Health Navigator

Sun Life U.S. expands Health Navigator offering to group benefits clients to help more workers access healthcare

Retrieved on: 
Wednesday, January 31, 2024
Parent, Navigator, Physician, Diagnosis, Roger Hawkins (drummer), Health Navigator, Sun Life Financial

Health Navigator , powered by PinnacleCare, which Sun Life first launched as an offering to its medical stop-loss clients, helps employer-sponsored health plans and benefits work more efficiently, resulting in better health outcomes for employees.

Key Points: 
  • Health Navigator , powered by PinnacleCare, which Sun Life first launched as an offering to its medical stop-loss clients, helps employer-sponsored health plans and benefits work more efficiently, resulting in better health outcomes for employees.
  • This expansion is the next step forward in bringing care navigation services to more of our group benefits clients."
  • Acquired by Sun Life U.S. in 2021, PinnacleCare's health navigation services result in more effective and efficient care.
  • In 2022, Sun Life's Health Navigator data showed:
    52% of expert medical opinions identified for members a more appropriate treatment plan or variation to their original diagnosis.

Main Street Health Announces $315M Financing Round to Expand Into 26 States

Retrieved on: 
Sunday, October 8, 2023
Oak, Main Street, Center for Medicare and Medicaid Innovation, Medicare, Physician, CMMI, Brunswick Maine Street Station, Health Navigator, Patient, Nursing

NASHVILLE, Tenn., Oct. 8, 2023 /PRNewswire/ -- Today, Main Street Health, the nation's largest value-based healthcare organization exclusively serving rural America, announced its expansion into 26 states. In conjunction with this announcement, Main Street announced it has raised over $315M in new capital including investment from strategic health plan and provider partners.

Key Points: 
  • NASHVILLE, Tenn., Oct. 8, 2023 /PRNewswire/ -- Today, Main Street Health, the nation's largest value-based healthcare organization exclusively serving rural America, announced its expansion into 26 states.
  • In conjunction with this announcement, Main Street announced it has raised over $315M in new capital including investment from strategic health plan and provider partners.
  • Main Street partners with primary care clinics in rural America by placing a Health Navigator in each partner clinic.
  • Main Street currently partners with over 900 clinics across 18 states with plans to expand into an additional eight states in 2024.

Solano County Substance Use Symposium Brings Drug Treatment Community Together to Reduce Overdoses

Retrieved on: 
Wednesday, August 31, 2022
Drug overdose, Partnership, CA, Philippine Drug Enforcement Agency, Public health, Bed, Opioid overdose, HIDTA, Death, Problem solving, Touro University, Health, LinkedIn, Drug, DNA, Symposium (Plato), Solano County Superior Court, Addiction, GLOBE, Symposium, Health Navigator, Club, San Francisco State University, CE, Patient, Medical device, Pharmaceutical industry

This first-ever event will be held on Sept. 9, 2022, from 7:30 a.m. to 4 p.m. in partnership with Solano County, Drug Safe Solano, Touro University, the CA Bridge Program, and New Start Recovery Solutions.

Key Points: 
  • This first-ever event will be held on Sept. 9, 2022, from 7:30 a.m. to 4 p.m. in partnership with Solano County, Drug Safe Solano, Touro University, the CA Bridge Program, and New Start Recovery Solutions.
  • The Symposium aims to bring emergency medical, drug treatment providers and those invested in County's public health and justice systems together to strengthen community partnerships and develop real-world strategies to remove barriers to care.
  • "Solano County is home to more than 440,000 people but has just eightsocial modeldetox beds and, like most California counties, limited resources for inpatient treatment.
  • Solano County faces both a huge challenge and opportunity in bringing everyone to the table to break down siloes and open more doors to treatment," said Judge Daniel Healy, Solano County Superior Court.

COVID-19 was one of the costliest medical conditions in 2021, with the highest claim reaching $1.75 million, Sun Life claims data shows

Retrieved on: 
Tuesday, June 21, 2022
Sun Life Financial, Comorbidity, Burns, Kaiser Foundation, COVID-19, Disability, TSX, Mood disorder, Research, Insurance, Pharmacy, Sepsis, Cancer, Birth, Malnutrition, Health Navigator, Haemophilia, Growth, Mental health, Annual report, Health, SLF, Bermuda, United Kingdom, Hospital, PSE, NYSE, Risk, Life, Dietary supplement, Health insurance, Pharmaceutical industry, Animal, Financial services

WELLESLEY, Mass., June 21, 2022 /PRNewswire/ -- Sun Life U.S. has released its 10th annual report on high-cost medical claims, analyzing its stop-loss claims data and medical trends from 2018 – 2021. COVID-19 rose to a top 10 costliest condition in 2021, with the highest-cost COVID-19 claim reaching $1.75 million. Other categories of medical claims, including cancer and mental health claims, showed increases as well. The report reviewed nearly 50,000 Sun Life member claims from more than 2,800 self-funded employer clients around the country, providing research and data indicative of U.S. healthcare trends. The rise in claims over the study period are the result of increases in underlying medical claims cost as well as changes to Sun Life's book of covered business.

Key Points: 
  • COVID-19 rose to a top 10 costliest condition in 2021, with the highest-cost COVID-19 claim reaching $1.75 million.
  • Other categories of medical claims, including cancer and mental health claims, showed increases as well.
  • Sun Life also provides members with health advisory and care navigation services through its Health Navigator solution, powered by PinnacleCare.
  • COVID-19 claims that were severe enough to breach stop-loss deductibles averaged $231,300, with the highest claim at $1.75 million.

Pacific Clinic's Scott Fairhurst & Laura Pancake To Present On The Future Of Person-Centered Care At May 26 OPEN MINDS Circle Elite Virtual Executive Roundtable

Retrieved on: 
Monday, May 16, 2022
Senior, Assistant, Evidence-based practice, Population, San Bernardino County, California, Rehabilitation, Psychology, Mental health, Housing, Los, Psychiatric hospital, Multimedia, OPEN, Health, Tornado outbreak of May 26–31, 2013, University, Patient, Los Angeles Business Journal, Western Region, COVID-19, Data, California State University, Mortality, Marketing, Research, MINDS, Health Navigator, Culture, Whittier College, Efficiency, Bachelor of Arts in Applied Psychology, Virginia University, Partnership, III, Program, Pacific Ocean, Technology, Organization, Women Leaders in Global Health Conference, Psychiatric Services, Behavior, Woman, Evaluation, Executive education, Schizophrenia, Virginia Department of Behavioral Health and Developmental Services, West Virginia University, Management, Medicine, Online shopping, Social work

Pacific Clinics engages in data-driven conversations with their clients and treatment team and evaluate consumer progress to improve consumer outcomes.

Key Points: 
  • Pacific Clinics engages in data-driven conversations with their clients and treatment team and evaluate consumer progress to improve consumer outcomes.
  • Scott Fairhurst, Ph.D., is the current vice president of outcomes and evaluation, analytics, and training for Pacific Clinics.
  • Once an exclusive benefit to Elite members of the OPEN MINDS Circle, these impactful sessions are now available to all OPEN MINDS subscribers and available on demand.
  • For more information on the program, sponsorship opportunities, or media inquiries, contact the Executive Education & Events team, at 877-350-6463 or [email protected] .

New IEHP Program Connects Members to Needed Services

Retrieved on: 
Monday, November 29, 2021
Patient, Caregiver, Health Navigator, Medicare, Partnership, Health, Community, Social support, Barstow Community Hospital, Physician, View, Cal, Health care, Organization, Multimedia, Health insurance, Medicine, Airline

RANCHO CUCAMONGA, Calif., Nov. 29, 2021 /PRNewswire/ -- A new Health Navigation Pilot Program is underway at Inland Empire Health Plan (IEHP), connecting patients in Barstow to primary care physicians, needed social services, and more.

Key Points: 
  • RANCHO CUCAMONGA, Calif., Nov. 29, 2021 /PRNewswire/ -- A new Health Navigation Pilot Program is underway at Inland Empire Health Plan (IEHP), connecting patients in Barstow to primary care physicians, needed social services, and more.
  • IEHP Health Navigators provide referrals to other health plan services based on needs expressed during the calls, including organizing doctor's appointments for members.
  • "Additional follow-up calls post-discharge from IEHP to their members will only further benefit their members by improving the continuum of care for patients," added Ventura.
  • Since the pilot program began in early October, more than 30 IEHP Members have been supported.

Sun Life launches Health Navigator powered by PinnacleCare to help people get the right medical diagnoses and care

Retrieved on: 
Thursday, September 9, 2021

Sun Life has launched Health Navigator powered by PinnacleCare to help people navigate the complex healthcare system to get medical opinions, find the right specialists and treatment centers, schedule appointments, and even track down medical records or documentation from various providers.

Key Points: 
  • Sun Life has launched Health Navigator powered by PinnacleCare to help people navigate the complex healthcare system to get medical opinions, find the right specialists and treatment centers, schedule appointments, and even track down medical records or documentation from various providers.
  • As someone who has worked within the healthcare and health insurance sectors, I know that health navigation is invaluable and uniquely personal.
  • Sun Life is offering the Health Navigator with stop-loss coverage, which covers high-dollar medical claims for employers who self-fund their health plans.
  • ), except in New York, where policies are issued by Sun Life and Health Insurance Company (U.S.) (Lansing, Mich.).