At Health 2.0 2022 — this session looks at how digital health has the potential to revolutionize in-home care and improve the quality of life of the nation's senior population.
Alex Yarijanian. Founder and CEO of Carenodes, speaks on the topic of digital care at home, the new frontier in senior care and concierge managed care.
This session covers the latest thinking on Senior Care in the United States:
Ambient Assisted Living
Homeless Care
Cognitive Health
Workforce Supply
Biopsychosocial Models
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ALEX YARIJANIAN:
What a vibrant gathering today.
Good morning, Las Vegas.
This is particularly exciting, an international conference on health.
And you'll see me focus more on the United States because that's where home is, where the heart is at.
But with that said, I wanted to share with you some very important revelations.
So I'm here to declare the dawn of a new era.
And why?
Because I've seen hundreds and thousands of patients from different walks of life.
I've seen patients who on skid row in Los Angeles homeless for ten plus years. I've seen folks who were homeless for ten minutes.
Seniors are particularly interesting simply because when I was managing 28 clinics across California and Texas, delivering primary care, mental health, substance abuse treatment services to over 100,000 patients that were largely lower socioeconomic populations, I saw the struggle in these eyes and the brightness behind them once we were able to actually provide them with even a little bit of access to care.
I went to Cardinal Health/NaviHealth and I was able to work with Dignity and HCA hospitals, 14 of them in Southern California, to administer the bundle payment program in Medicare.
Essentially, I was responsible for over 50 skilled nursing facilities and how they performed once they discharge a patient to the home or to the skilled nursing facility or to home health with home.
And that was a very interesting exercise, to say the least.
We made several millions in one market, lost several in another market.
That's when Humana heard of me and recruited me to oversee network and contracting for the west side of this country.
And when I went to the health plan side, you guys, I saw levers of opportunity that providers typically don't see.
And so throughout this session, I want this to be a not so sessiony session; I want you to ask questions.
If something excites you, jump in, or if you have a solution that you're having trouble with bringing to market, jump in.
Why?
Because when I left Humana, I started Carenodes. Carenodes essentially has really developed into a managed service organization, a digital health MSO.
Right now, we cover about 51 million Americans.
We have ten medical groups under management.
We provide Alzheimer's care, post-acute care, homeless care and more.
We provide a number of different elements of care that nowadays are being pushedhome (such as hospital at home).
And the concern that I was having was that while all the care is being pushed at home, how about those that don't have homes?
We are going to have more 65 plus than 18-year-olds by 2030.
And so I'm personally concerned about the availability of health care when I might need it at that age.
I don't know if you've ever felt super sick and kind of helpless and thought to yourself, my God, good thing I'm not like 80 something, then what would I do in this condition?
At least I know I could get better quickly.
It's at the most vulnerable times of our current fully able existence that we need to think about when we might need care at our more vulnerable times.
So if the industry is to follow anything, it's to follow these trends that are just starting to kind of stimulate the discussion between payers providers, digital health organizations, and we've been very successful at Carenodes with our ecosystem, getting health insurance contracts to be reimbursed for services that are traditionally not considered reimbursable, for example, food, for example, socks that monitor diabetic foot ulcers and alert us in an event that there might be an exasperation so that we can save valuable feet.
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