Yuvo Well being, a startup that gives value-based contracting products and services, and Centene Corp. subsidiary Fidelis Care are partnering to amplify sources for federally certified well being facilities in New York.
The facilities supply products and services akin to preventative care, forte products and services and behavioral well being sources for underserved populations, whilst additionally addressing socioeconomic limitations. They qualify for federal investment and enhanced reimbursements from Medicare and Medicaid. Fees are in response to a affected person's source of revenue.
Yuvo takes on problem dangers for the neighborhood well being facilities and is helping negotiate contracts with shared financial savings, which can be funneled to the well being facilities. Fidelis, the biggest Medicaid managed-care supplier in New York, handles reimbursements. With the partnership, Fidelis is better-positioned to incorporate individuals in value-based offers, when maximum well being facilities would another way now not qualify.
“We really feel very strongly in our talent to extend their capability to serve,” mentioned Cesar Herrera, CEO and co-founder of Yuvo. “How we call to mind it in relation to reworking is by means of appearing evidence that this fashion is sustainable and it is scalable. … The fashion itself isn't essentially novel.”
Yuvo was once based in 2021 and previous this yr raised $7.3 million in seed investment.
It plans to spouse with different managed-care suppliers in New York.The 2-year partnerships start with the well being facilities now not sharing in any losses after which evolve into a degree 2 mitigated-risk fashion, the place the facilities proportion a part of any loss. Herrera mentioned Yuvo will have to be certain the well being facilities are in a position to resist added menace.
Fidelis didn't reply to requests for extra main points.
Yuvo just lately partnered with 4 impartial federally certified well being facilities, together with Lengthy Island Choose Healthcare, a Suffolk County, New York-based middle that were given its get started serving other folks with highbrow and developmental disabilities. The middle's CEO, James Powell, mentioned the partnership is helping with workflow development and neighborhood engagement. It will another way have taken years to construct this stage of improve, he mentioned.
Those partnerships additionally supply sources for understaffed facilities to take care of high quality, mentioned Miriam Vega, CEO on the Joseph P. Addabbo Circle of relatives Well being Middle, which has places in remoted spaces between Long island and Lengthy Seashore. The middle hopes to make use of the shared financial savings during the partnership to spend money on new methods akin to a diabetes wellness middle, she mentioned.
Vega mentioned regardless of restricted sources, the well being facilities play an important neighborhood position.
“We offer such a lot of very important products and services, and right through the pandemic particularly … the federal government, the White Area, trusted neighborhood well being facilities akin to Addabbo to do COVID checking out, to do the vaccine, and we did not get in point of fact reimbursed for the ones products and services,” Vega mentioned.
Yuvo desires to amplify past New York, Herrera mentioned. It hopes to go into Ohio in 2023, adopted by means of doable expansions into Michigan, New Jersey, Pennsylvania and the Washington, D.C., space.