Understanding Genuine Health Direct
Frequently Asked Questions
Why did Genuine Health launch a DCE?
Genuine Health Group has a long history of managing risk, and the launch of Genuine Health Direct allows us to apply this experience to keep our physicians’ patients healthy while they earn a monthly, prospective payment for the patients whose care they manage. Plus, we liked the fact that DCEs don’t restrict patients’ choice of providers.
How is Genuine Health Direct different than a Medicare Advantage plan?
Medicare beneficiaries aligned with Genuine Health Direct can access care from any provider who accepts Medicare – including specialists, because these patients are technically still enrolled in traditional Medicare. By contrast, members of Medicare Advantage plans must choose doctors and hospitals within their health plan’s network. In fact, many MA plans require referrals to specialists and have other restrictions.
Why do doctors like Genuine Health Direct so much?
As 2020 demonstrated, the healthcare industry can be unpredictable. Many doctors lost thousands of dollars of revenue during the early months of the pandemic – and even through later months – because their traditional Medicare patients didn’t come in for fee-for-service appointments. However, with Genuine Health Direct, doctors can count on a reliable monthly income. Like clockwork, they earn monthly capitation payments for their traditional Medicare beneficiaries aligned with the DCE. That’s very attractive to most physicians.
Are there any extra features patients can take advantage of with a DCE?
Patients aligned with Genuine Health Direct have access to additional services at no extra cost, such as health education, reminders for wellness visits, and support managing chronic conditions, like diabetes, high blood pressure, and COPD. In fact, Genuine Health Direct has a unique program called Genuine Health At Home that offers patients with chronic diseases in-home care and support, including help with medications, regular check-in calls, and even an evaluation of patients’ homes to eliminate dangers and hazards.
Is Genuine Health recruiting for its Direct Contracting Entity?
Yes, Genuine Health Group is currently recruiting high-performing primary care physicians for its new Direct Contracting Entity. And for these doctors, Genuine Health provides a wide range of practice support services, including assistance ensuring traditional Medicare patients in your practice align with Genuine Health Direct.