No other community health care organization is better positioned to integrate and coordinate care for your members than VNSNY, helping you to improve the health of populations, enhance member experience and reduce health care costs.
Trusted by New Yorkers for over 125 years, VNSNY is deeply entrenched in the local community and intimately familiar with the unique challenges of managing care for diverse and complex populations. The individual has always been at the center of our care model and the community has always been our health care hub. This enables us to take a unique, locally integrated approach to care, that only VNSNY can provide.
Our model features:
Extensive interdisciplinary care management teams, anchored by Duke University-trained RN Population Care Coordinators, are trained in evidence-based interventions, and have significant experience managing chronic conditions and comorbidities, including heart failure, COPD, and diabetes. We see your members in all settings and through acute episodes and long-term chronic diseases.
Best-in-class risk stratification and analytics enable us to customize and effectively manage care using a dosed mix of in-person, telephonic, and remote monitoring to meet the needs of individual members and at-risk populations.
Clinical expertise and breadth of services to address a spectrum of medical, behavioral, and social needs.
As a leader in Care Management, VNSNY has experience working with a range of customers — from payers to hospitals to ACOs and CBOs — developing tailored solutions for a variety of population needs across the care continuum. Our commitment to clinical quality, innovation, and person-centered care has enabled us to achieve excellent outcomes.
VNSNY’s core Care Management programs include:
VNSNY’s Post-Acute Care Management solution focuses on members recently discharged from an acute facility who are most at risk for re-hospitalizations and extended skilled nursing facility stays. Using evidence-based, interdisciplinary clinical and behavioral activation activities tailored for each member, we can effectively manage the medical, social, and behavioral conditions that influence post-acute recovery. Over a defined time frame, our highly skilled care management team works collaboratively with your existing network partners to ensure the most appropriate care is provided in the most appropriate setting at the right time.
Key program elements may include:
VNSNY’s Complex Chronic Care Management solution is designed to manage high-risk, complex members — those often struggling with multiple chronic illnesses, lack of social support, and self-management challenges. We use an integrated care coordination approach to effectively manage the clinical and psychosocial needs over an extended time frame. Working in collaboration with your existing network partners, our care management experts will screen for risk factors, and develop a customized plan of care.
Key program elements may include:
VNSNY Care Management programs have shown outstanding results: