#United States #New York #Long-Term Care #Kalos Health #VNS Health

Partnership for Improved Care

On December 1, 2024, Medicaid managed long-term care (MLTC) members in Western New York will experience a significant change as Kalos Health transfers its members to VNS Health. This transition, part of a larger acquisition, aims to provide enhanced healthcare solutions and continuity for those with complex health conditions.

Transition Details

Nearly 1,000 members of Kalos Health's Medicaid MLTC plans will join VNS Health due to a strategic acquisition that follows New York State’s recent budgetary provisions. Some members opted for different health plans before Kalos Health discontinued its MLTC operations. This acquisition marks a pivotal moment in improving healthcare access for many individuals in the region, especially for older adults affected by chronic diseases.

Commitment to Continuity of Care

To facilitate a seamless transition, many care managers from Kalos Health will remain involved, joining Elderwood IPA. This organization plays a critical role in overseeing care management and administrative tasks for VNS Health MLTC members. Such support is vital for ensuring that members continue to receive high-quality care tailored to their specific needs.

Dan Savitt, President and CEO of VNS Health, emphasized the importance of accessible healthcare. He stated, “Health care should be easy to access and simple to understand.” This philosophy drives VNS Health's commitment to maintaining trust and improving integrated benefits for long-term care participants.

Acknowledging Quality Care

Carlo Figliomeni, President and CEO of Kalos Health, expressed satisfaction with the agreement, highlighting that the quality care previously provided will continue under VNS Health’s management. This continuity of care is crucial for members to feel safe and supported in their own homes within their communities.

Recognizing Excellence in Healthcare

VNS Health has shown a strong track record, previously acquiring other MLTC plans and earning recognition for quality care, including a five-star rating from the New York State Department of Health for its dual-eligible Medicaid Advantage Plus plans. Such accolades affirm the organization’s commitment to excellence in service delivery, which is especially critical in today’s healthcare environment.

Community-Focused Care

Kalos Health and VNS Health’s partnership reflects a broader trend in healthcare focusing on community integration and support for the aging population. With predictions of a growing number of seniors living with multiple health conditions, this strategic collaboration aims to improve health outcomes and ensure that individuals receive the necessary care in the comfort of their homes.

Elderwood IPA’s mission aligns closely with this vision, as it works to enhance patient-centered care through cooperation among various independent healthcare providers. Their core values of integrity, respect, and accountability resonate throughout the services they provide, confirming their commitment to the well-being of the community.

Looking Ahead

With the health sector continually evolving, the partnership between Kalos Health and VNS Health serves as a model for how organizations can collaborate to improve care accessibility and delivery. By leveraging shared resources and expertise, the partnership aims not only to sustain but also to elevate the healthcare experience for members in Western New York. This is a future-focused approach that promises not just longevity but quality of life for individuals navigating their healthcare journeys.

In conclusion, this transition is more than just a logistical change; it represents a renewed commitment to accessible, high-quality healthcare for New York’s Medicaid MLTC members. As the healthcare landscape shifts, Kalos Health and VNS Health's dedication to enhancing care serves as an inspiration for other regions looking to improve health services for their communities.