Cedars-Sinai and CareMore Health Plan to Deliver “Coordinated” Care for Medicare Patients

Monday, August 31, 2015

LOS ANGELES--(BUSINESS WIRE)-- Los Angeles-area Medicare beneficiaries have a new option to better manage their medical care and improve their health under an agreement between Cedars-Sinai and CareMore Health Plan.

The new agreement pairs Cedars-Sinai physicians and health care teams from CareMore, one of California’s highest-rated Medicare Advantage plans that works to keep patients healthy and out of the hospital by coordinating the care they receive from various medical professionals.

More than 60 primary care doctors and nearly 130 specialists from Cedars-Sinai Medical Group and Cedars-Sinai Health Associates will work with CareMore to identify and treat the medical, mental and social needs of Medicare patients in the program. The organizations plan to expand the panel of participating specialists over time. Medicare Advantage plans are offered by private companies that contract with Medicare to provide managed care for seniors 65 and older as well as persons with disabilities.

“This strategic alliance will expand access to comprehensive care of the highest quality to Medicare beneficiaries in the Los Angeles area,” said Tom Gordon, chief executive officer of the Cedars-Sinai Medical Network. “We are pleased to collaborate with CareMore to provide this enhanced level of care to patients who need to keep a close eye on their health.”

As part of the agreement, CareMore will open a new Comprehensive Care Center, a one-stop location near Cedars-Sinai staffed by its own physicians, nurse practitioners, case managers and other medical professionals. The center will feature programs to help patients manage chronic diseases such as diabetes, hypertension and other medical conditions. Nutritional counseling, strength training and other services will be offered.

In addition, CareMore teams of clinicians and social workers will make house calls to check on patients who are unable to travel to the local center. During the visits, the teams will ensure that prescriptions are filled and even arrange transportation to follow up care center appointments when needed. Patients also can be monitored at home through wireless scales and sensors.

“We look forward to this new alliance that will empower an era of highly coordinated care for local Medicare recipients,” said Leeba Lessin, president of CareMore Health Plan. “Cedars-Sinai is an innovative academic medical center. Its dedication to improve the health of its community is a commitment that is shared by the entire CareMore team.”

About Cedars-Sinai

Cedars-Sinai is a leader in providing high-quality healthcare encompassing primary care, specialized medicine and research. Since 1902, Cedars-Sinai has evolved to meet the needs of one of the most diverse regions in the nation, setting standards in quality and innovative patient care, research, teaching and community service. Today, Cedars-Sinai is known for its national leadership in transforming healthcare for the benefit of patients. Cedars-Sinai impacts the future of healthcare by developing new approaches to treatment and educating tomorrow’s health professionals. Additionally, Cedars-Sinai demonstrates a commitment to the community through programs that improve the health of its most vulnerable residents.

About CareMore

CareMore, rated among the top two Medicare plans in California, has invested in developing an extensive clinical infrastructure centered on high-touch patient-care for Medicare beneficiaries and other populations. Its model focuses on prevention and highly coordinated care resulting in clinical outcomes above the national average. A subsidiary of Anthem, CareMore serves more than 80,000 Medicare members throughout Southern California, Northern California, Las Vegas, Phoenix, Tucson, Ariz., and Richmond, Va., under federally-approved Medicare Advantage contracts. CareMore also is participating in a dual demonstration project in parts of Los Angeles County in conjunction with state and federal regulators to coordinate care for people eligible for both Medicare and Medicaid.