Medical Supply Program

Complex-Care Medical Supply Program Overview for Patients


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.

Conversio Health's mission is to focus on the entire patient; specializing in providing patient-specific solutions instead of just vending supplies. Unlike other medical suppliers, Conversio Health's pharmacy-driven management approach offers a multitude of medical supply related solutions for respiratory patients and patients needing wound care supplies, incontinence supplies, urinary catheters, and miscellaneous, hard-to-obtain soft goods.




Care Coordination

Our Value-added Coaching Program includes disease-specific education. Clinical Pharmacists and specially-trained Patient Care Coordinators provide support for patients on an ongoing basis. Interventions for high risk patients includes follow-up to ensure compliance with prescribed regimens. The team works as a patient advocate and partner in care coordination.

Conversio Health supports good medication adherence.

Our Services Include:

Urologic, Ostomy & Wound Care

Urologic, Ostomy & Wound Care

  • Urinary Catheters
  • Incontinence Supplies
  • Ostomy Supplies
  • Wound care Supplies
  • Home Health Care Coordination

Respiratory

Respiratory

  • Nebulizers and Related Supplies
  • Clinical Pharmacist Consultations
  • Education Materials and counseling
  • Follow-up calls for supply usage/compliance/fit

How the Program Works

  1. Health Plan pharmacy and medical claims data are mined by Conversio Health to determine the population most likely to benefit from the program
    • - Members are stratified based upon proprietary algorithms, identifying those most at risk of repeat hospitalizations
    • - Particular emphasis is placed upon those members with one or more co-morbidities
  2. Once the target population has been identified, Conversio Health works with the partner Health Plan to educate members and providers about the program
  3. Conversio Health contacts members via phone and letter inviting them to participate in the program
  4. During the initial patient phone call additional clinical information is gathered regarding the patient's condition as well as an understanding regarding any financial or medical barriers to a prescribed treatment regimen
  5. Fulfillment of supply needs are coordinated to prevent home health duplication of service
  6. The Complex Care Coordinators then contact the patient's physician to develop a Treatment Plan outlining the most appropriate medical supplies and/or testing regimens for the patient based upon their disease state(s) and specific supply needs
  7. The patient is provided education regarding the medical supplies utilized for their disease state(s), the physician's directions, as well as the proper use of the medical supplies and equipment, if applicable
  8. Patients are continuously monitored with the frequency of contact dictated by the initial risk assessment and following changes in chronic disease status

Not All Supply Vendors are the Same...

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: Partners in Care

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.