On Jan. 1, 2023, EmblemHealth began offering Aspire Health’s in-home palliative care services to its eligible members* as part of our care/case management programs. Aspire Health has been providing palliative care to ConnectiCare members since 2019.
Aspire Health is the nation’s largest provider of non-hospice, community-based palliative care. Since launching in 2013, it has collaborated with doctors to care for more than 50,000 patients with advanced illness.
Aspire Health’s teams include clinicians — doctors, nurse practitioners, nurses — plus social workers, chaplains, and patient care coordinators. Aspire Health provides experienced, compassionate “eyes and ears in the home” of patients with serious illness. They are on-call for patients and their families 24 hours a day, seven days a week. Aspire Health clinicians can prescribe medicines and provide needed support to manage symptoms, such as pain, difficulty breathing, fatigue, nausea, and difficulty sleeping.
Aspire Health will notify your office when a patient has accepted the offer of palliative care. It has a robust data collection system that allows it to track and report to you patients’ status and quality metrics. Further, its system produces a summary of every visit and sends it to your office. Aspire Health will follow your preferences and protocols for communicating about patients and coordinating their care. This way you can focus on addressing the underlying illness while Aspire Health makes your patient comfortable.
EmblemHealth covers the full cost of Aspire Health’s services. Aspire Health will apply its proprietary algorithm to identify EmblemHealth members who could benefit from palliative care. You and other health care providers may also refer patients who are EmblemHealth members by calling 844-232-0500 (TTY: 711) from 8 a.m. to 8 p.m., Monday through Friday.
*The following members are excluded from this program:
- Those with Administrative Services Only (ASO) or City of New York PPO plans.
- Members covered by Dual Eligible Special Needs Plans (Medicare D-SNP).
- Members managed by Health Care Partners, SOMOS, and CityBlock.
JP 61384 02/2023
