Sharp Healthcare sets the standard for quality care and patient experience in San Diego, so they wanted a platform that would allow them to better address funding needs for uninsured patients in the Emergency Department.
In 2014, Sharp deployed PointCare’s easy to use screening platform so the staff in the E.D. could engage patients and help them connect to funding sources that cover their health care services.
Sharp assists over 1,000 patients per month, using PointCare in their Emergency Departments. On average, patients qualify for 2 programs, whether it’s Medicaid and cash assistance, exchange subsidies and food assistance, or any other combination.
800+ patients are qualifying for some form of Medicaid, too. Which means patients get bills covered, and Sharp gets reimbursed for services.
Clinica Sierra Vista
Reporting and Scalability
Clinica Sierra Vista is a Federally Qualified Health Center (FQHC) in a community where there is a great need for enrollment services. With expanded Medicaid and ACA plans being introduced in 2014, they faced a problem of managing and reporting all their efforts when enrolling thousands of people into coverage.
They looked to PointCare to scale their operations, and automate reporting of a highly regulated process.
Clinica Sierra Vista screens 3,500+ patients for enrollment each month with PointCare. Our task automation and reporting have allowed them to help more patients, and eliminate manual calculations of screens, assists, approvals, and other activities. Now, their enrollment assisters can focus on patients and not tally marks.
UCLA Harbor Medical Center
Coverage made simple
The Urban Health Fellowship at UCLA Harbor Medical Center was seeking a solution to screen and educate patients on all the potential coverage options they may enroll into. The issue was that the volunteers who were doing the work had no experience in health coverage.
By engaging PointCare, these volunteers became “instant experts”. After going through a 1-hour virtual training, over 60 volunteers were deployed over two weekends, navigating people into coverage.
Louisiana Primary Care Association
No wrong door
In 2015, the Louisiana Primary Care Association recognized an opportunity to holistically assist the underserved in their communities by connecting to services beyond Medicaid and exchange plans. At this time, Lousiana had not expanded Medicaid, and many patients seeking assistance were not qualifying for programs, yet they were in need.
By tapping into PointCare’s database of EVERY program, community health centers were now able to connect patients to many more services: cash assistance, food assistance, and other grant programs.
The percentage of people who qualified for at least one program in Louisiana is 82%, whether Medicaid, Exchange subsidies, cancer and screening programs, many more people had access to services than anyone thought. And yet, one out of every two patients screened qualify for Medicaid or exchange subsidy.