FREQUENTLY ASKED QUESTIONS
What is TANDEM365?
TANDEM365 represents a new concept in healthcare known as an integrated care model which refers to the management of medical, behavioral, and social health. The integrated care model focuses on improving the quality of life and addressing care and services which today are not typically reimbursed.
Why choose TANDEM365?
You have access to the best services and supports in our community through a single point of contact.
Who qualifies for TANDEM365?
Persons with little or no social support, who are 55 and older, and who need assistance managing their medically complex health issues. Participants are referred to TANDEM365 by Priority Health. At the same time, conversations are in process with other insurance companies.
Who is my Doctor in TANDEM365?
Each participant retains his/her Primary Care Physician (PCP). TANDEM365 nurses update physicians with health concerns and work to schedule an appointment with the PCP to coordinate services.
How does TANDEM365 work?
The hallmark of this program is developing a personal relationship with each participant. After a referral is received, each participant is assigned a nurse and social worker who evaluate the participants medical and social needs. Through the development of this relationship, personal goals are determined and a life plan is created. TANDEM365’s purpose is to be a partner through life’s journey.
TANDEM365 has trained health professionals available 24 hours a day, 7 days a week. After-hour calls are triaged by Life EMS whose paramedics can assist with treatment options and interventions. Often, transporting to ER is not required if the call is not life threatening.
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.
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 is currently enrolling select participants into our pilot program. Many conversations are taking place today with Blue Care Network, Priority Health, and Molina regarding 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.