FAQ
FAQ
Get answers to common questions about Wellvana.
Get answers to common questions about Wellvana.
For providers
For providers
What is value-based care?
What is value-based care?
Any healthcare arrangement where the physician is incentivized to minimize the cost of care while improving the experience for patients could be described as “value-based care.” Wellvana mostly works with primary care physicians under value-based care programs with Medicare and Medicare Advantage. CMS and private payors look at a patient’s health and estimate how much it will cost to care for them under a traditional plan. They offer that amount of money and let physicians share the savings generated by keeping patients healthier and avoiding unnecessary care or redundant testing.
What does Wellvana do?
What does Wellvana do?
“Value-based care enablement” has become the industry term. What that really means is we help primary care practices take the leap into value-based care. A big barrier remains assuming the financial risk. Many doctors can’t afford to take a chance that they would lose money on patients and put their practice at risk. So Wellvana takes the risk. And to ensure success, Wellvana provides medical coding consultation, care management and a practice transformation specialist to be a guide into value-based care.
Who does Wellvana serve?
Who does Wellvana serve?
Wellvana works with a wide variety of providers, from one-physician independent practices to large integrated health systems. We have partnered with physicians in more than 20 states.
What makes Wellvana different from other value-based care companies?
What makes Wellvana different from other value-based care companies?
Wellvana is a true partner in value-based care, not just a tech platform. We're also primarily interested in helping providers transition to full risk value-based care, not just partial risk. To succeed, Wellvana offers complimentary care management and coordination led by a team of registered nurses. And Wellvana covers 100% of the upfront costs.
Who started Wellvana?
Who started Wellvana?
Wellvana was co-founded in Nashville by Charlie Martin and Devin Carty of Martin Ventures in 2019. The company teamed up with founding physicians Dr. Saleh Jaafar and Dr. Jairo Melo in San Antonio, who were already working on a clinically integrated network focused on value-based care.
What is it like to be a Wellvana provider?
What is it like to be a Wellvana provider?
Wellvana providers are incentivized to see fewer patients and keep them healthier, all while participating in the financial savings from doing so. Don’t expect the transition overnight, but we believe in what we’re doing. And we want Wellvana providers to have a healthier practice and maybe get home for dinner more often.
For patients
For patients
What is value-based care?
What is value-based care?
Value-based care incentives the quality of a patient's care, not the quantity of it. We believe that with primary care doctors as the quarterback of care, patients will be more likely to stay healthy and on top of critical preventive care efforts. You can read more about what it's like to be a patient in value-based care here: https://wellvana.com/news/Patient-VBC101
What does Wellvana do?
What does Wellvana do?
“Value-based care enablement” has become the industry term. But put simply for patients: We help doctors improve your care and get more time with you at your appointments. We also provide care managers and coordinators who will give you an extra layer care to keep you healthier on the 360+ days you're not at the doctor's office.
Who does Wellvana serve?
Who does Wellvana serve?
Wellvana works with a wide variety of doctors, from one-physician independent practices to large integrated health systems. We have partnered with physicians in more than 20 states. We help them elevate their patient experience by providing an extra layer of care between patient appointments as well as providing dedicated support to their patients following hospital visits and scheduling patients for their annual wellness visits so they can stay on top of preventive care.
What is Wellvana Premier Care, LLC?
What is Wellvana Premier Care, LLC?
It is a legal entity owned by Wellvana, which is enrolled in the ACO REACH program.
What is Prime Accountable Care East, LLC?
What is Prime Accountable Care East, LLC?
It is a legal entity owned by Wellvana, which is enrolled in the ACO REACH program.
What is it like to be a Wellvana patient?
What is it like to be a Wellvana patient?
Prevention becomes the focus. Annual wellness visits will allow the patient’s physician to catch health issues early. If a patient is admitted to the hospital, that patient can expect a call from a Wellvana care coordinator to schedule a follow-up so the patient’s physician can make sure the patient is healing properly and doesn’t end up back in the hospital. And for patients with multiple chronic conditions, Wellvana nurses stay in touch on a weekly basis to monitor medications, resolve logistical challenges and answer any health questions.
ACO REACH
ACO REACH
What is an ACO?
What is an ACO?
ACO stands for Accountable Care Organization. ACOs break down silos and deliver high-quality, coordinated care to their patients, improving health outcomes and helping to manage costs.The 2010 Affordable Care Act brought about the ACO as part of a larger strategy to reduce runaway costs. The entities are charged with helping physicians improve care and lower costs for Medicare, Medicaid and commercial health plans. Learn more about ACOs here: https://wellvana.com/news/acos-what-to-know
What is ACO REACH?
What is ACO REACH?
ACO REACH stands for Accountable Care Organization Realizing Equity, Access, and Community Health. The REACH Model encourages healthcare providers — including primary and specialty care doctors, hospitals, and others — to come together to form an ACO. ACOs break down silos and deliver high-quality, coordinated care to their patients, improving health outcomes and helping to manage costs. This model requires all REACH ACOs to have a robust plan for meeting the needs of their patients with Original Medicare in underserved communities and make measurable changes to address health disparities.
What is Wellvana Premier Care, LLC?
What is Wellvana Premier Care, LLC?
It is a legal entity owned by Wellvana, which is enrolled in the ACO REACH program.
What is Prime Accountable Care East, LLC?
What is Prime Accountable Care East, LLC?
It is a legal entity owned by Wellvana, which is enrolled in the ACO REACH program.
What we do
What we do
What does Wellvana do?
What does Wellvana do?
“Value-based care enablement” has become the industry term. What that really means is we help primary care practices take the leap into value-based care. A big barrier remains assuming the financial risk. Many doctors can’t afford to take a chance that they would lose money on patients and put their practice at risk. So Wellvana takes the risk. And to ensure success, Wellvana provides medical coding consultation, care management for complex patients and a practice transformation specialist to be a guide into value-based care.
What makes Wellvana different from other value-based care companies?
What makes Wellvana different from other value-based care companies?
We take full financial risk. We’re flexible. We’re not primarily interested in buying your practice. We offer high-touch care management. Our model is working.
Who started Wellvana?
Who started Wellvana?
Wellvana was co-founded in Nashville by Charlie Martin and Devin Carty of Martin Ventures in 2019. The company teamed up with Dr. Saleh Jaafar and Dr. Jairo Melo in San Antonio, who were already working on a clinically integrated network focused on value-based care.
What is it like to be a Wellvana provider?
What is it like to be a Wellvana provider?
Wellvana providers are incentivized to see fewer patients and keep them healthier, all while participating in the financial savings from doing so. Don’t expect the transition overnight, but we believe in what we’re doing. And we want Wellvana providers to have a healthier practice and maybe get home for dinner more often.
What is it like to be a Wellvana patient?
What is it like to be a Wellvana patient?
Prevention becomes the focus. Annual wellness visits will allow the patient’s physician to catch health issues early. If a patient is admitted to the hospital, that patient can expect a call from a Wellvana care coordinator to schedule a follow-up so the patient’s physician can make sure the patient is healing properly and doesn’t end up back in the hospital. And for patients with multiple chronic conditions, Wellvana nurses stay in touch on a weekly basis to monitor medications, resolve logistical challenges and answer any health questions.