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All types of healthcare, from large health systems to safety net clinics, should focus on the health needs of our communities. Keisha Harvey at Dr. By connecting with Well-Ahead, healthcare facilities and hospitals can learn how to support employee health, geaux tobacco-free and promote healthy eating. You can also be connected to resources that will help you to improve retention and recruitment of staff and prioritize their training and education.
Additionally, Well-Ahead offers services that can help you commit to quality improvement, link to community resources and expand access to care. All of these changes can make a positive impact in your community. Get connected to resources to better your practice and lead your pateints into a healthier future. These numbers affect every aspect of life in our communities, including access healthcare services. In the U. The cost of lost productivity during the workday due to chronic disease presenteeism can be as much as.
If we want to connect our communities to a healthier future, we must make access to integrated, efficient and effective care services a priority. This means transforming from a health system that is fundamentally reactive, responding when patients are sick, to one that is patient-centered and proactive, empowering patients with the support they need to remain healthy. Healthcare facilities also play a critical role in modeling the healthy behaviors recommended to patients.
The bottom line is healthier patients, more satisfied providers, and cost savings. Healthcare facilities can, and should, offer patient-centered services and promote healthy choices.
Change the conversation around delivery of care at your facility and implement changes that can help your patients thrive. Each small change can influence health, one step at a time. We are here to help, and will walk alongside you as you implement these changes. When your facility implements enough healthy changes, the Louisiana Department of Health will designate it as an official WellSpot.
Learn how you can be a leader at your facility for healthy change. To care for others, healthcare employees must stay healthy. Promoting employee health is key in healthcare settings. Healthy employees are happier, more productive and absent less.
They can also model healthy behaviors for patients. Invest in the health of your employees by making these key changes at your facility. You can play a unique role in reducing tobacco use in your community. Encourage your patients and employees! Adopt a tobacco-free policy. Make tobacco use screening and referral a standard of care among your healthcare team.
Geaux tobacco-free by putting in place these key changes. Demonstrate your commitment to health! Promote good nutrition by offering healthy food and beverage options in your cafeteria and in vending machines. Continuous learning is essential in healthcare. Our Provider Education Network can connect you to an ever-growing bank of tools, training and technical assistance to help you provide the best possible care to your patients and make every angle of your practice more effective.
Quality healthcare helps our residents live healthier and happier lives no matter their circumstances. Understanding and properly implementing quality improvement strategies is necessary to improve efficiency and clinical outcomes.
Apply for our Population Health Cohort to receive specialized coaching and support to position your facility and community for success. Community-clinical linkages are connections between clinical and community sectors that improve population health. When healthcare facilities work collaboratively with the community sector, patients are empowered with better support than the clinical sector can provide alone.
Partner with community stakeholders to develop or leverage existing community resources. Help all Louisiana residents reach their full health potential, regardless of their demographic, genetic, environmental, medical, social, behavioral, or economic. Fuel innovation and develop unique approaches to deliver tailored care to our most vulnerable populations. Leverage available resources to provide to quality care to in these communities. Attracting and retaining quality staff members influences the care your facility provides.
When you enhance your approach to workforce retention and recruitment, you can become a destination workplace. Leverage available incentives to elevate your workforce and partner with us to promote vacant positions at your facility. Department of Health and Human Services, Use the navigation on the left to quickly find what you're looking for.
Be sure to check back frequently for updates. If you file claims with Louisiana Medicaid, you must enroll in the new Medicaid Provider Enrollment Portal to continue being reimbursed. In fall , Louisiana Medicaid mailed letters to providers about this enrollment requirement. To simplify the process, UnitedHealthcare Community Plan of Louisiana has partnered with Louisiana Medicaid for a provider enrollment drive that will devote time to each provider type over the next few months.
During this time, we will be sharing resources, training, and answers to commonly asked question. Our goal is to have each provider enroll during their designated provider week, if not sooner. We want to help make sure your patients are prepared for hurricane season and the resulting hazards such as storm surge, high winds, tornadoes, and flooding.
In case of a hurricane or other disaster, your patients can register on the American Red Cross Safe and Well website to let family and friends know about their welfare. Thank you for your interest in becoming a network care provider with UnitedHealthcare Community Plan of Louisiana.
To get started, follow the steps to join our network. UnitedHealthcare adheres to the Louisiana Revised Statute which incorporates Act for practitioners joining an existing, contracted medical group to be temporarily approved to receive claims payment upon submitting their completed UnitedHealthcare application, and then will be fully credentialed upon application approval. Enhance policies related to program integrity With the Medicaid Managed Care Rule, CMS updated the type of information managed care organizations are required to include in their care provider directories.
UnitedHealthcare Community Plan maintains a grievance system for members that ensures receipt and prompt resolution of informal and formal member grievances and access to the state fair hearing process. A member, a representative of the member's choice, or a CCN-S provider, acting on behalf of the member with the member's written consent, may file a grievance with UnitedHealthcare Community Plan.
Grievances may be filed orally by calling the toll-free number for our Member Services Call Center or in writing by mailing the grievance to our Regional Mail Operations RMO at:. UnitedHealthcare P. When the system identifies the call as a grievance, the information is logged into the system, and forwarded to a triage team who puts the information into our tracking system where a case file is created and populated.
On receipt of a written grievance, appropriate personnel scan them into the tracking system and create a case file. Per our Member Grievance Policy, and on initial contact, we log and track criteria including member.
Members should call Customer Service at Managed Care of North America is a premier dental benefits administrator that provides exceptional service to State Agencies and managed care organizations for Medicaid. For benefits, claims, provider enrollment, direct deposit issues, demographic changes, NPI Information, etc. March Vision Care is the vision vendor for UnitedHealthcare and provides routine vision services which include:.
For all other vision services please contact UnitedHealthcare Community Plan customer service at March Vision Care is the vision vendor for UnitedHealthcare and provides routine vision services. Additional vision and services will be provided to complement the limited Medicaid vision benefit.
Services include:. Note: Vision services performed by an Optometrist are reimbursable for routine and non-routine services. Claims must be submitted to March Vision Care for processing. This is due to the expanded scope of the services the Louisiana Board of Optometry now allows Optometrists to perform in the office setting. The best way for primary care providers PCPs to view and export the full member roster is using the CommunityCare tool, which allows you to:.
Member Primary Care Physician Reassignment. If you suspect another provider or member has committed fraud, waste or abuse, you have a responsibility and a right to report it.
Taking action and making a report is an important first step. After your report is made, we will work to detect, correct and prevent fraud, waste, and abuse in the health care system.
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