FREQUENTLY ASKED QUESTIONS

 

What is TANDEM365?

TANDEM365 represents a new concept in healthcare, known as an “integrated care model.” “Integrated care” refers to the management of the medical and behavioral health of an individual. It also relates to physical and social aspects that impact health. Integrated care models focus on elements that improve the overall experience for participants while addressing care and services that today are not reimbursed by payers. We call these “non-traditional services,” which include transportation, personal aides, chore services, adult day care, and technology.

Why choose TANDEM365?

You have access to the best services and supports in our community through a single point of contact.

How does TANDEM365 work?

After signing up, a TANDEM365 navigator will call within a couple of days to set up a time to meet in your home. During the meeting the navigator will discuss your health needs and goals, and what is important to you. Through this discussion we will put together a plan to meet your individual needs.

What makes TANDEM365 different?

This model includes non-traditional services that are not currently reimbursed by insurance such as transportation, personal aides, chore services, adult day care, technology and more through a single point of contact.

How are participants selected for TANDEM365?

Initially, participants will be selected by insurance providers based on their health care needs.

How long can one participate in TANDEM365?

TANDEM365 is a health partner for life. There are no time or financial restrictions or limitations.

What is EHCO, LLC?

EHCO, LLC is a partnership formed by Clark Retirement, Holland Home, Life EMS Ambulance, Porter Hills, and Sunset Retirement Communities and Services. EHCO, which stands for Extended Health Care Organizations, is doing business as TANDEM365.

Are there other partners working with EHCO partners?

EHCO has a longstanding relationship with St. Ann’s and Pilgrim Manor, and considers them integral to the success of TANDEM365.

Why these partners?

All providers have many years of experience and provide many valuable services that can be accessed by participants, such as personal care, chore services, skilled nursing services, transportation, telehealth, and PERS (personal emergency response systems).

When will TANDEM365 begin to enroll participants?

TANDEM365 will begin to enroll participants in April of 2014. Many conversations are taking place today with Blue Care Network, Priority Health, and Molina. Demonstration pilots are being developed for a subset of insured individuals chosen by these insurers based on selection criteria.

What does a case manager/navigator do?

The case manager/navigator holds the participant’s story and carries that story to all the rest of the team, especially the physician. Participating in the IDT team meetings, as well as accompanying the participant to physician visits, will aid in ensuring ongoing back-and-forth communication, thereby alleviating gaps and inconsistencies.

What are the elements of TANDEM365 that impact the cost of care, improve care outcomes, and enhance participant experience?

- Intense case management/navigator, a registered nurse and/or social worker

- Interdisciplinary Team of a physician, registered nurse, social worker, therapists, aides, etc., who discuss and review the plan of care

- Rapid response teams (EMS, 24/7 on-call)

- Non-traditional services, such as meals, transportation, telehealth, personal emergency response systems, personal care, etc.