An ideal solution for Medicare Advantage Plans and their Veteran Members
Five percent of a typical Medicare Advantage population uses the VA in a given year. This care is generally invisible to Medicare Advantage plans. BeneLynk solves this challenge with information. We give our MA clients member level understanding of who the Veterans are in their population, what VA utilization is occurring, and provide actionable documentation of the care members receive at the VA.
Department of Veterans Affairs, Blueprint for Excellence, 2014
Identification
Finding and engaging Veterans in an MA population is an important first step in BeneLynk's services. We employ a multifaceted outreach campaign designed to meet this goal. We integrate with existing communications and conduct a robust dedicated outreach campaign. All of our outreach efforts are driven by our proprietary algorithm which indicates Veteran prevalence based on demographic factors.
- BeneLynk Representatives provide phone-based outreach to identify and engage members in the records request process. Member engagement continues through the portal, mail, or follow-up phone calls.
IDENTIFICATION
OUTREACH
Coordination
Our programs and process are designed to make coordinating care easier for the Veteran-Member.
These combined records also serve as a valuable tool to the Medicare Advantage Plan who may not be aware of conditions being treated only at the VA. They now have the power of care management that includes information they would not otherwise have known about.
Understanding the information related to the care they receive at the VA will be combined with their Medicare Advantage records assures them that all their information is available as a complete profile of their care.
Information
When MA-Members access care at the VA, too often the MA plan does not receive information about the treatment. We build a reliable reporting avenue to get the MA plan the information they need.
- We open avenues of communication allowing the VA to share encounter information with BeneLynk and the MA plan.
- Information on encounters allows MA plans to engage appropriate clinical management.
- We obtain the VA treatment records Medicare Advantage Plans need to understand all the care Veteran-Members are receiving.
- Screening, examination, and treatment information from care provided at the VA is transmitted to the MA plan. This results in more accurate reporting and improved Medicare Star Rating.
SECURE
IMPACT
