Tag: Carenodes

Thoughts from Alex Yarijanian and Carenodes outcomes

Healthcare Startups take too long to go to market hence innovations do not get to the American people in a form and fashion conducive to the aims of healthcare quality and performance in population health management.
When I left my management role at Humana to enter into the startup world, I was shocked to find that a vast majority of Health Tech organizations are founded by innovators with non-healthcare backgrounds.

Healthcare Startups take too long to go to market hence innovations do not get to the American people in a form and fashion conducive to the aims of healthcare quality and performance in population health management.

When I left my management role at Humana to enter into the startup world, I was shocked to find that a vast majority of Health Tech organizations are founded by innovators with non-healthcare backgrounds.

I found that, in my conversations with startup leaders, they were overconfident and naive about the industry; about the many roadblocks and nuances of running a successful healthcare operation (ie. ‘Regulation Nation’, business complexity, and long ‘sales’ cycles become blockers to market entry).

Sadly and ultimately, this dynamic ‘kills’ otherwise life-changing innovations. We find this to be unfair. Not only to the startup but to the People. To you, Don. To me and my loved ones. These incredible inventions and ‘innovations’: dead on arrival; attributable to the founders’ lack of healthcare business navigational competency and expertise.

Educating the leaders was my first instinct (see me in action: Managed Care 101: Boot-camp for Healthcare Entrepreneurs).

Then, Carenodes Accelerator was born: a program along with outcomes not seen in the country. Programmatically, we provide an integrated suite of advisory, technological, data, clinical, and operational capabilities to ‘jumpstart’, or power, the startup on day 1.

We signed our first health technology startup in August 2020. Today, Carenodes has grown to 7 portfolio digital health startups. We are 100% fiscally self-sustained, fully bootstrapped, and led by a majority ‘minority’ team. Our leadership and downstream team composition is what the ‘equity and diversity’ movements of modern-day fantasize about.

As of the time of this correspondence, our startup medical groups have raised an aggregate of $210M in funding.

We have, in aggregate, provided 96,637 appointments to 36,718 patients (2019 – 2022) in 50 states + DC. We have accelerated Digital healthcare innovations to a scale now reaching 48 million Americans.

Net result on the US Healthcare System is: Access. Access for Payer, Provider & Patient. Not just one of these ‘nodes’ — but all.

By becoming ‘in-network’, the out-of-pocket burden for offerings based on ‘cash only’ direct-to-consumer strategies is reduced tremendously making it affordable for the consumer. At the same time, our digital health organizations generate (much) greater revenue by billing insurance and coordinating care in a way that is not incentivized in a cash-only model. Our medical group startups generate revenues in 6 months via health insurance network participation.

We provide a robust operation with clinical oversight beyond just ‘being an app’ on a cash model. Payers feel more comfortable with that type of organization. Hospitals and health systems trust the expertise and buy-in. Especially since insurance will be paying for the services.

This has benefited the startup, the patient, the payer, and us — the regular folks who NEED access.

What is our impact? See the following outcomes and have these figures speak for themselves:

Carenodes real-world implications and outcomes (from Oct 1, 2019 – Jan 1, 2022):

  • Using patented IoT-connected socks, we avoid 91% of all diabetic foot ulcer amputations.
  • Using FDA-approved AI technology, we monitor the hearts of CHF/HF (heart failure) patients at home and at skilled nursing facilities in NY and CA. Diverting 75% of avoidable ER utilization.
  • Using our 24/7 access to care platform, we have provided 66,467 virtual opioid use disorder treatment appointments.
  • Using our Biopsychosocial Network, we extend a highly coordinated ‘plug & play’ provider network of 134 health providers (and growing) to help ease the major challenges of workforce supply, recruitment, and management.
  • In connection with UCI and other major health systems, we are one of the very few delivery organizations providing Hospital at Home.
  • We have, in aggregate, provided 96,637 appointments to 36,718 patients (2019 – 2022) in 50 states + DC. We have accelerated Digital healthcare innovations to a scale now reaching 48 million Americans.

Here is a one-minute video update of our organizational position opening in the year 2022 (this clip is not made searchable on YouTube, but you should have access with the link).

Mental Health Awareness: Men Don’t Cry

A livestream discussion to raise awareness of minority mental health. The conversation took a turn for the expected level of viewer engagement.

Mental Health is Health

Dr. Godwin Orkeh and Alex Yarijanian discuss Covid-19 and the discrepancies in access to mental health care among minority groups, including the disenfranchised, uninsured, and underinsured.

Dr. Orkeh also sheds light on the difference between equity vs. equality, the providers’ index of suspicion, health-seeking behavior among men, and the stigma associated with Covid-19.

View the full discussion here.

Dr. Godwin ORKEH JR
Physician, experienced Medical Director, Public Health Officer and Quality Improvement Officer, with interest in International Health and Development. A key interest of his is the interplay of culture, language and its effects (labels), and the political and socio-economic factors that influence health-seeking behavior in the population.

Alex Yarijanian
CEO and founder of Carenodes, Alex is a longtime healthcare administrator, who marked his career by managing 28 safety net clinics across CA and TX, to 14 hospitals, over 50 skilled nursing facilities, to a national health plan. He is presently engaged in an effort to expand access to healthcare services, based on equity, and true to Parity between medical and mental health services.

Orchestrated by Carenodes Networks

Funded by Health Net to Expand Telehealthcare

Carenodes network secures funding from Health Net

Health Net has grant funded a proposal by Insight Choices, in partnership with Carenodes, to expand virtual healthcare delivery capacity and accessibility. In response to the ongoing COVID-19 pandemic, Insight Choices, a coalition of psychiatric providers across California were awarded a $125,000 telehealth infrastructure expansion grant by Health Net.

The grant will help Insight Choices launch new telehealth technologies to increase its prevention and intervention efforts for patients with mental health conditions. Furthermore, availability of funding will enable the provision of crisis intervention services, mental and substance use disorder treatment, crisis counseling, and other related supports for communities impacted by the COVID-19 pandemic.

Earlier this year, Health Net announced it would award $13.4 million in immediate assistance for Medi-Cal providers to expand telehealth capacity and capabilities at California safety net clinics, Federally Qualified Health Centers (FQHC), and independent provider practices.

Providing increased access to care during this unprecedented time is critical to ensuring our most vulnerable populations stay healthy and safe. The amount of difficult news, confusion and tragedy surrounding all of us in a short period of time can feel insurmountable. Reaching out for help is incredibly important and telehealth is key to ensuring access to care is not interrupted.

Brian Ternan, President and CEO, Health Net of California and California Health & Wellness.

Recognizing the urgency of the situation, Insight Choices saw the need to increase its telehealth offering to benefit its patients who are coping with increased anxiety, deep depression and unfortunately, suicidal ideation. The organization is also seeing an increased need to provide mental health services for health care workers on the frontline of the pandemic.

“Health care providers throughout California are under incredible, and still increasing, strain as they work diligently to fight this pandemic, and for our patients, the strain they feel is just as, if not more difficult to handle,” said Robert Chang, DO, Medical Director & President at Insight Choices. “As we focus on mental health care and the emotional wellbeing of the Californians we serve, these funds will provide Insight Choices the support needed to deliver a robust response to the mental health needs exasperated by the COVID-19 pandemic.”

“Our nation’s health care providers are under incredible, and still increasing, strain as they fight the pandemic. Insight Choices plan for the COVID-19 Telehealth Program is a critical tool to address this national emergency—starting in California and the counties we serve with a focus on mental health care and emotional wellbeing. This grant will provide Insight Choices, and the communities it serves, vital funding to assist in a more robust response to the mental health crisis exasperated by the COVID-19 pandemic,”

Alex Yarijanian CEO of Carenodes and Interim COO of Insight Choices

Social distancing has led many across the nation to seek out health providers that offer telehealth to ease the anxiety of walking into a clinic, and this is no different for mental health clinics. Telehealth can also bring costs down for some patients and is a benefit to those without a mode of transportation. However, many providers and organizations that serve Medi-Cal patients face financial barriers to expand the implementation, and this is where organizations like Health Net come in.

Insight Choices and Carenodes, will support infrastructure modernization efforts to include telecommunications services, information services and devices necessary to enable the provision of telehealth services during this emergency period. In addition, such capacity building funds have the potential to substantially stimulate the deployment of innovative access to care models.

About Insight Choices
Insight Choices Psychiatry and Behavioral Health Services offer a full range of assessment and treatment options to address the mental, emotional and behavioral problems that occur throughout life. The group’s programs encompass a comprehensive view of mental health integrating the biological, psychological and social dimensions of care. Serving populations across California with expanded hours (nights and weekends), telehealth availability, evidence-based treatment modalities, and engagement via technology and virtual means, Insight Choices leads access to care.

About Carenodes
Carenodes leads healthcare infrastructure development efforts around integrating nonmedical services within mainstream healthcare (primary care, behavioral, substance abuse, payers). It focuses on developing provider networks with the capacity to deliver on the promise of a ‘biopsychosocial model of wellbeing’ and equity in access to healthcare.

About Health Net:
Health Net believes every person deserves a safety net for their health, regardless of age, income, employment status or current state of health. Founded 40 years ago, we remain dedicated to transforming the health of our community, one person at a time. Today, Health Net’s 3,000 employees and 85,000 network providers serve more than 3 million members. That’s nearly 1 in 12 Californians. Health Net of California, Inc., Health Net Life Insurance Company and Health Net Community Solutions, Inc. These entities are wholly owned subsidiaries of Centene Corporation (NYSE: CNC), a Fortune 100 company providing health coverage to more than 20 million Americans.