As the cost of prescription drugs continues to rise, patients’ refusal or inability to pay for costly medications contributes to an estimated 125,000 deaths every year. VHAN’s Care Navigators often take a closer look at patients’ medications and collaborate with the VHAN Pharmacy team to ensure patients are taking the most effective, affordable medications.

VHAN is pleased to announce that the network achieved 100% performance on all Aetna Commercial quality measures in 2021. VHAN members also scored higher than Aetna’s Q4 national average on several measures, including Breast and Colorectal Cancer Screening and Comprehensive Diabetes Care.

Earlier this year, VHAN staff presented on VHAN’s Community Health Worker (CHW) pilot during Aetna’s quarterly Provider Clinical Transformation Webinar Series. The pilot, launched in 2019, was designed to improve access to care and resources for obstetric patients at Gallatin Women’s OBGYN Center (GWC) in Gallatin, Tennessee, which has a large prenatal patient population with approximately 350 babies born annually. The CHW pilot was designed to help with resource referrals and interventions for patients who need assistance with access to health care, physical and behavioral health support, and social determinants such as homelessness, food insecurity and unemployment. During the Aetna presentation, VHAN shared some initial results of the pilot.

VHAN is excited to announce that the network’s pediatric depression screening rate has dramatically improved. In 2019, VHAN began measuring annual depression screening for children 12 and older. To assist members who were struggling in this area, VHAN licensed clinical social workers met with practices to promote the social work program and the benefits of using the pediatric behavioral health consult line. As a result, by 2021, no VHAN members received a score of zero for depression screening and 46% of practices screened 90% of their VHAN patients for depression.

Identifying and responding to patients’ social needs is an integral part of the work of VHAN’s Care Navigators. In a recent phone conversation with a VHAN RN Care Navigator, a 38-year-old female patient living in East Tennessee reported multiple social and financial barriers to her continuity of care. A kidney transplant recipient, she had recently lost her father to COVID-19, and she was having difficulty managing her health condition, finding work and paying bills. Read the full article to learn more about how VHAN’s Care Management team helped this patient during a difficult time.

During a recent checkup call with a 75-year-old male patient with a history of stroke, a VHAN RN Care Navigator talked to the patient’s wife, who spoke of feeling stressed and overwhelmed. After working full-time and serving for some time as the primary income provider, she was exhibiting classic signs of caregiver burnout—exhaustion combined with feelings of hopelessness and isolation. Read the full article to learn more about how VHAN’s Care Management team helped this caregiver navigate a difficult situation.

Modeled after VHAN’s Pediatric Behavioral Consult Line, which has fielded more than 2,000 phone calls since launching in 2018, VHAN is launching a similar line later this year to assist clinicians with adults who need behavioral health support. The new Adult Behavioral Health Consult Line will be managed by Shannon Brown, LCSW, who will be […]

During a recent Pediatrics Champion Call, Kylie Cormier, MD, from Old Harding Pediatrics Associates (OHPA), shared best practices for capturing a yearly chlamydia screening from eligible patients. This important screening is part of the pediatric modifier for 2022, and it is also a required quality measure for many payors. Dr. Cormier and her colleagues have streamlined the screening process, while ensuring that patients and parents feel as comfortable as possible.

VHAN’s Pediatric Behavioral Health Consult Line is a vital benefit for pediatric providers, connecting practices to licensed clinical social workers who help customize patient care plans, navigate community resources and provide guidance on screening tools. Since launching the consult line in 2018, VHAN social workers have fielded more than 2,000 calls—an impressive milestone.