the year. That’s the beauty of a Senior Care Plus Medicare Advantage Plan. 2. Size of Provider Network and Accessibility Although saving money is important, it’s more important to be able to see a doctor when and where you need to. Senior Care Plus members enjoy the most comprehensive healthcare provider network in the region. Thousands of providers, including many hard-to-find specialists, are in the Senior Care Plus network. Since Senior Care Plus is part of the Renown Health family, you get priority access to all that Renown has to offer, which you won’t find with any other Medicare Advantage Plan. 3. Coverage Medical coverage needs are personal and unique to every member. Understanding a plan’s benefits is essential when picking the best coverage for you. Of course, the important benefits you associate with a healthcare plan are included in all Senior Care Plus plans: urgent care visits, specialists’ visits, lab services, imaging — all with reasonable copays. What sets Senior Care Plus apart from the rest are the additional benefits for preventive health. For example, Senior Care Plus offers plans with a comprehensive dental benefit with first-dollar coverage, meaning you pay nothing until the benefit limit is reached. Senior Care Plus Medicare Advantage Plans also have a vision benefit allowing you to get a new pair of eyeglasses every year. In addition, these plans offer a fitness benefit, so you can join a local gym because Senior Care Plus wants to keep you healthy. Another interesting benefit is the over-the-counter benefit. If you choose the Renown Preferred Plan, you can select $50 worth of over-the-counter products such as: cold medicine, dental products, diabetic supplies, and digestive aides. Remember, that’s $50 worth of over-the-counter products four times per year. All on a plan that doesn’t cost a thing. Senior Care Plus Medicare Advantage Plans offer many added benefits tailored to Nevadans.
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How Referrals Work at Hometown Health and Senior Care Plus
Your provider wants to send you to a specialist. Now what? You are about to enter the referral process. A referral is your provider’s recommendation for you to see a specialist or receive specialized treatment. When it comes to referrals, the process can seem like the wild west for people not familiar with it. At Hometown Health and Senior Care Plus, we make the process simple for all our members. We know that access to specialists is a vital aspect of total health, and our goal is to break down those barriers to care at every level. Here is a step-by-step guide to how the referral process with your Hometown Health or Senior Care Plus provider works: 1. Your primary care provider (PCP) or urgent care provider will send a referral to the specialist’s office. A referral can also be sent from another specialist or after discharge from the hospital. This is usually done via email or fax. 2. As your referral is sent, now would be the ideal time to discuss with your provider’s office how the specialist will receive your medical records prior to your appointment. Your provider’s office will most likely send these records to the specialist for you, but it is always a good idea to double-check with them directly. At Renown, the referrals team will send the following items to your specialist’s office when available: ID Insurance card Most recent and relevant office notes to support the referral The referral order Any relevant labs or imaging pertaining to the referral Demographics information 3. The specialist’s office will call you to schedule the appointment after they receive the referral. Each office processes the referrals they receive in a slightly different time frame, so if you have any questions about the status of your referral, it is best to call their office directly. At Renown, if you are enrolled in MyChart, you can access the phone number for your specialist as soon as the team processes the referral. Those not enrolled MyChart will receive a letter in the mail with scheduling information. 4. The specialist will start to develop a course of treatment. That may include procedures, diagnostic tests or medications. Some of these treatments may require prior authorization from your insurance plan, so don’t forget to discuss how and when your specialist will receive the authorizations before you begin your course of care to avoid any surprise bills. What can I expect if I have a Renown specialist? At Renown, we handle a lot of the behind-the-scenes nitty-gritty so you don’t have to. After the referral is placed, it routes to Renown’s centralized referrals team and triaged to make sure you are scheduled with one of our providers with the right specialization for your specialty care needs. This team will also obtain the prior authorization you need and will you to a specialist that is in your network and based on you and/or your provider’s preference and continuity of care. The referrals team will attempt to find you a Renown provider first if you are not yet established elsewhere. For Hometown Health and Senior Care Plus members, prior authorization is not required for certain services if you are being referred to a Renown provider. This makes the scheduling process go quicker for both the provider and the patient. Our referrals team strives to keep their turnaround time for referrals within three business days, not including prior authorization wait times. If your referral is marked as ‘urgent,’ it will be reviewed within one business day so you are seen as soon as possible based on the needs of your medical condition, and you will receive a direct phone call with scheduling information. After prior authorization is obtained, the Renown scheduling team will call you through an automated phone system or via a message in MyChart with a direct link to schedule your appointment. To speak with a Renown scheduler or if you have any questions, please call 775-982-5000. What does prior authorization mean? Prior authorization isn’t as scary as it sounds! Essentially, prior authorization is your provider “going to bat” for you to receive this specialty level of care. Some medical services, including many specialists, are covered only if your ordering provider (usually your PCP) submits an authorization request to your insurance plan. They will include specific details about the type and duration of treatment they would like you to receive and any medical records that support your need for the specialist. After your insurer receives the request, a licensed medical professional will review the request, your records and your plan benefits. They will decide whether the specialty treatment is considered medically necessary based on recognized standards of care. Where can I go for more information? Your referrals and authorizations can be viewed in MyChart. To view them, navigate to Your Menu in the upper left corner of the page, scroll to the Insurance section and click on “Referrals.” The Renown referrals team is available to answer your questions and address any concerns. Give them a call at 775-982-2707 Monday through Friday from 8 a.m. to 5 p.m. Any questions you may have related to referrals and authorizations, including outside-of-Renown providers, can be directed to our expert Hometown Health or Senior Care Plus customer engagement representatives.
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Dispatch Health Partners & Renown to Provide In-Home Medical Care
Hospital network brings high-quality, affordable, on-demand acute care to local residents. DispatchHealth, a provider of in-home medical care, today announced a partnership with Renown Health to provide Reno/Sparks residents with high- quality medical care in the comfort of their homes. The partnership aims to provide patients with another option for safe access to medical care during the COVID-19 pandemic and beyond. DispatchHealth and Renown’s goal is to offer the most vulnerable patients at-home care options if it is in the best interest of their health needs. DispatchHealth’s model is uniquely positioned to help treat an extensive range of common to complex injuries and illnesses, including but not limited to urinary tract infections, dehydration, fall injuries, nausea, sutures and more and is accepted by most major insurance plans. If a patient is uninsured, there is a flat fee of $275, which includes all medications administered and lab tests on site. “It’s more important than ever to be able to offer patients convenient, high-acuity medical care that is also cost-efficient,” said Bill Butcher, regional market director, DispatchHealth. “The partnership with Renown Health provides safe care for people without them having to leave their home, helping to ensure community members get the right care at the right place at the right time.” Patients requiring medical services for sudden or urgent illness, such as sore throat or skin rashes, can request care by going to the DispatchHealth website, accessing the free mobile app or calling 775-439-1529. Once contacted, the medical team arrives within a few hours to treat the patient in their place of need and consists of either a physician assistant or nurse practitioner, along with a medical technician. DispatchHealth’s medical teams wear appropriate personal protective equipment (PPE) during all visits, including masks, gloves, and protective eyewear. Additionally, kits and devices are sanitized during and between visits. The medical team is able to perform a variety of advanced tests and treatments, ranging from blood tests to a 12-lead EKG, to IV fluids and more. To ensure continuity of care, DispatchHealth provides a detailed report to each primary care physician, living community, or a home health agency, in addition to electronically sending prescriptions to a patient’s pharmacy if needed. For emergencies, including but not limited to, chest pain, signs of a stroke, allergic reactions or severe injuries, individuals are urged to call 911 and seek safe, acute care in one of Renown’s emergency rooms. Renown has a variety of safety measures in place contributing to the overall health and safety of its patients and staff. Learn more about Renown’s commitment to keeping the community safe. “Renown is focused on the well-being of our patients and community. Our goal is to improve health through proactive community-based prevention, while creating the best healthcare system for those with acute and chronic disease,” said Dr. Tony Slonim, president and CEO of Renown Health. “We strive to find innovative ways to serve our community and are pleased to partner with DispatchHealth to bring affordable, on-demand in-home emergent and urgent healthcare delivery to patients in the Reno/Sparks area. In light of the COVID-19 pandemic, Renown and DispatchHealth worked diligently to accelerate the launch of this program in our community to help us continue fighting the good fight against the virus.” Renown accelerated the launch of DispatchHealth in order to help fulfil its mission of making a genuine difference in the health and well-being of the people and communities it serves. The first mobile medical vehicle arrived in-market on April 20 and a second vehicle will be operational May 19. DispatchHealth is available in 19 markets across the U.S., including Las Vegas and the Reno area from 8 a.m. to 8 p.m. local time, seven days a week, 365 days a year, including holidays. Hours of service will expand to 8 a.m. to 10 p.m. with the launch of the second vehicle on May 19. About DispatchHealth DispatchHealth has redefined healthcare delivery to offer on-demand acute care and advanced medical care for people of all ages in the comfort of their own home. DispatchHealth's emergency trained medical teams are equipped with all the tools necessary to treat common to complex injuries and illnesses. DispatchHealth works closely with payers, providers, health systems and others to deliver care in the home to reduce unnecessary emergency room visits, as well as hospital stays and readmissions. A visit with DispatchHealth typically costs 80-90 percent less than the average emergency room visit. Acute care medical teams are available during the day and also on weekends, evenings and holidays, and can be requested via app, online or a quick phone call. Advanced Care and Extended Care patients must be referred by a healthcare professional. DispatchHealth is partnered with most major insurance companies. For more information, visit DispatchHealth.com. About Renown Health Renown Health is a locally governed and locally owned, not-for-profit integrated healthcare network serving northern Nevada, Lake Tahoe and northeast California. Renown is one of the region’s largest private employers with a workforce of more than 7,000. It comprises three acute care hospitals, a rehabilitation hospital, the area’s most comprehensive medical group and urgent care network, and the region’s largest and only locally owned not-for-profit insurance company, Hometown Health. Renown has a long tradition and commitment to continually improve the care and the health of our community. For more information, visit renown.org.
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Hometown Health Enters Affordable Care Act Marketplace
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.
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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.
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Open Enrollment Set to Begin Nov. 1 – Renown’s Hometown Health to Offer Convenient Local Care Options
The Open Enrollment period begins Nov. 1 and runs through Nov. 30 Nevada’s largest locally owned, not-for-profit health insurance company, Hometown Health, is excited to announce the beginning of the open enrollment period starting Nov. 1 and running until Nov. 30. Individual and Family Plans (IFP) are available in Washoe, Douglas, Lyon and Storey Counties as well as Carson City. This expanded network increases healthcare access for thousands of Nevadans, including those in both our urban and rural communities. For 2023, Nevadans can continue to find affordable health insurance plans that fit their needs and budget through the Nevada Health Link, a website created by the Silver State Health Insurance Exchange. Nevada Health Link is an insurance resource that connects individuals to a variety of insurance plans from different health insurance companies, including Hometown Health. Certain individuals and plans may also qualify for federal tax credits and subsidies to help cover the cost of insurance. Renown Health is Nevada‘s largest provider network and members of Hometown Health can enjoy access to a wide variety of patient resources and top-rated providers. “Health insurance is vital to peace of mind, providing individuals and families with the tools they need to take charge of their health,” said Bethany Sexton, MBA, CEO at Hometown Health. “New and existing members can rest assured that they have a partner in their health and the best care options when they choose Hometown Health due to Renown’s thoughtful and innovative growth in our communities.” The facilities enhancement project is one example of the amplified care available at Renown Health. Renown South Meadows Medical Center will be the home of a new 121,000 gross square foot, three-story Specialty Care Center which will showcase the latest technology, enhance patient safety and improve the hospital experience. The team at Renown Regional Medical Center is also nearing completion on two new floors in the Tahoe Tower which will include a new state-of-the-art Neonatal Intensive Care Unit, Pediatric Intensive Care Unit and a Surgical Trauma Intensive Care Unit. More information on Renown’s larger facilities enhancement projects can be found at renown.org/ExpandingCare. IFP plans also include many convenient and cost-saving benefits including access to Renown Primary Care physicians for yearly health screenings and tests; Health Savings Account options to pay for eligible healthcare, dental or vision expenses; easy to navigate access to health information in one place through MyChart; local customer service representatives available to answer your healthcare benefit questions and convenient Renown Pharmacy locations. Derek Beenfeldt, MD, Chief Medical Officer at Hometown Health, stresses the importance of choosing a health insurance plan that provides on-demand, accessible care options. “When you or your family members are sick, the last thing you want to worry about is your insurance coverage. You want to know you are getting the best care possible and you want to trust that care will be in network. Access to Renown’s care, coordinated by Hometown Health, ensures our members receive the exceptional care – delivering the right care at the right time” said Dr. Beenfeldt. Hometown Health members also enjoy access to 24/7 virtual visits through Teladoc, in home care through Dispatch Health and various Renown Urgent Care locations. For details about Hometown Health® benefits or the open enrollment period, visit HometownHealth.com or call 775-982-3232. About Hometown Health Established in 1988, Hometown Health is northern Nevada’s only locally-owned, 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. Hometown Health values prevention as a key component of comprehensive care - reducing the risks of illness and helping to treat small problems before they can become more severe. Hometown Health offers a number of insurance products including HMO, PPO, HSA, Dental, Vision, Individual and Family and Senior Care Plus, northern Nevada’s first Medicare Advantage Plan. For more information, call 775-982-3000 or visit hometownhealth.com. About Renown Health Renown Health is Nevada’s largest, locally governed, 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, a medical group and urgent care network, and the locally owned not-for-profit insurance company, Hometown Health. Renown is currently enrolling participants in the world’s largest community-based genetic population health study, the Healthy Nevada Project®. For more information, visit renown.org.
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Free Webinar Explains the Basics of Medicare
Senior Care Plus set to host a free webinar designed to help participants approaching age 65 make informed decisions about their health coverage. Navigating the Medicare alphabet can sometimes be confusing and overwhelming, which is why the experts of locally-owned Senior Care Plus, a Medicare Advantage Plan, are hosting a free webinar on the ABCs of Medicare. There are four basic parts of Medicare: A, B, C and D. Each part helps patients pay for important healthcare services such as hospital visits, doctor visits and prescription drug coverage. Set for Wednesday, August 5 and Wednesday, August 19 at 6 p.m., the free webinar will cover the basics of Medicare and answer frequently asked questions to help attendees get the most out of their health coverage. Both webinars will cover the same topics, however, two dates are offered as an added convenience to attendees. Visit SeniorCarePlus.com or call 775-982-3191 to register. “With unfamiliar words and ideas you’ve likely never come across before, learning about Medicare may feel like learning a new language at first,” said David Hansen, CEO of Hometown Health. “As you begin the process of becoming a Medicare recipient, Senior Care Plus is committed to helping you become fluent in Medicare and help you understand the basics so you can make the best decisions for your unique healthcare needs.” From the convenience of a computer or mobile device, participants will learn about: The parts of Medicare - A, B, C and D; Eligibility and enrollment options; How to personalize their Medicare options based on their healthcare needs Serving as a partner in health to both northern and southern Nevadans, Senior Care Plus is the statewide leader in helping people take advantage of Medicare Advantage. Plus, with membership perks like virtual education events and exclusive discounts to state-of-the-art health and wellness resources, Senior Care Plus is determined to help its members stay healthy and active. For more details about Senior Care Plus and your Medicare options, to attend an informational meeting, or to schedule a personal one-on-one consultation, visit seniorcareplus.com or call 775-982-3158. About Hometown Health Established in 1988, Hometown Health is the insurance division of Renown Health and is Northern Nevada’s largest locally-owned, 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 hometownhealth.com. About Renown Health Renown Health is the region’s largest, locally owned and governed, 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, a medical group and urgent care network, and the region’s largest, locally owned not-for-profit insurance company, Hometown Health. Renown’s institute model addresses social determinants of health and includes: Child Health, Behavioral Health & Addiction, Healthy Aging and Health Innovation. Clinical institutes include: Cancer, Heart and Vascular Heath, Neurosciences and Robotic Surgery. Renown is currently enrolling participants in the world’s largest community-based genetic population health study, the Healthy Nevada Project®. For more information, visit renown.org.
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Research Shows Genetic Approaches to Breast Cancer Screenings Yield More Accurate Results
Clinical researchers with the Healthy Nevada Project co-author research paper with findings that emphasize the need for a comprehensive approach to breast cancer risk assessment – including a focus on genetic medicine – to help ensure that individuals at high risk are identified and supported proactively rather than reactively. Breast cancer is a leading cause of cancer death among women in the United States. According to the American Cancer Society, about 1 in 8 women will develop breast cancer and about 1 in 39 women will die from breast cancer. Breast cancer is associated with increased age, hereditary factors, obesity, and alcohol use. Since 1990, breast cancer death rates have declined progressively due to advancements in treatment and detection. In Nevada there are an estimated 2,310 new breast cancer cases a year, and genetic mutations such as in the genes BRCA1 or BRCA2 remain a top risk factor for this prevalent disease. Recognizing the urgency for progress in breast cancer research, a collaborative effort between physicians, advanced practice providers and scientists from the Healthy Nevada Project® (HNP) and Helix have unveiled groundbreaking research. This study explores how genetic screenings are a necessary supplement to traditional testing methods, together offering more accurate insights into a patient's likelihood of developing breast cancer in the future. HNP is operated by Renown Genomic Medicine and the Institute for Health Innovation and is one of the largest community-based population health studies in the country. Their team works in collaboration with Helix, a leader in precision health that delivers comprehensive genomic solutions. Together, this dynamic partnership aims to understand breast cancer risk factors and pave the way for more effective preventative measures. The combined research team studied 25,591 female HNP participants to evaluate the performance of different genetic screening approaches to identify women at high risk of breast cancer. The results of this research suggest that a combined monogenic, or single-gene, and polygenic, or multi-gene, approach to breast cancer screenings helped produce more accurate results and more closely identify study participants who have a high genetic risk of developing the disease. "Based on this research, we are advocating a shift in approach which would improve breast cancer risk assessment through a combination of effective family history ascertainment and genetic screening,” said Joseph Grzymski, PhD, principal investigator of the Healthy Nevada Project, research professor at the University of Nevada, Reno School of Medicine and co-author of the breast cancer research paper. “This tailored approach, founded on the assessment of individual genetic risk, not only intends to elevate patient well-being but also will improve efficiency and equity in healthcare." Complementing the team’s research on leveraging genetics to identify women at low genetic risk of breast cancer that could safely defer mammogram screenings by five to 10 years that was released in late 2023 in JAMA Oncology, the study suggests that incorporating genetic information can assist in personalizing breast cancer screenings and optimizing the use of screening resources. "Existing disparities persist across various facets of breast cancer screening and treatment; however, genetic screening is clearly a powerful tool to help facilitate early intervention for those at higher risk,” said Jamie Schnell Blitstein, APRN, a primary care nurse practitioner at Renown Health and co-author of the breast cancer research paper. “By placing a heightened focus on risk, we underscore the pivotal role of preventative breast cancer screening.” Despite the availability of effective methods for early screening, co-authors of this research found that 78 percent of women with a family history of breast cancer had their risk ascertained only after a breast cancer diagnosis. The findings emphasize the need for a comprehensive approach to breast cancer risk assessment – including a focus on genetic medicine – to help ensure that individuals at high risk are identified and supported proactively rather than reactively. “These findings that can profoundly impact how healthcare is delivered were only made possible by all the participants who were willing to consent to research,” said Alex Bolze, PhD from Helix and co-author of the publication. “Broad-scale collaboration projects like these between Renown Health and UNR that engage large populations where participants share both their genetic information as well as electronic health records drive advancements in preventative medicine, as well as fundamental biological research.” The research paper was officially accepted on Jan. 29, 2024, and will be published by Elsevier, Inc. on behalf of the American College of Medical Genetics and Genomics. The contents of the paper will appear in the international journal Genetics in Medicine Open. Read the full article by visiting sciencedirect.com. The Healthy Nevada Project is currently recruiting new study participants. Free to all Nevadans with a saliva sample or blood draw, participants and their referring providers receive access to whole-exome sequencing and clinical grade results that help provide insight into their unique genetic risks tied to heart disease and certain cancers. If you are interested in enrolling in the study, schedule a Virtual Consent Appointment through MyChart or contact the Renown Institute for Health Innovation at RenownIHI@renown.org or (775) 982-6914 to be connected to a Genomic Representative. About Renown Health 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, a medical group and urgent care network, and the region’s largest, locally owned not-for-profit insurance company, Hometown Health. Renown is currently enrolling participants in the largest community-based genetic population health study, the Healthy Nevada Project®. To join the Renown Health team, visit renown.org/careers. About Helix Helix is the leading population genomics and viral surveillance company operating at the intersection of clinical care, research, and data analytics. Helix enables health systems, life sciences companies, payers, and government partners to accelerate the integration of genomic data into patient care and public health decision-making. Learn more at helix.com.
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3 Unexpected Perks of Choosing a Hometown Health Plan
© AndreyPopov via Canva.com Becoming a Hometown Health plan member opens you up to the largest provider network in our region. As northern Nevada’s only not-for-profit health insurance company, the hometown advantage goes beyond your health coverage – and you may not be using all the perks available to you. Here are three benefits that Hometown Health is proud to offer all members to enhance wellbeing and connect the dots between healthcare and technology. MyChart MyChart is Renown Health's and Hometown Health’s secure online member portal that gives you direct access to your health and benefit information. From 24/7 access to your benefits and important documents to scheduling an appointment with your provider, this free tool is a great way to keep track of your family’s health. If you have a Renown primary care provider, you can use MyChart to: Securely email your healthcare provider. Get your test results faster and view your After Visit Summaries. Request prescription refills. Schedule and check-in for appointments. Pay your bill. Request your medical records and review immunization records. Manage designated health care agents and upload end-of-life documents, such as advance directives and a living will. View or download your documents: Member ID Card, Summary of Care, Explanation of Benefits, Referrals and Authorizations. Get in touch with our Customer Engagement Center. Telehealth Virtual visits have never been easier thanks to Renown Telehealth and Teladoc. These two tools are convenient options that allow members to be seen by a qualified doctor via phone or video chat who can diagnose, recommend treatment and prescribe medication for many non-emergent medical conditions – no matter where you are. Some of the health issues your virtual provider can treat include: Cold and flu Allergies Sore throat Sinus infection Respiratory infection Stomach bug Ear infection Urinary tract infection Both Renown Telehealth and Teladoc are also staffed with specialists in behavioral health, where you can speak with a therapist or psychiatrist on a wide variety of issues, including: Stress and anxiety Depression Trauma Grief Burnout Medication management Renown is also proud to offer access to top-level specialty care to address your ongoing condition and help guide you through illness maintenance and education. Through Renown Telehealth, Hometown Health members have access to a variety of specialties, including (but not limited to): Adolescent Medicine Cardiology Hematology, Oncology and Pediatric Oncology Nephrology Pediatric Endocrinology Pediatric Neurology Pulmonary and Pediatric Pulmonary Sleep Medicine New in recent years, Teladoc is now proud to offer both dermatology and nutrition visits. Teladoc dermatologists can treat conditions like acne, rosacea and rashes, while their registered dieticians can help you manage your nutrition and weight goals. Booking an appointment with Renown Telehealth is easy by heading over to MyChart and selecting “Schedule an Appointment.” To book an appointment with a Teladoc provider, visit teladoc.com or download the Teladoc app. Renown Telehealth is available within the state of Nevada, and Teladoc is available in all 50 states. Your copay can be as low as $0 for each visit; check your plan documents for more information. Doctoroo The house call has returned – avoid long urgent care waits with Doctoroo. Through Doctoroo, Hometown Health members have access to in-home urgent care services at the same price as your regular urgent care copay. A call to Doctoroo will dispatch a fully equipped medical team consisting of an EMT and either a nurse practitioner or physician assistant to your home within a few hours. Whether you need treatment or testing, each team is ready to provide care in the comfort of your own home with their over 60 medications and antibiotics, EKGs, wound dressings, IVs, catheters and more. Doctoroo care teams can address and treat many non-emergent care areas and conditions, including (but not limited to): Respiratory Ear, Nose, Throat Eye Wound Care Cardiac Care Musculoskeletal Gastroenterology Doctoroo is open year-round from 7 a.m. to midnight. Book a house call in minutes in the Doctoroo app or by calling (888) 888-9930.
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6 Healthcare Action Items for the LGBTQIA+ Community
© Niyazz via Canva.com Every patient, regardless of how they may identify, greatly benefits from preventive healthcare and early detection. Members of the LGBTQIA+ community face unique considerations when it comes to their health, and a proactive approach to preventive screenings and vaccines is important in order to address their individual health needs. Dr. Karen Thiele, Family Medicine Physician with University Health and Assistant Professor of Family and Community Medicine at the University of Nevada, Reno School of Medicine, breaks down key steps that LGBTQIA+ patients should take to safeguard their health. PrEP and PEP Pre-exposure prophylaxis (PrEP) is a strategy to prevent human immunodeficiency virus (HIV) infection. It is an important measure for those who are HIV-negative but may be at risk of contracting it. The highest risk sexual practice is receptive anal intercourse, due to the relative fragility of rectal tissue. This medication can stop HIV from spreading in the body and help patients maintain their HIV-negative status. PrEP is available in both pill form, which is taken every day, and injection form, of which the first two injections are initiated one month after another while all other injections are initiated every two months. Post-exposure prophylaxis (PEP) is an antiretroviral drug regimen taken after potential HIV exposure to prevent an HIV-negative individual from converting to HIV-positive status. PEP is only for emergency situations and must be started within 72 hours of exposure – sooner is always better than later – and must be taken for 28 days. PrEP and PEP are available in many ways, including visiting your primary care provider (PCP) or an urgent care location. HPV Immunization All genders and identities can protect themselves against human papillomavirus (HPV), a sexually transmitted infection (STI) that can lead to the risk of cervical, mouth, head, neck, throat, anal, vaginal, penile and vulvar cancers. HPV is so common that nearly all sexually active people, regardless of sexual orientation and practices, will be exposed at some point in their lifetime. The HPV vaccine (common brands include Gardasil and Cervarix) is a safe and effective method to prevent HPV, according to the Centers for Disease Control and Prevention (CDC). This vaccine protects against infections that can lead to HPV-related cancers and precancers, as well as genital warts. While patients should start receiving the vaccine at 9 years old years old, unvaccinated adults up to the age of 45 can also receive the vaccine through their PCP – better late than never! STI Testing Sexually-transmitted infections form from bacteria, viruses or parasites that can be transmitted by person-to-person sexual contact through semen, vaginal, blood and other bodily fluids. According to the U.S. Department of Health and Human Services, there are more than 20 million estimated new STI cases across the nation each year. Luckily, most STIs are preventable. Annual STI testing for HIV, gonorrhea, chlamydia and syphilis is important to stay on top of your sexual health. Because these STIs may sometimes have no symptoms, screening is recommended regularly and with any change in sexual partners. Depending on the specific condition, tests for these infections include urine, swab and blood tests. Speak with your primary care provider on a screening schedule that works best for you. Prostate Exams Prostate exams look for early signs of prostate cancer in patients who still have a prostate. The CDC recommends those who are at least 55 years old get regular prostate screenings; however, for patients with a family history of prostate cancer, screenings may be recommended as early as 45 years old. These exams are done via two common methods – a prostate specific antigen (PSA) blood test and a digital rectal examination (DRE). Your provider can help you determine your risk and when you should start getting screened. Pap Tests and Pelvic Exams Patients of all genders who have a cervix, uterus, vagina and/or ovaries will benefit from regular pelvic exams and Pap screenings. A pelvic exam consists of a provider looking inside the vagina and at the cervix for anything unusual. A Pap test, also known as a Pap smear, involves your provider using a small, soft swab to collect cervical cells to check for early signs of cancer. Generally speaking, people with these organs should have a Pap test every three years starting at age 21 through the age of 30. After age 30, patients should receive a Pap test with HPV co-testing every five years until age 65. These recommendations are changing based on new research, so it is important to have a conversation with your PCP about the current guidelines so you can make an informed choice about what schedule you should follow. A gynecologist or your primary care provider can counsel you and perform these screenings. Mammograms and Breast Exams People with breast tissue, especially dense breast tissue, are at risk for breast cancer, and regular breast screenings are your best line of defense. At-home breast self-exams are the first step – you will want to check your breasts for any lumps, changes, fluid leaks, irregular tissue thickening or anything else that feels unusual. The Breast Cancer Risk Assessment tool, provided by the National Cancer Institute, is a good place to start to identify your risk. Talk with your primary care provider about the risks and benefits of starting screening at age 40 so you can make an informed decision about when to start. If you have any family history of breast or ovarian cancer, your PCP will offer you genetic testing for BRCA 1 and 2 mutations. Nevadans over the age of 18 can also get BRCA genetic test for free by enrolling in the Healthy Nevada Project. Mammograms are important screening tools, but for a significant portion of people with breast tissue, density of the breast tissue may make mammograms less helpful in detecting cancer. Your primary care provider can help you decide what additional imaging (such as breast ultrasound) might be best for you.
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Open Enrollment for Medicare Advantage Begins Oct. 15
Eligible individuals can now enroll in northern Nevada's 4-star Medicare Advantage Plan with premier access to the region's most preferred healthcare network*. Nevada is fortunate to be home to one of the over 100 provider-owned health insurance plans across the United States. Together, they cover more than 26 million enrollees, or about 8% of the population (2017). Kaiser Permanente is the most well-known nationally, but there are many other regional plans, including not-for-profit, Hometown Health based in Reno, NV. Today's dynamic health care marketplace has created an environment in which some hospitals and health care systems are operating a health plan - either on their own or in partnership - as part of their strategy to advance health in their communities. Beginning Thursday, Oct. 15, area Medicare recipients will have the opportunity to enroll in locally-owned Senior Care Plus, a 4-star Medicare Advantage Plan from Hometown Health. Senior Care Plus is available for eligible beneficiaries residing in Carson City and Washoe County during the 2021 Annual Election Period, taking place Thursday, Oct. 15 through Monday, Dec. 7. “Health policy experts celebrate the benefits of provider-owned insurers. As insurers, we have incentives to control costs and improve the health of the community we serve,” said Tony Slonim, MD, DrPH, president and CEO of Renown Health. “As an integrated provider network, we are able to work with physicians and providers, increase value by improving outcomes and better managing the total cost of care for patients.” Senior Care Plus members have access to the locally-owned and governed integrated care network, Renown Health. This network is the region’s most preferred healthcare network offering primary, specialty care and hospital and emergency services across northern Nevada. In U.S. News and World Report Best Hospital rankings, Renown South Meadows Medical Center was listed #1 in the State of Nevada. Renown Regional Medical Center was named #2 Best Hospital in Nevada. Hospitals earning a high performing rating were significantly better than the national average. “We are proud to offer Hometown Health and Senior Care Plus members specialized resources, tools and services created to help them thrive,” said David Hansen, CEO of Hometown Health. “Working closely alongside the team at Renown Health, we continuously look for new and innovative ways to enhance the health and well-being of our community.” “At Senior Care Plus, we are proud to be your partners in health,” said CJ Bawden, director of government programs at Hometown Health. “Our members enjoy premier healthcare at an unmatched value, along with locally-based, world-class service from our friendly and knowledgeable team of customer service specialists. It truly is an honor to serve our members and their health as they set out to live their best lives.” Affordable Care, When and Where You Need It According to the Medicare Plan Finder, of the 22 Medicare Advantage plans available in Washoe County, Senior Care Plus plans occupy the top two spots when ranked by plans offering the lowest drug and premium costs. In addition to high-quality and affordable in-person care, members can take advantage of urgent care and medical services delivered in the comfort of their homes thanks to a partnership with Dispatch Health. Furthermore, members have convenient access to Renown care providers through virtual visits, along with Teladoc services available 24 hours a day, seven days a week. Senior Care Plus Benefits Senior Care Plus offers a wide range of plans, many of which have no monthly premiums. Plan options also offer supplemental benefits not covered by original Medicare, such as hearing, dental and vision coverage as well as $20 chiropractic visits, prescription drug gap coverage at no cost, and complimentary gym memberships. “Beginning, Wed., Oct. 14, the newest Renown Medical Group location at 1525 Los Altos Pkwy, Reno, NV, opens to provide care to primary care, lab services to patients of all ages, and will debut the first Senior Care Lounge featuring beautiful spaces to better serve members of Hometown Health’s Medicare Advantage Plan,” said Ty Windfeldt, chief operations officer for health services. “We are excited for the community to see this gorgeous space, filled with natural light, healing colors and images, as well as state-of-the-art clinical equipment. Furthermore, members with a Renown-based primary care provider have access to a personal assistant who can help with appointment scheduling and healthcare screening coordination, medication coordination, health insurance and billing questions, and more. For more details about Senior Care Plus, to attend a virtual meeting, or schedule an in-person meeting, visit SeniorCarePlus.com or call 775-982-3112. About Senior Care Plus & Hometown Health Senior Care Plus is the largest Medicare Advantage plan in northern Nevada serving more than 17,000 members. Senior Care Plus is offered by Reno-based Hometown Health, Nevada’s largest not-for-profit health insurance company and the insurance arm of Renown Health. Originally named Hospital Health Plan, Hometown Health was founded in 1988 and has grown to more than 160,000 members. The Hometown Health name reflects the organization’s commitment to the communities in which it operates and its involvement in what matters most, the people it serves. To learn more about Senior Care Plus visit SeniorCarePlus.com and to learn more about Hometown Health, please visit HometownHealth.com. *Reported by the National Research Corporation, July 1, 2018 - June 30, 2019
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Hometown Health CEO David Hansen Announces Retirement, Bethany Sexton Named Successor
Renown Health announced today that David Hansen, CEO will retire on October 7, 2022 from Hometown Health, Nevada’s largest not-for-profit insurance company. Over the last two years that Hansen has overseen Renown’s health plan, he has contributed significantly to ensuring wide-ranging medical coverage and excellent customer service for more than 100,000 members across Nevada. Bethany Sexton, MBA, will assume the role of CEO of Hometown Health effective September 12, 2022 as part of a smooth transition and succession plan. Ms. Sexton currently serves as Chief Transformation Officer for Renown Health, responsible for value-based care delivery including insurance and managed care contracting, the Renown Direct Contracting Entity (DCE), Renown Accountable Care Organization (ACO) and Western Clinical Alliance, a clinically integrated network of physicians. Mr. Hansen led a number of significant accomplishments for Hometown Health including the addition of 82 new provider groups for northern Nevada health plan subscribers and a Medicare network in southern Nevada. Hansen, the Hometown Health team introduced a Transitional Care Navigator program resulting in reduced hospital readmission rates, added Renown-branded insurance products on Nevada Health Link, Nevada’s Health Insurance Exchange and helped to grow Senior Care Plus, Hometown Health’s Medicare Advantage Plan membership during the 2022 Annual Election Period. Hansen and the Hometown Health team implemented a number of Total Cost of Care initiatives in partnership with Renown Medical Group to make premiums and health care costs more affordable, including health outreach efforts and medical screenings to improve health care for members over age 65. "Leading Hometown Health for the past two years, and through the pandemic, has been a great honor. I am incredibly thankful to our members, my fellow employees, our broker and employer partners, and our leadership team for giving me the privilege to serve," said Hansen. “Hometown Health and Renown are community-focused organizations and it has been a privilege to be part of a team that gives back to improve the health and well-being of those we serve. I have spent hours working collaboratively with Bethany over the last few years and know she is perfect person to lead our health plan into a new era.” As CEO, Hansen worked closely with Renown senior leadership to put a thoughtful leadership transition plan in place, culminating with the promotion of Bethany Sexton to the position of CEO. Consistent with the plan, Hansen will continue to offer guidance and perspective as he and Sexton complete the transition over the next few weeks. "David’s vision of excellence, his drive and experience has transformed Hometown Health to be both member and customer-focused,” said Dr. Thomas Graf, CEO of Renown Health. “David has done much to modernize and build a first-rate health plan. We thank David for all his accomplishments and wish him a wonderfully satisfying retirement.” As CEO of Hometown Health, Ms. Sexton will be responsible for driving growth across the organization, including the development and execution of strategic plans; introduction of new programs and services; membership growth; operational, financial and customer service excellence; and continued improvements in clinical quality with a focus on lowering the cost of care for members in northern Nevada. Ms. Sexton has served in a number of key leadership roles for Renown Health over the past eight years, including Vice President of Operations & Development, VP/Administrator for the Department of Medicine, VP Strategic Planning and Performance Improvement, and VP of Revenue Cycle in Finance. With 20 years of health care experience, in both clinical and administrative settings, and more than 9 years at Renown, she has developed collaborative partnerships and created innovative new solutions to meet rapidly changing employee and customer expectations. "I believe one of the most important duties of a leader is preparing the next generation of leadership to succeed," added Dr. Graf. "There is no question that Bethany Sexton is the right person to lead Hometown Health into its next chapter. She has integrity, business acumen, energy, leadership skills and deep knowledge of value based care to ensure Hometown Health delights its membership and she will help Renown Health achieve our strategy of being both a Care Leader and a Health Partner for providers and patients in our community.” Bethany Sexton earned her Master of Business Administration (MBA) from the University of Nevada, Reno and her Bachelor of Arts (B.A.), Business Administration and Management from Western Washington University. She is passionate about community service, most recently serving as Chair, Board of Directors for Immunize Nevada, and as a former Board Member for Nevada Women's Fund, Healthcare Financial Management Association (HFMA) and the American Red Cross. Ms. Sexton and her family make their home in Reno, NV. About Renown Health Renown Health is the region’s largest, locally governed, 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, a medical group and urgent care network, and the region’s largest, locally owned not-for-profit insurance company, Hometown Health. Renown is currently enrolling participants in the world’s largest community-based genetic population health study, the Healthy Nevada Project®. For more information, visit renown.org.