Yuvo Wellbeing, a startup that offers worth-based contracting expert services, and Centene Corp. subsidiary Fidelis Treatment are partnering to grow methods for federally qualified overall health centers in New York.
The centers present services this sort of as preventative treatment, specialty expert services and behavioral wellness means for underserved populations, although also addressing socioeconomic boundaries. They qualify for federal funding and enhanced reimbursements from Medicare and Medicaid. Fees are dependent on a patient’s cash flow.
Yuvo takes on downside risks for the neighborhood wellness facilities and allows negotiate contracts with shared savings, which are funneled to the wellness centers. Fidelis, the biggest Medicaid managed-treatment supplier in New York, handles reimbursements. With the partnership, Fidelis, the major Medicaid managed-care company in New York, can contain customers in worth-primarily based specials, when most well being facilities would normally not qualify for standalone agreements.
“We come to feel quite strongly in our ability to raise their capacity to serve,” reported Cesar Herrera, CEO and co-founder of Yuvo. “How we feel of it in conditions of reworking is by exhibiting proof that this model is sustainable and it can be scalable. … The design itself is not automatically novel.”
Yuvo was launched in 2021 and before this year raised $7.3 million in seed funding.
It designs to partner with other managed-care vendors in New York. The two-12 months partnerships commence with the overall health facilities not sharing in any losses and then evolve into a stage 2 mitigated-danger design, where by the centers share section of any reduction. Herrera mentioned Yuvo ought to guarantee the health facilities are equipped to face up to added hazard.
Fidelis did not respond to requests for extra specifics.
Yuvo just lately partnered with 4 impartial federally qualified overall health centers, such as Lengthy Island Pick out Health care, a Suffolk County, New York-primarily based middle that obtained its start off serving people with mental and developmental disabilities. The center’s CEO, James Powell, mentioned the partnership can help with workflow advancement and neighborhood engagement. It would usually have taken years to create this level of help, he claimed.
These partnerships also deliver sources for understaffed centers to retain high quality, claimed Miriam Vega, CEO at the Joseph P. Addabbo Household Well being Center, which has areas in spots in between Manhattan and Extensive Beach. The heart hopes to use the shared discounts through the partnership to devote in new applications such as a diabetes wellness centre, she reported.
Vega stated despite confined means, the well being centers participate in a essential group function.
“We supply so many necessary providers, and throughout the pandemic primarily … the governing administration, the White Residence, depended on group well being centers these as Addabbo to do COVID tests, to do the vaccine, and we did not get really reimbursed for all those products and services,” Vega reported.
Yuvo needs to develop further than New York, Herrera explained. It hopes to enter Ohio in 2023, followed by likely expansions into Michigan, New Jersey, Pennsylvania and the Washington, D.C., region.