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You take care of your patients, 
we take care of the rest.

At Senior Whole Health of New York we keep it simple.

We deliver quality healthcare and improve medical outcomes in a cost effective way to seniors who have Medicaid and Medicare (dual-eligibles).

Our model of healthcare supports the Patient-Centered Medical Home initiative. Clinical staff collaborate with participating primary care physicians, specialty providers and local community services to effectively coordinate medical, behavioral, pharmaceutical, and social and community based services.

The result is a comprehensive, team-based care plan that anticipates and adapts to the changing needs of each member, striving to keep them secure, independent and living in the comfort of their own home.

Senior Whole Health of New York offers many financial and operational enhancements to our working partners, including:

Financial

  • Prompt, accurate claims processing, EDI compatible
  • No co-pays, deductibles or co-insurance to collect
  • Single payment source — no secondary billing required
  • No withholds, no capitation, no risk
  • Increased reimbursement based on Medicare fee schedule
  • Enhanced covered benefits
  • Monthly Medical Home Fee
  • Reimbursement for Telephonic case management time

Operational

  • Care management team to assist you and your staff with care planning, organizing at-home interventions and support, and follow up care
  • Around-the-clock access to a Senior Whole Health of New York Nurse Care Manager for information and to facilitate service coordination
  • Senior Whole Health of New York Nurse Care Managers conduct in-home assessments
  • Ability to maintain current referral patterns
  • Comprehensive, local provider network
  • Reduced administrative burden
  • Access to the Senior Whole Health of New York Centralized Enrollee Records (CER), an automated health record including prescription activity, providers and authorized services