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CareSource Recognized as an American Heart Association Fit-Friendly Worksite

Author : CareSource

Aug 6th, 2015 | by CareSource

We are excited to announce that CareSource has been recognized by the American Heart Association as a Platinum-Level Fit-Friendly Worksite. CareSource makes the health of our employees one of our top priorities by offering physical activity options, increasing healthy eating options, and promoting a wellness culture in the workplace.

To be honored as a Platinum-Level employer, companies must do all of these things as well as implement at least nine criteria given by the American Heart Association related to physical activity, nutrition, and culture. Companies must also be able to show measureable outcomes related to workplace wellness as a result of these efforts.

Our employees dedicate themselves to caring for the health and wellbeing of our members, and we love being recognized for the work we do to care for them.

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Happy Birthday Medicaid and Medicare!

Author : CareSource

Aug 6th, 2015 | by CareSource

In July, Medicaid and Medicare celebrated 50 years since being signed into law by President Lyndon B. Johnson.

Medicaid has been a safety net for the American people for 50 years, and CareSource has been a part of that mission for the last 26. Our members come from all walks of life. They are single mothers trying to provide for their families, they are children, and they are men and women who need around the clock care because of complex health problems and disabilities.

CareSource has been part of a changing healthcare industry in our 26 years, and Medicaid has been a key driver of that change. Because of innovations lead by Medicaid, care for people with disabilities has changed. Models for home and community-based care have been created to give Americans back their independence and keep people at home as long as possible.

We are proud of what 50 years of this program has done to help the underserved gain access to quality healthcare, and we know that Medicaid will keep providing this safety net to Americans for many more years to come.

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Ohio Residents Navigating the Health Insurance Marketplace

Author : CareSource

Mar 20th, 2014 | by CareSource

Open Enrollment closes March 31

The deadline for open enrollment in the Health Insurance Marketplace is days away and thousands of Ohioans are still without insurance. Health plans have seen a significant number; more than 78,925 people in Ohio have enrolled in plans that provide many an opportunity to take control of their health care.

The Health Insurance Marketplace, which is sometimes referred to as the Health Insurance Exchange, is the online marketplace that allows consumers to purchase health insurance through the website healthcare.gov. Many people who are at a certain income level may qualify for a lower cost premium, which makes the insurance low-cost and affordable. There is a broad mix of enrollees in the CareSource plan. The demographics represent a mix of young people, families and early retirees with 86 percent of the enrollees eligible for and receiving subsidies. The Marketplace may also offer a better option for someone who is currently paying a high cost for health insurance and can no longer pay the price.

As the March 31 closing date for open enrollment gets closer residents need to consider their options. Health insurance is important for individuals and families because it allows them to access preventive care. It’s also important to get health insurance because in 2014 Americans will be required to have health insurance or pay a tax penalty. By Jan. 1 the law requires consumers to have health insurance, but it allows them to be without coverage for less than three (3) consecutive months without a fine. In 2014 the tax penalty will be $95 for each adult and $47.50 for each child, but not more than $285 total per family. In 2015 the penalty will be $325 for each adult and $162.50 for each child, but not more than $975 total per family.

We have exceeded initial projections for enrollment in CareSource Just4Me. More than 15,000 consumers have enrolled in our plan designed to provide affordable-low cost health care coverage. Since February our enrollment has increased by 20 percent, which is a reflection of our comprehensive plan, and consumer trust in CareSource.

There are still thousands of people in Northeast and Northwest Ohio who don’t have the information needed to make an informed decision about coverage. To maximize efforts in the last days of the enrollment period CareSource administrators hired additional licensed agents to work in the field. These agents along with their Community Education Representatives will be working with community partners, calling on small businesses and collaborating with Enroll America and other organizations.

Providing CareSource Just4Me is an extension of the CareSource mission and we want to help consumers protect themselves and their families.

By Scott Streator
Vice President, Health Insurance Marketplace
CareSource

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CareSource Serves Consumers on Health Insurance Marketplace

Author : CareSource

Oct 1st, 2013 | by CareSource

By Scott Streator, Vice President, CareSource

Health care should never be considered a luxury for the American public, especially our neighbors here in Ohio.  At CareSource, we believe everyone should have access to health care coverage. And, there is no reason that coverage can’t be affordable.  This is why we made the decision to leverage our non-profit, “patients before profits” health-plan model on the Health Insurance Marketplace. We’re calling it CareSource Just4Me and the plan was designed just for you through a collaborative effort with our provider partners. CareSource Just4Me offers affordability from an Ohio-based nonprofit.

CareSource has spent almost 25 years serving the Ohio Medicaid population. Our mission-based approach has benefitted our community, but we know we can do more. Currently we serve about 1 in 10 Ohioans who have health coverage. By offering CareSource Just4Me we are committing ourselves to a new population of Ohioans. We truly believe health insurance coverage makes a positive difference in people’s lives, adding security and improved health.

We see the Health Insurance Marketplace as a way to empower consumers. Many consumers will benefit from  subsidies from the federal government. The Health Insurance Marketplace creates an opportunity for consumers to have access to more choices and greater transparency around those choices also allowing them the ability to enroll in any qualified plan desired.

Health care is not an easy space to navigate. We understand that and want to help. CareSource Just4Me will be offered in 30 counties in the Akron, Cleveland, Cincinnati, Columbus, Dayton and Toledo areas. In order to help you make the most informed decision about your health options, we will be holding education sessions throughout those areas to answer your questions about the Health Insurance Marketplace, the plans offered through CareSource Just4Me and why health insurance is important for you, and your family.

Want to learn more? Visit CareSourceJust4Me.com or call 1-800-479-9502. We are here to help.

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The CareSource Foundation Awards Quarterly Grants

Author : CareSource

Jul 23rd, 2013 | by CareSource

The CareSource Foundation recently awarded its second round of quarterly grants and we couldn’t be more excited! Through the Foundation, our company is able to make a difference in the lives of the people we serve. We have the opportunity to invest in health and human service organizations that are as dedicated to improving their communities as we are. Grant recipients reflect our passion for the well-being of all people, creative approach and dedication to creating positive change.

One of the grant recipients, Eastway Behavioral Healthcare is one of the largest providers of mental health services in Ohio. They provide services for more than 10,000 individuals each year including residential treatment for adolescents.  The CareSource Foundation grant will help support the new 22-acre Ranch of Opportunity where teen girls who have been victims of physical, sexual, and mental abuse can go to receive residential treatment.  Located in Washington Courthouse, Ohio the ranch provides a rural setting for these girls to interact with highly skilled therapists to help them heal and grow in self-confidence.

Homefull (formerly The Other Place) received a grant to assist in their workto end homelessness in the Dayton region. In the last five years, Homefull’s efforts have contributed to a 65% decrease in chronic homelessness in the area. The organization provides a variety of services including street outreach, prevention and diversion programs, micro-farming, and rapid rehousing in order to serve their community. The CareSource Foundation grant will support the Homefull Resource Center which helps connect individuals with social services, utility assistance, community resources, legal aid and housing related mediation to reduce homelessness.

In total $301,000, was awarded to 30 organizations with missions we love. A few of the other causes we are supporting through the Foundation include shelters for abused women and children, free clinics in rural areas, health education for K-8 students, home care for low-income seniors, suicide prevention education, assistance for young parents, developmental screenings for low-income children, and afterschool programs for students. A complete list of grant recipients can be found in the press release here. To learn more about the CareSource Foundation, take a look at their about page on our website.

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Medical Management

Author : CareSource

Feb 25th, 2013 | by CareSource

Taking a week to recognize a team is a CareSource tradition. During those five days, we get to learn more about the department and the impact they have on our employees and our members. This week (Feb. 25 – March 1), our focus is on the Medical Management team. The theme for this year’s celebration is simple, yet powerful: “Making a Difference”.

In 2012, our Medical Management team answered over 120,000 calls from providers. On average, they responded to these calls in less than one minute. Think about that. When was the last time you were calling a company for information and had your call answered in less than 60 seconds? For that matter, when was the last time your friends, family or spouse picked up the phone that quickly?

Another major way this team impacts CareSource is their review of medical resources. The team focuses on recommendations made by the providers and the overall impact it will have on our members. Think your to-do list is long? On a typical daily basis, nearly 1,000 requests of various concerns are submitted to the department.  Wow. Processing and answering those requests in a timely manner is certainly a way of making a difference.

As a part of our festivities, the team is kicking off their week by sharing the ways they are making a difference.

This is one of the many ways we demonstrate the “CareSource culture.” Keep up the great work!

 

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Finding Treatment

Author : CareSource

Jan 21st, 2013 | by CareSource

By Jennifer Dozer, Behavioral Health Patient Care Coordinator, CareSource

Finding treatment for a child or adolescent with mental health issues can sometimes be a challenge. The good news is that with proper treatment and support to their families, most children can do well.

If you have a concern about your child’s mental well-being, start with your child’s primary care doctor. This could be either a family practitioner, a doctor who manages the care for children and adults, or a pediatrician. A pediatrician is a primary care doctor who specializes in medicine for children and adolescents only.  If you have a concern about your child’s behavior, your child’s primary care doctor will be able to determine if that behavior is expected for a child in his or her developmental stage, or if that behavior is concerning. (What are some normal developmental milestones? Click here. Could there be a more serious issue going on? Try here.)

If the behavior needs more follow-up, the primary care doctor can then refer your child to a child and adolescent psychiatrist or a counselor who specializes in working with children.  Unsure which behaviors to worry about and which will require more help? You can look up a comprehensive list, according to behavior, on Kidshealth.org. If there is a serious issue, the sooner you find treatment, the better for your child in the long run.

It is true that there is a shortage of child and adolescent psychiatrists throughout the country. If you live in a larger city, you may have a shorter wait time before your child can see a specialist. If you live in a rural county, you may have to travel to a larger city, or wait several months before seeing a psychiatrist. If this is the case, and you feel your child needs assistance sooner, the Ohio Department of Mental Health has helped to create the Pediatric Psychiatry Network. Your child’s primary care doctor may call them at 1-877-PSY-OHIO 24 hours a day, 7 days a week, to consult with a psychiatrist who specializes in children. Please note that this number is only for your doctor to use.

If your child is referred to a psychiatrist or therapist, please know that CareSource has a large network of participating providers. If you would like a list of participating providers, you may call Member Services at 1-800-488-0134 (TTY for the hearing impaired: 1-800-750-0750 or 711), or look up a list online at the CareSource website. Along with psychiatry and therapy visits, CareSource offers benefits for medically necessary inpatient psychiatric hospitalization and inpatient detoxification from substances. Partial hospitalization programs and intensive outpatient programs in a general hospital outpatient setting may be a covered benefit, although a prior authorization would be required.

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CareSource.com – Designed by Members

Author : CareSource

Nov 28th, 2012 | by CareSource

We recently redesigned our website, CareSource.com, to assist people with real-world advice on staying healthy and living well. The website was designed with feedback from our members.

It’s important for us to create an excellent consumer experience at every touch point we have with our members. That’s why our new website was designed with input from our members all the way through the development process.

The new CareSource.com has been optimized for mobile devices – now everything you can do on a computer can be done on a smartphone or tablet device. There are no logins or passwords to remember. It’s your one-stop shop for:

  • Healthy living advice
  • Tips on reducing stress
  • Coupons
  • Simple, healthy recipes
  • Nutrition advice
  • Exercise tips
  • Family fun activities
  • Understanding your health care
  • Ordering an ID card
  • Finding CareSource in the community

 

When you get a moment, let us know what you think by emailing our web specialist, Trica Sloan. We appreciate your feedback.

 

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A Dream Come True

Author : CareSource

Jul 17th, 2012 | by CareSource

By Jim Gartner, Vice President of Pharmacy

CareSource recently announced the start of our new Medication Therapy Management program. This program is geared towards helping our members understand their medications better and to help make sure the medications they are taking can be taken together and safely. This program will be available from our local pharmacists who are there to help.  In many cases a pharmacist will reach out to our members and ask if they are interested in learning more about their medications. They are asking because they want to help. Did you know pharmacists are one of the most trusted professions? 

I have been a pharmacist almost 30 years and have truly enjoyed the profession. I have had the opportunity to work in the retail setting many years in Ohio and equal amount of years in the managed care setting, mainly in Minnesota. During my years in retail, I also had the opportunity to work in the nursing home setting where I acted as a medication reviewer for the patients in the nursing home.  It became clear to me that many people were in the nursing home mainly to monitor their medications because they did not have the support at home.

At the same time, I was completing my MBA and had to write a paper in one of my health care administration classes. In 1996, I wrote a paper entitled “Pharmaceutical Care Management Offered to Passport Members Can Keep People at Home.“ This paper talked about the importance of a pharmacist reviewing people’s medications and if that happened, it could keep people in their own homes. It became clear to me that the pharmacist truly needed to do the same thing in the retail setting. I began to dream that one day this would come to fruition.

About a year and half ago, I was approached about a job at CareSource to lead the pharmacy efforts. It required a major change for our family and a move back to Ohio. Somehow I knew it was the right thing to do, little did I know that CareSource was a place that I could bring my dream to life.  

As an organization that lives the mission of “making a difference in the lives of the underserved by improving their health care,” the fact of improving our member’s medication regimens resonated. Working with our partner in this initiative, Outcomes®, our intention is that our members have safer, more efficient treatments with medication and that we reduce the amount of emergency room visits, physician office visits and adverse reactions because of improper medications. This is a win-win for all – CareSource, our members and the pharmacist community who will help make a difference. 

And on a personal note, if you see the smile on my face, it’s because it brings me great joy to know that I was able to help drive this initiative and realize one of my dreams that I have had for quite a long time.

For more information about Medication Therapy Management email questions@caresource.com.

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Training, Coaching and Guiding

Author : CareSource

Feb 23rd, 2012 | by CareSource

We are honored to be recognized for a third year in a row as one of Training magazine’s Top 125 companies that excel at staff development and training.

Listed at #14 on the Top 125 list, we join the ranks of some of the nation’s largest and most successful organizations including Farmers Insurance, the United States Navy and Coldwell Banker. The past two years, we have been ranked in the top 15.

“We are honored and extremely excited to be recognized again,” said Pamela Morris, President and CEO. “This is a testament to our exceptional training and development programs that continue to evolve and grow.”

With choices from more than 500 curriculum offerings, CareSource University provides career planning and development resources to all employees, including clinical licensure programs, new employee training, leadership and career development and coaching.

“Our organization is unique in that we place a high emphasis on learning and career development,” stated Jackie Smith, Vice President of CareSource University. “I believe successful organizations, like CareSource, realize the importance of training their employees as well as offering ongoing coaching and development programs. I am honored to be a part of an organization that places such a high value on employee development.”     

Two CareSource employees know the the importance of ongoing training and development firsthand.

“Over the years I have had the privilege of working for several large Fortune 500 companies, but none of them had a training program as relevant and accessible as CareSource’s,” Mark Quick, Business Analyst, stated.

“I am grateful for the opportunities I have been given to learn and grow,” said Heather Boehmer, Grievance and Appeals Specialist. “The skills I have gained through the development classes have not only helped me earn a promotion and grow professionally, but have led me to take a far more active role in my own destiny.”

 Training magazine selects 125 global and national organizations annually that exhibit best training practices, evaluation methods and outstanding training initiatives. Honorees range in size from Fortune 500 companies to smaller organizations of 100 plus employees. Judging is based upon elements such as scope of development programs, financial investment in employee development, and how closely training efforts are linked to business goals and objectives.

“We are honored to be recognized again and to be in the same category with nationally known organizations,” Smith added. “We look forward to continuing to train our employees in a way that is innovative, personalized and immediately applicable to our organizational objectives.”

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