Create access to integrated specialized care. No referral required.
Coming soon: Obesity, Prep, Hepatitis-C
And up to half of referring providers will never find out if their patient saw the specialist.2 Here’s why:
the average time it takes for a referred patient to be seen by a specialist.
such as transportation, childcare, or time off work have the biggest affect on Medicaid patients.3
and lack of accepting specialists were cited by most under or uninsured patients.3
AndHealth allows you to provide in-house migraine, IBD (Crohn’s + Ulcerative Colitis), psoriasis, psoriatic arthritis, rheumatoid arthritis, and ulcerative colitis specialized care with more conditions coming soon.
Our specialty care providers become CHC Column 2 contractors and the services are added to Form 5A. Close the referral gap and stay full compliant with all data in your EMR and UDS reporting.
Your patients get access to quality root-cause specialists with little to no wait time and get treated with comprehensive integrated care.
Your patients achieve better health outcomes and stop the progression of their chronic disease.
A turnkey, fully-compliant specialty care solution that includes a comprehensive care team, clinical protocols, technology, and a fully-funded business model.
Address the 80% of health outcomes with specialty care + support to address root causes through clinical protocols that include health coaching, nutrition, movement, stress reduction, sleep, and prescription management.
(Crohn’s and Ulcerative Colitis)
A personalized program that reduces the impact of modifiable risks through lifestyle interventions, nutritional support, and medication optimization to improve overall health behaviors beyond that of traditional healthcare.
Continuous access to care designed to fill the migraine specialist gap and improve outcomes.
An evidence-based, root cause-focused approach to Psoriasis developed by a multi-disciplinary team of experts.
Comprehensive, personalized care that is designed to reduce disease progression and the over-reliance on medication that is commonly found in the current standard of care.
Designed to correct the factors that lead to inflammation which escalates the disease severity and cost of treatment.
(Crohn’s and Ulcerative Colitis)
A personalized program that reduces the impact of modifiable risks through lifestyle interventions, nutritional support, and medication optimization to improve overall health behaviors beyond that of traditional healthcare.
Continuous access to care designed to fill the migraine specialist gap and improve outcomes.
An evidence-based, root cause-focused approach to Psoriasis developed by a multi-disciplinary team of experts.
Comprehensive, personalized care that is designed to reduce disease progression and the over-reliance on medication that is commonly found in the current standard of care.
Designed to correct the factors that lead to inflammation which escalates the disease severity and cost of treatment.
and some diagnoses are 2-3 times more common among women of color4
Due to an inequity in care,
even though prevalence is consistent across backgrounds5
feel like they aren’t taken seriously by their doctor6
How is the new line of specialty services (the Access Service) made available to my existing patients?
If your Covered Entity has not offered neurology, rheumatology, dermatology, or immunology services before, it may be required to add them to its federal report (Form 5A) to maintain compliance with its federal grant (AndHealth can provide templated language). Should a patient need to be seen for one of the new specialty services, AndHealth PC will provide the physician in accordance with your sliding fee scale so that the patient encounter is performed at no cost to the Covered Entity.
Is the AndHealth Disease Reversal program available to my existing patients?
Yes. We recommend that the Covered Entity offer the Disease Reversal program to their community by billing for services or utilizing the sliding fee scale. AndHealth will perform the same functions it performs for employer-sponsored patients. With no employer sponsor, the Covered Entity will reimburse AndHealth a fair market value for its services.
How does a patient get scheduled for services?
AndHealth’s Disease Reversal program is a continuously delivered, bundled episode of care, so there is very little scheduling; the care team responds to asynchronous messages in the AndHealth app as needed. Should the patient need to schedule time with a Covered Entity provider for the Access Service, primary care, or other needs, then the AndHealth team will guide the patient to the CE’s existing scheduling tools.
Do I need to provide support staff (scheduling, nurses, etc.) for the AndHealth PC providers?
No, AndHealth will supply its own support staff. The AndHealth team will need initial training on using your Covered Entity’s scheduling system.
What resources will AndHealth supply for scheduling and appointments, both face-to-face and telehealth?
Most patients choose to interact with the AndHealth Care Team via their mobile phones. AndHealth will provision a capable smartphone and data plan for patients in a needs-based program to use for the duration of their treatment in the Disease Reversal program. No support on-site is needed for these interactions.
When a patient needs a lab draw, or other procedure that requires physical presence, they are scheduled through you Covered Entity’s existing scheduling process.
On days when AndHealth is present in your Covered Entity’s clinic to see patients in-person, AndHealth will supply the clinical and support staff needed to room and treat the patient.
Do I need to request a change of scope with HRSA?
While not required, we recommend that FQHCs request a change of scope with HRSA to add specialty services for migraine and autoimmune conditions. The AndHealth team has model documents for change of scope available on request.
Does AndHealth offer a sliding fee scale?
The AndHealth Access Service can be made available on a sliding fee scale to the Covered Entity’s community. Technically, it would be offered this way by the Covered Entity with AndHealth as a behind-the-scenes service provider. The Disease Reversal program is not covered by health insurance plans and is offered to all patients who meet the clinical eligibility criteria at a zero-dollar cost share.
