Bridgeway Health Solutions Advantage (HMO SNP)
Bridgeway Health Solutions Advantage is a licensed health maintenance organization (HMO) contracted with the Centers for Medicare and Medicaid Services (CMS) to provide medical and behavioral health services to dual eligible members.
Bridgeway Health Solutions Advantage is designed to achieve four main objectives:
- Full partnership between the member, their physician and their Bridgeway Health Solutions case manager
- Integrated case management (medical, social, behavioral health, and pharmacy)
- Improved provider and member satisfaction
- Quality of life and healthy outcomes
objectives mirror and support the objective of CMS and state guidelines to provide covered healthcare services to low-income, elderly and physically disabled members.
Bridgeway Health Solutions Advantage takes the privacy and confidentiality of our member’s health information seriously. We have processes, policies, and procedures to comply with the Health Insurance Portability and Accountability Act of 1996 (HIPPA) and CMS regulations. The services provided by the contracted Bridgeway Health Solutions Advantage network providers are a critical component in terms of meeting the objectives above. Our goal is to reinforce the relationship between our members and their primary care physician (PCP). We want our members to benefit from their PCP having the opportunity to deliver high quality care using contracted hospitals and specialists. The PCP is responsible for coordinating our member’s health services, maintaining a complete medical record for each member under their care, and ensuring continuity of care. The PCP advises the Member about their health status, medical treatment options, which include the benefits, consequences of treatment or non-treatment, and the associated risks. Members are expected to share their preferences about current and future treatment decisions with their PCP.
Bridgeway Health Solutions Advantage appreciates your partnership in achieving these objectives.