Care Collaboration and Coordination Agreement will
amplify care for Florida Medicaid and Medicare recipients
Leading health plans Capital Health Plan (CHP) and Florida Community Care (FCC) today announced that they are collaborating to improve health within the local community. The partnership aims to enhance member and provider education, coordinate benefits and care management to close gaps in care, reduce duplicative services, and ensure that members receive high-quality care to meet their unique medical needs.
Through this partnership, health care providers associated with CHP and with FCC will have quick access to both organizations’ medical records, enabling them to quickly assess patient needs and develop a course of treatment.
“This collaboration is all about improving the patient experience for the most vulnerable by providing holistic care,” said Dr. Lynn Jones, an internal medicine physician and CHP’s associate medical director. “This relationship will provide case managers and health care providers with a more comprehensive view of the patient profile, leading to more personalized care.”
The members that are dual-eligible for both plans are some of the area’s most vulnerable residents, often suffering from multiple chronic conditions and with varying degrees of functional impairment. With the needs of these members’ Long-Term Services and Supports (LTSS) met by FCC and their Medicare benefits provided by CHP.
“Care integration is the future, something we have been working toward for decades,” said Nestor Plana, chairman and chief executive officer of FCC. “Partnering with Capital Health Plan will close care gaps, allowing members to receive the care they deserve.”
By identifying innovative ways to increase community well-being, the integrated FCC and CHP programs will incorporate social services into routine health visits to better address the social determinants of health, such as economic standing. They also plan to deliver person-centered care through health benefits and wellness programs to encourage healthy behaviors. Furthermore, the two organizations are committed to helping patients better manage high-cost chronic conditions like diabetes and hypertension through this integration of care model.
For more information, visit https://capitalhealth.com.
About Capital Health Plan
Capital Health Plan (CHP) is committed to offering affordable, comprehensive health care to its members. In over 38 years, CHP has grown to serve over 132,000 members in the Florida Panhandle and has an extensive physician network that includes three exclusive CHP health centers that provide preventive, primary, and specialty care services. CHP has also consistently been recognized as one of the top plans in Florida and among the highest rated plans in the nation, according to the National Committee for Quality Assurance’s (NCQA). NCQA’s Private Insurance Plan and Medicare Health Insurance Plan Ratings 2019-2020 rated both CHP’s Commercial private plan and Medicare plan 4.5 out of 5. Based out of Tallahassee, FL, it is an independent licensee of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield companies. For more information, visit www.capitalhealth.com.
About Florida Community Care
Florida Community Care (“FCC”) is a Provider Services Network (“PSN”), contracted to provide ManagedMedical Assistance (“MMA”) and Long-Term Care (“LTC”) services across the state of Florida; sponsored by FCC and the State of Florida, Agency for Health Care Administration. FCC serves the long-term care eligible individuals, focusing on preventing unnecessary admissions into institutionalized settings, and fostering independence by connecting members to community resources that meet their long-term care needs and addressing social determinants of health. For more information, visit www.fcchealthplan.com.