Bloom Healthcare Named a Direct Contracting Entity (DCE) by the Center for Medicare and Medicaid Innovation (Innovation Center)

–News Direct–

Bloom Health Network, a wholly owned subsidiary of Bloom Healthcare Inc. (“Bloom Healthcare”) an industry leader in comprehensive home-based primary care and behavioral health integration, has been named a Direct Contracting Entity (DCE) by the Center for Medicare and Medicaid Innovation (Innovation Center). Bloom Healthcare began participating in the new Global and Professional Direct Contracting (“Direct Contracting”) model on January 1st of this year and is one of eight (8) DCEs serving a High Need Population in the new model.

High Needs Population DCEs use a model of care specifically designed to serve Medicare beneficiaries with complex medical needs, in particular those that are homebound or reside in assisted living facilities. The Direct Contracting model enables participating organizations, like Bloom Healthcare, to reduce medical expenditures and improve quality of care and health outcomes for Medicare beneficiaries with complex, chronic conditions and advanced stage illness. In addition, the model aims to improve how Medicare patients experience healthcare by reducing administrative burdens and increasing time spent with their primary healthcare provider.

“Bloom Healthcare is redefining how our patients and partners experience healthcare by transforming the way care is delivered in the communities we serve. Our mission fully aligns with the goals and objectives of the Innovation Center’s Direct Contracting model and is yet another example of Bloom’s commitment to continuously innovate, improve quality of care and health outcomes for our patients” said Thomas Lally, M.D., CEO of Bloom Healthcare.

Bloom Healthcare will be accountable for the cost and quality of services provided to their patients who are Medicare beneficiaries participating in the new model. The Direct Contracting model offers participating DCEs, like Bloom Healthcare, increased flexibilities, such as the ability to directly contract with other types of healthcare providers, develop preferred provider relationships and aligned incentives to improve care coordination. As a DCE, Bloom can offer benefit enhancements and additional services to eligible Medicare patients, which are not traditionally covered by the Medicare program.

“Our participation in this new Innovation Center model will enable Bloom Healthcare and our participating primary care providers to provide their most vulnerable and medically complex patients with a level of value-based care that heretofore has not been possible in the traditional Medicare program. It builds on our organization’s success in other value-based care model partnerships, such as with Medicare Advantage organizations” said Franke P. Elliott, President of Bloom Health Network, Bloom Healthcare’s DCE.

Bloom Healthcare enhances the quality of life and well-being of seniors and their caregivers by providing high quality healthcare wherever they choose to live – at home, or in senior housing, such as an assisted living facility. Patients are cared for by a primary care provider who is supported by a robust multidisciplinary care team, consisting of administrative coordinators, nurse clinical coordinators, social workers, pharmacists, behavioral health specialists and complex case managers, who provide care in accordance with a comprehensive care plan developed with patients and their families, with a focus on maximizing quality of life and meeting patients’ goals.

For information about Bloom Healthcare and our participation in the Direct Contracting model, please visit https://bloomhealthcare.com/bloom-dce/

Disclaimer: The statements contained in this document are solely those of the authors and do not necessarily reflect the views or policies of CMS. The authors assume responsibility for the accuracy and completeness of the information contained in this document.

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Angela Fulcher

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