Evolent Care Partners

For Patients: Care Advising Programs

Care Advising Programs

You may have received a call or letter from one of our dedicated care team members. Their role is to work with you and your primary care provider to help you take charge of your health and wellness. Our care team is made up of registered nurses, social workers, community health workers, and support team members who can proactively help you navigate healthcare challenges and meet your care goals. If you are invited to participate in one of these programs, the care team members will work with you over the phone to:

  • Help set and understand your personal plan of care
  • Help set goals for your health and work towards them
  • Help find the necessary resources to maintain and improve your physical, mental, and emotional health
  • Help you understand your medications (why, when and how to take them)
  • Assist with other care needs you have

Our care advising programs are available at no cost to beneficiaries and do not require additional office visits.

We know health care can be complicated, especially for individuals with chronic conditions. Participating in these programs is a way of investing in your long-term health and well-being, at no cost to you. We encourage you to visit Evolent's blog where you can find several examples about how care team members worked hand-in-hand with patients to tackle issues of drug costs, social isolation, and chronic medical conditions. Read more

Below are some of our clinical team members who you may work with:

Deborah Baker-Sample, RN
Nurse Care Advisor

April Hill, BSN, RN, CCM
Nurse Care Advisor II

Natasha Perez, MSN, RN
Nurse Care Advisor

Julie Deczkowski, BSN, RN, CCM
Nurse Care Advisor II

Sandra Israelson, RN, CCM
Nurse Care Advisor

Amy Price, BSN, RN, CCM
Advance Care Planning Facilitator

Natalie Eudy, BSN, RN, CCM
Nurse Care Advisor III

Kevin Kline, BSW
Advance Care Planning Facilitator

LeCole Silver, MBA, RN, CCM
Nurse Care Advisor III

Wendy Haas, BSW, RN, CCM
Manager, Clinical Operations

Sandi Massey, BSN, RN, MPH, CCM
Nurse Care Advisor II

Karen Tingler, CNA
Clinical Operations Coordinator

Jessica Hauser, BSN, RN, CCM
Nurse Care Advisor I
Lori Moore, MSN, RN, CCM
Senior Director, Clinical Operations
Becky Torres, CMA
Community Health Worker
Heather Haygood, BSN, RN, CCM
Nurse Care Advisor III
Ashely O’Riley
Community Health Worker
April Womack, MSN, RN, CCM
Nurse Care Advisor

 

For Beneficiaries

Who is Evolent Care Partners (ECP)?

ECP partners with independent primary care physicians to help them coordinate improved care for beneficiaries. ECP provides tools and resources to its physician practices and serves as an extension of the primary care office by working with beneficiaries in proven care coordination programs. ECP operates The Accountable Care Organization, Ltd., an Accountable Care Organization (ACO) that participates in the Medicare Shared Savings Program. Our ACO includes four partners as well as other individual practices across Indiana, Michigan, North Carolina and Texas.

What is an Accountable Care Organization?

ACOs are groups of doctors, hospitals, and/or other health care providers that work together to provide high-quality coordinated care to their Medicare beneficiaries. The goal of coordinated care is to ensure that beneficiaries get the right care at the right time, while avoiding unnecessary duplication of services and preventing medical errors.

Many physician practices choose to be part of an ACO because they believe it will help them provide improved care for you. ACOs do not limit your choice of health care providers, and ACOs do not change your Medicare benefits. As a Medicare beneficiary, you still have the right to visit any doctor, hospital, or other provider that accepts Medicare at any time, just like you do now. ACOs are not Medicare Advantage plans or an insurance plan of any kind.

What does this mean for my care?

Giving health care providers the option of working with an ACO is one of the ways Medicare helps physician practices coordinate your care and give you improved quality care. To help physician practices coordinate your health care, Medicare shares information* about your care with your providers like dates and times you visited a health care provider, your medical conditions, and a list of past and current prescriptions. Sharing your data helps ensure all the providers involved in your care have access to your health information when and where they need it. This information helps the ACO give you improved, more coordinated care by keeping track of the care and tests that you’ve already had so you don’t end up with unnecessary duplication. It may also make it easier to identify potential problems before they’re more serious–like drug interactions that can happen if one doctor isn’t aware of what another has prescribed.

*If you don’t want Medicare to share your health care information with the ACO, call 1-800-MEDICARE (1-800-633-4227).

How will I benefit from my physician being in an ACO?

If your primary care provider participates in an ACO, they will help coordinate your care with other care providers to ensure you receive the right services and tests where appropriate. You may also have access to care coordination services that are designed to help ensure you are able to self-manage your care, and that your doctors are informed and able to help in a timely manner when needed.