Quality care is what matters to us at Seton Health Alliance (SHA), not quantity.
At no cost to the patient, we provide help for more complex cases through our Care Coordination team. Some patients need more than one caregiver, and their health may suffer if that care isn’t coordinated. We work with all providers as a cohesive team within our network, and that means clearer, faster communication, with care delivered by the right provider when it is most needed. This is true even for complex or chronic conditions.
Quality, Not Quantity
Our network providers are scored based on quality targets rather than patient volume. This prioritizes attention to detail over speed of service and physicians to devote the right amount time to each and every patient without the pressure to rush through to the next name on the list.
We are governed and led by local physicians who truly understand the challenges faced by both patients and care providers. These local physicians work together, defining best practices and charting clearly defined paths that will lead to healthier patients and populations.
Doctors Provide Care and Administrators Administrate
With the support in place for complex patients and situations, such as hospital to home transitions, healthcare providers free their attention away from time-consuming administrative tasks, and can go back to enjoying hands-on patient care.
We are organized around creating great care at a lower cost than traditional fee-for-service medicine.
The providers in our network contribute to limiting spiraling healthcare costs by encouraging a higher level of the right, coordinated care. By gaining better control over duplicate or unnecessary tests and procedures, high-cost healthcare is nipped in the bud.
Helping already healthy patients stay healthy means fewer trips to the doctor. We are built around the idea that physician and patient need to work together to maintain good health. Emphasizing the need for appropriate care screenings and preventive care can help catch potentially serious issues early, when they can be treated relatively quickly and cost-effectively.
Educating and Empowering Patients
Our Care Coordinators reduce costs by educating patients about their personal role and options for care. By offering information about health and wellness care to patients, we can lower the rates of preventable illness. Our Care Coordinators also direct patients toward more cost-effective solutions, like explaining when to visit urgent care instead of the ER and the benefit of generic drugs. Empowering patients helps them make better health decisions.
Shared Administrative and Infrastructure Costs
Employers and brokers see timely cost savings through our administrative-level collaboration. Our partnership with Aetna gives employers a comparably low-cost benefit option for their employees. Narrow networks like Aetna Whole Health focus on improving the quality of healthcare and the patient experience. This can lead to between eight to 15 percent savings compared to broad network plans.
We are built upon the philosophy of treating people like people, not just patients.
Removing Obstacles to Care
We understand that the best care in the world isn’t good enough if someone is unable to get to appointments or follow instructions due to non-medical problems. This is why our Care Coordination team reaches out proactively as problem solvers, helping with both health-related and non-health-related issues. To ensure the whole patient is cared for, we understand there is more to healthcare than the time spent with doctors.
Focus on Prevention
When preventive care moves front and center and joins forces with improved provider coordination, follow-up visits and patient education stop falling through the cracks, resulting in patients who are better able to manage their own health and make informed decisions to improve their health.
Within our network, each patient’s treatment plan is determined by his or her healthcare needs. Our Care Coordination team works directly with patients and care providers to ensure patient needs are met for both acute and preventative action. High-risk patients can get added support through outreach initiatives. Patients dealing with chronic or multiple conditions receive extra help navigating their care.
We are organized and built upon the value-based approach to healthcare. All this means is that doctors and other care providers are paid more for care that benefits the patient and less for care that doesn’t. As a result, providers are rewarded for helping their patients stay healthy and preventing complications from chronic conditions. The addition of our Care Coordination team allows a focus on individual needs across disciplines. From wellness to prevention to acute care, our teams work together to keep you healthy.