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+. Overview of Foundation Our Mission Focus Our Free Choice Outreach Program Our Patient Care Center Services Our Provider Network. Topics Covered Today. 4. Free Choice Healthcare Foundation today. Not-for-Profit 501(c)(3) Charitable Organization Corporate Headquarters San Diego, CA
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+ • Overview of Foundation • Our Mission Focus • Our Free Choice Outreach Program • Our Patient Care Center Services • Our Provider Network Topics Covered Today
4 Free Choice Healthcare Foundation today • Not-for-Profit 501(c)(3) Charitable Organization • Corporate Headquarters San Diego, CA • Focused on helping patients with insurance needs • Partnering with Providers and Payers to grow network
5 Mission • Our mission is to connect patients to managed care networks in the local communities we serve. Free Choice Healthcare provides financial assistance to patients who would otherwise be unable to afford better access even with the provisions granted by the Affordable Care Act of 2010.
6 CMS Medicaid Forecast Federal 61% Source: CMS 2012 Projections
7 Free Choice Program Steps Application referred to Free Choice Screened for Premium Assistance Program • Pre-Screening Process. Patient diagnosed
8 Free Choice Program Steps Check for precertification Schedule procedure Enroll patient in plan • Prior to medical services:
9 Free Choice Program Steps Ensure proper billing Determine contribution amount Determine length of premium payment Assess patient needs Capture Payment Data Capture Billing Data • After medical services are performed:
10 Example EOB’s Check Amount: $146,429.95
11 Example EOB’s Check Amount: $45,226.40
12 Example EOB’s Check Amount: $25,782.84
13 Free Choice Program Steps • Remaining patient balance • Any amount left over will either be written off to charity • Patient Education • Once the patient is no longer eligible for the program, the foundation will provide education on available marketplace options
14 Free Choice Program Steps • National Patient Awareness Outreach Program • Foundation will raise awareness in local communities • Patients will be schedule in the facility best able to treat the patient • Initial program guidelines • Will be expanded as foundation continues to grow
15 Free Choice Program Costs • Foundation covers: • Call Center • National Outreach Program • Operational expenses • Insurance Premium • Treating facility covers: • Contribution of percentage of payments received by the medical provider
16 Free Choice Healthcare Foundation • Website: http://freechoicehealthcare.org/ • Phone: (800) 961-9659 • Brian La Porta • Email: brian@freechoicehealthcare.org • Phone: (858) 335-3333