Corporate Communications Lead 832-330-4702 ldimond@humana.com Southwestern Health Resources Greg Harrison VP, Marketing and Communications 570-772-0366 greg.harrison@southwesternhealth.org Source: Humana Inc. Multimedia Files: logo.jpg Download: Download original 18 KB 576 x 145 Download thumbnail 11 KB 200 x 50 Download lowres 57 KB 480 x 121 Thanks for your interest in the Business Operations Analyst, Medicare Advantage - Strategic Operations, Southwestern Health Resources (SWHR) position. Together, it's a collaboration built to serve each and every healthcare need you may have. Southwestern Health Resources (SWHR) serves as the parent organization of Care N' Care. Stress Echocardiography - Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, with interpretation and report; including performance of continuous . DALLAS - Jan. 27, 2020 - The Centers for Medicare & Medicaid Services (CMS) announced that the Southwestern Health Resources Accountable Care Network (SWHR) saved more than $37 million in 2018. Our purpose: to build a better way to care, together. 02-540-3346; royalfamily.kr@gmail.com; 130 4 . Medicare Advantage plan features and benefits UnitedHealthcare Medicare Advantage plans are built with features and benefits designed with members in mind. Medicare Advantage plans, also called Medicare Part C or "MA plans", are considered to be all-in-one health care insurance solutions. Our doctors take pride in their knowledge in a wide range of diseases. UT Southwestern offers care in more than 80 specialties and subspecialties, ranging from Allergy and Immunology to Vascular Surgery - and just about everything in between. Call 214-842-5089 to speak with a Care N' Care Medicare Advantage Specialist Talk to a Medicare Advantage Specialist dedicated to your needs 8 a.m. - 8 p.m. seven days a week. Learn More About Our Primary Care Services Strong problem solving and troubleshooting skills with the ability to exercise mature judgment. Our purpose: to build a better way to care, together. As a patient-centered integrated network of academic and community clinicians, researchers, hospitals and ambulatory facilities, we partner with physicians to relentlessly pursue a new model of value-based, high-quality, data-driven healthcare for everyone in the communities we serve. Thats why UT Southwestern, Texas Health Resources and independent physicians joined forces. Care N' Care Insurance Co., started in 2008 by local physicians, is a Medicare Advantage health plan based in Fort Worth, Texas. Monday-Friday, 7 a.m.-7 p.m. CT. UT CONNECT Medical. As a Southwestern Health Resources employee, you'll enjoy, comprehensive benefits, including a 401(k) with match; paid time off; competitive health insurance choices; healthcare and dependent care . . Take charge of your health with this annual wellness checklist. Southwestern Health Resources (SWHR) . From generic drugs to your preferred drug brands, In addition to all of the benefits of Original Medicare, youll get comprehensive dental, hearing, and vision coverage, complimentary SilverSneakers membership, worldwide coverage when you travel , Talk to a Medicare Advantage Specialist dedicated to, Well help you understand your Medicare options and the benefits of a, When youre ready, make an appointment with a Medicare Advantage Specialist on the form at the top of this page, or simply click to call. Ability to collaborate with internal functional managers and payor partners on process improvement activities. Call our Medicare Advantage Specialist October 1 to March 31: 8 a.m. - 8 p.m. CST, seven days a week April 1 to September 30: 8 a.m. - 8 p.m. CST, Monday- Friday 800-994-1076 (TTY 711) Find a Provider Members Contact Enroll Now 2023 Care N' Care Benefits Care N' Care Members are invited to the Town Hall Meeting! Additional perks of being a SWHR Clinical Trainer Registered Nurse (RN): Gain a sense of accomplishment by contributing in a teamwork environment Health Maintenance Organization (HMO) plans have a defined network of contracted local . Huntington Beach, CA, January 14, 2021 - Dallas-based Southwestern Health Resources (SWHR) and Landmark Health and its affiliated medical groups (Landmark), announced their strategic partnership to provide longitudinal care to seniors with complex medical needs by bringing interdisciplinary medical care into patients' homes. According to several health plans, our accountable care organization provides care to the most complicated patient base in the state at competitive rates. Together, its a collaboration built to serve each and every healthcare need you may have. AARP Medicare Advantage. As part of our total cost of care approach to healthcare, we look at all aspects of the delivery of care and not isolated unit costs. for more information and to search all career opportunities. Our Recruitment team invites you to contact us with any questions at, Care Coordinator and Patient Outreach Specialist - Referral Management, Southwestern Health Resources (SWHR), Customer Experience Specialist I - Care 'N Care Health Plan - Southwestern Health Resources (SWHR). UnitedHealthcare Medicare Advantage administrative changes in Texas 2022 quick reference guide WellMed Medical Management, an affiliate of UnitedHealthcare, manages administrative . For more information about Southwestern Health Resources or to find out more about our healthcare options. The new agreement, effective Jan. 1, builds on an existing network contract that Humana has with UT Southwestern and Texas Health Resources. The deal, announced in an Oct. 4 BCBS news release emailed to Becker's, comes as the health system was set to leave the payer's network Oct. 3 without a new contract. SWHR leaders and team members share a common purpose to improve the way healthcare is delivered. Southwestern Health Resources is the clinically integrated network formed in 2016 by Texas Health Resources and UT Southwestern Medical Center to better serve North Texas residents. Medicare Advantage basics. In-person Southwestern Health Resources (SWHR) is an integrated health care network formed in 2015 with the purpose of filling gaps in care. Our purpose: to build a better way to care, together. AARP Medicare Advantage - Optum Network. Southwestern Health Resources is the parent organization of Care N' Care Insurance Co., a regional Medicare Advantage Plan that serves approximately 14,000 members in North Texas. Why Southwestern Health Resources . It provides in-network access to about 30 hospitals and 350 care facilities to Medicare Advantage members in Humana's health maintenance organization plans, and ties reimbursement to health outcomes. Customer Service | 866-882-2034. The new agreement, effective Jan. 1, builds on an existing network contract that Humana has with UT Southwestern and Texas Health Resources. Care N' Care has more than 14,000 Medicare beneficiaries covering 13 countiesin North Texas: Collin, Cooke, Dallas, Denton, Erath, Hood, Johnson, Palo Pinto, Parker, Rockwall, Somervell, Tarrant and Wise. We offer a range of Medicare Advantage plans with monthly premiums starting at $0. Value-based approach equals network savings, The importance of the primary care physician, Care Transformation and Innovation: Empowering Primary Care, SWHR earns national recognition for commitment to improving cardiovascular health, John L. Crawford, MD making a difference, SWHR Chief Medical Officer shares strategies for addressing health disparity in North Texas, Global and Professional Direct Contracting Model Information, 1,800+ UT Southwestern facultyphysicians, 600+ Texas Health Physicians Groupphysicians, 2,500+ clinically affiliated physicians (independent and community). Dallas-based Southwestern Health Resources and Humana signed a value-based payment arrangement for Humana's Medicare Advantage members in North Texas, the organizations said Oct. 28. Southwestern Health Resources (SWHR) . What it covers Additional perks of being a SWHR employee: Explore Southwestern Health Resources Careers for more information and to search all career opportunities. 76. The Dallas-based Southwestern Health Resources (SWHR) and in-home medical care provider Landmark Healthand its affiliated medical groupshave announced a strategic partnership to provide longitudinal care to seniors with complex medical needs by bringing interdisciplinary medical care into patients' homes. Find a Doctor or Facility Near You in Dallas-Fort Worth, Texas TTY Users: 711, 24 hours a day, 7 days a week. SWHR is the parent organization of Care N Care Insurance Co., a leading regional Medicare Advantage health plan organization that serves approximately 17,000 patients in North Texas. . Are you concerned that you may have coronavirus? 1w. . Two Texas Health physicians - Nikhil Bhayani, MD, and Donna Casey, MD, - spoke with CBS DFW about the "groundbreaking" extra-strength flu . In general, people have two options for core Medicare benefits: Original Medicare (often supplemented with a Medicare Supplement plan) or Medicare Advantage. Our network brings together the different parts of healthcare to create a unique system. We care about those we serve and each other. That information came from an email the payer shared with brokers in late September, according to the report. Our promise: to simplify and empower care, for good. Mobile App. Talk to a licensed agent: 1-800-557-6059. Southwestern. Virtual. Medicare Advantage plan benefits Take a look at the variety of benefits and coverage choices offered with our Medicare Advantage plans. Advantra Freedom Medicare Advantage PFFS Plan. . Since 2017, we have kept the average annual increase in healthcare costs of our network to one-quarter of the regional average (risk-adjusted, all commercial plans). Why Southwestern Health Resources Plan benefits Optum Home Delivery through OptumRx Pharmacy Moving healthcare forward The healthcare system is complex but that's where SWHR thrives. It's why SWHR is a national leader in population health. Resubmission: 365 Days from date of Explanation of Benefits. SWHR is the parent organization of Care N' Care Insurance Co., a leading regional Medicare Advantage health plan organization that serves approximately 17,000 patients in North Texas. Farmers Branch, Texas-based Southwestern Health Resources and Blue Cross and Blue Shield of Texas have reached a multiyear contract. SWHR covers approximately 700,000 patient members across 16 counties in North Texas. At the heart of SWHR are people who help people. Maximal Days' Supply for Chronic Medications - Impact on Medication Adherence. As a result, we have improved clinical efficiencies to provide the right care at the right place at the right time. A new 100-day prescription benefit for United Healthcare (UHC) Medicare Advantage members began January 1 that may benefit some patients by reducing co-pay costs but also improve adherence to important . Southwestern Health Resources and Humana Announce Value-Based Agreement in North Texas Humana Lisa Dimond Corporate Communications Lead 832-330-4702 ldimond@humana.com Southwestern Health. SWHR is the parent organization of Care N' Care Insurance Co., a leading regional Medicare Advantage health plan organization that serves approximately 17,000 patients in North Texas. Medical Insurance. Our promise: to simplify and empower care, for good. For more information: Blue Cross and Blue Shield of Texas / UT SELECT. The Southwestern Health Resources Accountable Care Network saved the Centers for Medicare & Medicaid Services (CMS) more than $73 million over the past three years, under the Medicare Shared Savings Program. By connecting physicians, hospitals, caregivers, and patients, we have designed ways to achieve better coordination of care and better results. Unfortunately this position has been closed but you can search our 1,290 open jobs by, Bachelor's Degree Business or similar industry Required, 3 Years Healthcare or Insurance Required and, 3 Years Process Performance Improvement to include 2 years' experience with key metrics and analytics Preferred, Strong policy, process, procedure management. AARP Medicare Advantage plans cover features and benefits in addition to those included in Original Medicare. Other Resources. Utilize reporting/analytics to identify opportunities for performance improvement against operating metrics. Additional perks of being a SWHR Quality Program Specialist You are very important to us. Appeal: 60 days from previous decision. 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