Coordinated Care is the Key to Better Health Management For Seniors Says Bristol Park Medical Group

The older we get, the more likely we are to need an array of specialists along with our personal physician to handle the medical issues that accompany the aging process.  If it “takes a village to raise a child,” it takes a Coordinated Care program like Medicare Advantage to provide the best healthcare for seniors.

Coordinated Care plans are based around a primary care physician who is responsible for managing (coordinating) your total care: routine and specialty treatment, prescription drugs, and hospital care. Many of the plans go beyond the basics provided by traditional Medicare by offering additional coverage for preventive care and screenings, wellness programs, vision, etc.

Without a coordinated care program, seniors are generally left to muddle through the complicated process of Medicare, supplements and free-standing drug plans on their own. The full responsibility of managing their healthcare falls on their shoulders because each physician they see is autonomous, with little or no communication or coordination among them.

Let’s look at Ruth’s story. On a fee-for-service Medicare supplement; she had a personal doctor and several specialists for various medical problems. No one doctor was responsible for reviewing or coordinating all her care. At 90+ years of age, her aches and pains were to be expected, but nobody anticipated a diagnosis of metastasized cancer after a fall sent her to the ER. Ruth was recently placed in hospice, too late for any treatment options.

Had Ruth been in a coordinated care plan, her primary care physician would have been overseeing all her care. Reports from the specialists would have come back to her physician for review and inclusion in her home-base medical records.  Hindsight is tricky, but perhaps her cancer might have been found early enough to offer some course of treatment, rather than no options at all.

But even a Coordinated Care plan is only as good as the physician administering the care. That’s why it is important tochoose a medical group/physician with a validated history of quality service and care, knowledge, and additional professional and technical support services/systems that can enhance the quality of a coordinated careplan. In addition to the highly trained, care coordination experienced Primary Care Physicians,Bristol Park Medical Group offers:

  • 24 hour/7 days a week telephone advice nurses, for questions and concerns
  • Designated Case Managers to help in the coordination of all levels of care
  • On-site laboratory and routine x-rays
  • Urgent care access with minimal co-pay and no pre-authorization
  • Complimentary lifestyle lectures to help improve quality of life and health
  • Same day appointments
  • Electronic Medical Records

With over 48 years in business - 30 years working in Coordinated Care plans, it’s easy to see why Medicare Advantage plans and Bristol Park Medical Group are the ideal combination for senior healthcare.

Coordinated Care Facts

In 2007, Medicare Advantage saved seniors nearly $90 per month or $1000 per year in out of pocket costs. An estimated savings of approximately $7 billion annually. Additionally, compared to traditional Medicare, Medicare Advantage plans can reduce out-of-pocket costs by up to $4,000 annually for patients with the highest healthcare needs.

  • Comprehensive Care: Patients receive integrated treatment plans, and expert case management and disease prevention strategies for the chronically ill.
  • Cost-Effective Care: Integrated medical groups are able to support investments in advanced healthcare information technology, tracking patient follow-through on treatment plans and patient outcomes, and helping to uncover health problems before they become catastrophic.
  • Accessible Care: Efficiencies within the coordinated care delivery model mean better healthcare for more seniors, including:
    • lower out-of-pocket costs
    • increased health services such as dental care, vision care and preventive care
    • reduced hospitalizations
    • increased prescription coverage
    • higher overall satisfaction rates
    • greater value for the premium dollar than any other healthcare delivery system

What’s At Risk

If Medicare reforms dismantle incentives for coordinated care, seniors will experience significant increases in out of pocket costs - at a time when many seniors have seen their retirement account’s decline by over 40 percent in value — and decreased quality of healthcare.

Downloadable Resources

California Association of Physician Groups Report: From the Point of Care - The Experience of California Physicians in the Medicare Advantage and Traditional Medicare Programs

The Organized Health Care Delivery System

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