Health Plans

Serving Health Plan Members Who Are Burdened By A Serious Or Advanced Illness

With unparalleled experience and background in serious illness and end-of-life care, Turn-Key Health partners with health plans and other risk bearing entities to deliver comprehensive community-based palliative care to their members who are suffering from a serious or advanced illness. Turn-Key deploys its palliative care solution within health plans and risk bearing member populations to improve quality of life and reduce non-beneficial treatment. Over the years, collaborative partnerships demonstrate improvement in cost and quality with health system patients and Medicare Advantage lives, and in the complex care management of Dual Eligible members.

Health Plans Unlock The Value of PIM™

Palliative Illness Management™ (PIM)™ prioritizes the importance of care in the home, providing appropriate social services, clinical assessments and referrals, and partnering with the primary care and provider team to deliver a solution that is patient-centered, data-driven and evidencebased.

Turn-Key’s large, national and proprietary network of skilled community-based palliative care clinicians enable rapid deployment over broad geographies and populations.

This unique, structured and consistent approach seamlessly integrates with existing case and utilization management programs. Health Plans experience a higher return on quality improvement and investment in resources.

Improved Quality Results & Decreased Costs

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Reduction in Medical Loss Ratio (MLR) comprised of two components:

20% reduction in reduced member healthcare consumption:

  • 35% Admissions
  • 60% Readmission
  • 40% ICU Days

15% reduction related to earlier and appropriate election of the Medicare hospice benefit.

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Who We Identify

Specialized predictive analytics utilizing AI and Natural Machine Learning (NML) identify members that are high opportunity for engagement. PIM™ further stratifies data to predict which members are likely to experience over-medicalized care, hospitalizations / readmissions or inappropriate death.

PIM™ utilizes a Palliative Activation Scale™ (PAS)™ to measure a member’s propensity to adopt a palliative care approach. PAS™ evaluates three key domains: care alignment, social determinants of health, and illness trajectory.

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Patient-Centered, Data-Driven and Evidence-Based

Prioritizing the importance of care in the home, providing appropriate social services, clinical assessments and referrals, and partnering with the primary care and provider team, PIM™ delivers a solution that functions as a palliative medical home.

The PIM™ training platform, tools and processes – coupled with clinical oversight and standardized reporting – guide skilled clinicians to conduct member outreach, enrollment and engagement.

Flexible Solution and Speed to Implementation

bannerDay 1Day 10Day 30Day 35Day 45Data is providedMember IdentificationNetwork building and trainingMember data loaded into PIM platformOutreach begins, first member visit