Posted in BCBS (Various States), Training, Updates

BCBS Nevada Medicaid Plans: Palliative Care New Partner

Effective 03/01/2021- Aspire Health, an independent company, will start to provide telephonic palliative care services on behalf of Anthem Blue Cross and Blue Shield Healthcare Solutions, for BCBS Nevada Medicaid Patients.

What is Aspire Health?

Aspire offers a solution to the fragmented and expensive care that patients so often experience during the last chapter of life. Aspire helps patients to increase their overall comfort, increase their satisfaction with both their PCP and their health plan, minimize the risk of unnecessary or unwanted hospitalizations, and help ensure patients receive care aligned with their goals and values.

What does Aspire Health offer?

Aspire offers palliative services through two modalities, dependent upon the county where the patient resides:

  1. Nurse Practitioner-led, home-based program
  2. Palliative Social Worker-led telephonic program.

Both programs include wraparound support from a specialized interdisciplinary team with 24/7 on-call support and the oversight of Aspire’s lead physicians to enhance care to patients and families, personalize their experience, and facilitate timely intervention.

Through patient and caregiver education and expert symptom management, Aspire’s intervention is designed to align medical care with each patient’s goals and minimize unnecessary emergency department visits and hospitalizations, thus impacting care quality and driving value to patients, families, and referring physicians.

What type of patient would need services that Aspire health offers?

Patients that would require services from Aspire Health is typically the sickest. The patients may confront multiple illnesses, such as chronic heart failure, chronic obstructive pulmonary disease, advanced cancers, dementia, geriatric frailty, chronic or end-stage renal disease, chronic liver disease, cerebrovascular accidents, and other neurologic illnesses. These patients also have high utilization costs and may see multiple providers or frequently seek uncoordinated care in emergency rooms and hospitals.

The patients may have limited family support or family caregivers with their own health concerns. The confluence of these factors often results in frequent hospitalizations for uncontrolled symptoms and/or exacerbations of chronic disease.

What if I need more information?

More information is available at or by calling the 24/7 Patient and Referral Hotline at 1-844-232-0500.

#palliativecare, #bcbsnv, #medicaid, #aspirehealth

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My name is Kate Patskovska, CPB. I am an Independent Medical Biller CPB (AAPC) and an owner of KR2 Medical Billing. KR2 Medical Billing is a full service Consulting/Medical Billing Business that is dedicated to educating, consulting, and overall improving the "financial health" of your medical practice.

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