According to the US Census Bureau, 39.6 million people (12.9%) are over the age of 65. By the year 2020, 16% of the US population will be 65 or older. According to the CDC, 80% of the elderly have at least one chronic disease and 50% have two. The costs of chronic diseases account for 70% of the healthcare spend. According to the AHRQ research, the number of Americans who will suffer functional disabilities due to arthritis, stroke, diabetes, coronary artery disease, cancer, or cognitive impairment is expected to increase at least 300% by 2049. However, having chronic conditions does not necessarily mean becoming disabled.
Our goal at Conversio Health is to provide services at home that enable patients to stay as independent as possible for as long as possible. With better management of their chronic condition and maintenance of their functional ability through self-management programs, the elderly can remain at home and potentially avoid unnecessary hospitalizations.
Diabetes affects approximately 16 million Americans and accounts for an estimated $98 billion in annual health care costs. People with diabetes often have increased risk for other chronic diseases, conditions or co-morbidities, such as obstructive sleep apnea (OSA), congestive heart failure (CHF), hypertension, COPD/asthma and obesity. Conversio Health's mission is to focus on the entire patient specializing in providing patient-specific solutions and not just be a vendor of supplies. Unlike other medical suppliers, the pharmacy-driven management approach offers a multitude of medical supply related solutions for the complex diabetic patient including: testing supplies, sleep apnea supplies (CPAP/BiPAP), wound care supplies, incontinence supplies, urinary catheters, and various miscellaneous hard to obtain soft goods.
Our Value-added Coaching Program includes disease-specific education. The multi-disciplinary Care Team of Patient Care Coordinators, Nutritionists, Nurse Case Coordinators, WOCN Nurse (wound, ostomy, continence), and Clinical Pharmacists provide support for the complex diabetic patient on an ongoing basis. Patient interventions for high risk diabetic patients provide follow up to ensure compliance with testing regimens and a focus on diet through nutritional counseling with our staff nutritionists. The team works as a patient advocate and partner in care coordination.
Through a collaborative multi-disciplinary approach, the organization is focused on the exchange of patient-specific health information. The organization partners with the patient's providers of care, including their physician, focusing on providing continuous feedback regarding the patient's plan of care. In addition, the Conversio Health Clinical Case Managers work in collaboration with the patient's Health Plan Case Managers and exchange clinical information to assist with treatment plan adherence and ED/IP re-admission prevention strategies. High-risk patients are identified and monitored by the Conversio Health multi-disciplinary clinical team in collaboration with the Health Plan's Case Managers.
Conversio Health is not a disease management company but rather an important partner in the delivery of care. As a multi-disciplinary pharmacy, and not just a medical supplier, a comprehensive treatment approach is provided addressing the complex care needs and co-morbidities associated with select chronic diseases. Through its team of case managers, nutritionists, respiratory therapists and licensed pharmacists, all aspects of the member's condition are addressed in cooperation with the patient's primary care provider and the health plan case management team. Detailed effectiveness reporting is provided regularly to document progress toward common goals in improving care delivery and efficiency.
Our unique pharmacy-based model specializes in coordinating the chronic care needs of our patients. Unlike a traditional pharmacy or supplier, Conversio Health relies upon a pro-active data driven model which includes the use of extensive internal proprietary databases and medical management dashboards to navigate the anticipated needs of patients including refill management, supply exhaustion, patient events, clinical outcomes and program effectiveness reporting.