![]() ![]() ![]() NexPhase Capital is an operationally focused private equity firm targeting entrepreneur-owned, lower middle-market companies. I can turn to my team and private equity company.” vet all of the various insurance providers that are out there for services based on the growth that we have. “She here to help advise, help strategize, to help create the vision and execution for, as an example Medicare Advantage. “She’s been a CEO of major health plans and health care companies for the last 40 years,” Tourian said. Hill, as a chairperson of the board at Synergy. The partnership brought on NexPhase operating partner, Barbara B. “When you partner with a good private equity company, they will bring the resources, the connections, the capital, the expertise and knowledge to the table.” “I made the decision to partner with a private equity company and this has been instrumental in our growth,” Tourian said. Of course, Synergy isn’t just focused on MA.Ī partnership with private equity company NexPhase has also played a role in the growth of their business. “We recognize that one challenge in plans launching new benefits is the time it takes to outline product development, so we can take their goals and develop a product plan that is implementable and scalable,” Tourian said. It also means becoming a solution to address social isolation and hospital readmission prevention while further supporting individuals with chronic illness. We are the experts at what we do, so a lot of the plans that we are talking to are asking us to build the plan for them.”įor Synergy, this means building the plan of care, building out the hours needed, building out the services needed for various members and addressing fall prevention plus safety in the home. Medicaid has worked with non-medical home care, but Medicare has been hands-off. “A lot of them are not familiar with non-medical because it has never been part of Medicare at all. “Here’s what’s interesting: A lot of the plans are still just starting to understand our industry,” he said. Tourian and his team of subject matter experts talk with the plans regarding the services, as well as helping them build it. Tourian declined to name the specific MA plans Synergy is working with.įor now, the company has done a lot by way of infrastructure. The company currently services three plans - both national and regional - in eight states, and the company has even higher hopes for the opportunity 2021 could bring. ![]() Synergy itself has made impressive inroads on the MA front. “2019 came out pretty quickly, and a lot of them are still trying to understand what’s going on, what non-medical home care is and how it can help their members,” Tourian said. At the beginning of 2019, only 3% of MA plans offered in-home support services, according to AARP. There are approximately 2,700 health plans out there nationally, and now they are starting to put pen to paper and thinking about how to put all of this together.”ĭespite the announcement from CMS, MA plans have been slow to offer home care-focused supplemental benefits. “This is an exciting time for the entire industry, and not just for service providers but for the actual Medicare Advantage members that are out there,” Tourian said. ![]() This April, CMS announced that MA plans in 2020 could cover any in-home care services and supports that realistically improve the health of individuals with chronic conditions. In April 2018, CMS announced that it would allow certain non-medical in-home care services as supplemental benefits for 2019 MA plans. ![]()
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