Innovation

CDPHP innovation

The U.S. health care system tends to be complicated, fragmented, and downright expensive. This often leads to patients waiting weeks, if not months, for care; using emergency services when they could have seen their family physician; duplication of services; poor communication between health care providers during transitions of care; and medication errors.  CDPHP is committed to addressing these issues by developing an integrated delivery system (IDS) for health services that improves the quality and experience of care we provide our community.

Essentially, an IDS is a network of health care and service providers connected by data, information systems, and in many cases, payment models. It is designed to provide a seamless and coordinated care experience for our members, one that gets them the care they need, when they need it, and does so in a user-friendly, cost-effective way.

The IDS is the reason we pay our primary care providers for quality over quantity and offer enhanced bonuses to those who meet our tough standards for quality and patient satisfaction, as in our EPC and specialty care transformation programs. It’s also the reason for our Hospital to Home program, our so-called “Doctor’s Office of the Future” in Clifton Park, the acquisition of our Hometown Pharmacy in Watervliet, and a host of other initiatives under development.  

Doctor’s Office of the Future

The pandemic did not stop the doctor’s office of the future from becoming reality. The state-of-the-art multispecialty medical practice represents a collaboration between CDPHP and specialists from Albany ENT & Allergy Services, Albany Gastroenterology Consultants, Capital Cardiology Associates, and New York Nephrology. While each practice will remain independent, the goal is to create a unified patient experience that will utilize the latest technology and forward-thinking business practices. 

The facility – located on Route 9 in Clifton Park – offers a unique patient experience with features such as valet parking, electric car-charging stations, onsite pharmacy and laboratory services, telemedicine pods, refreshment center, patient education center, community room, and more.

Hospital to Home

The CDPHP® Hospital to Home program, which first launched in 2019 at Ellis Hospital in Schenectady, deploys an in-hospital patient support team to work with hospital staff to offer members personalized support. The team includes doctors, nurses, social workers, mental health counselors, and benefit specialists who review and facilitate members’ care, and provide assistance with insurance-related issues. The program has since expanded to Albany Medical Center and St. Peter’s Hospital in Albany, as well as Saratoga Hospital.

During the height of the COVID-19 pandemic, hospitals severely limited or did not allow visitors, so family members could no longer be by their loved one’s side. Our patient support team quickly transitioned to virtual operations, becoming an even more critical bridge between doctors, hospitalized patients, and their families. Whether virtual or in-person, the team:

  • Offers emotional support to members, families, and caregivers.

  • Provides daily communication updates between hospital staff, patients, and families.

  • Collaborates with hospital care teams to customize discharge planning.

  • Identifies any barriers to care, such as access to food, medication, or transportation.

  • Identifies community resources/support services that may be needed post-discharge.

  • Facilitates post-discharge phone calls and support.

ConnectRx

In 2020, CDPHP acquired Hometown Pharmacy in Watervliet and made plans for a second pharmacy at 1785 Route 9 in Clifton Park. The aim was to provide members in that neighborhood a convenient, locally owned pharmacy offering free home delivery and hassle-free prescription transfer from their current drugstore. Those who switch to Hometown Pharmacy also have the option of utilizing the Simplify My Meds program to sync all their prescriptions for same-day delivery.

LevRx

In 2020, CDPHP and Levrx Technology teamed up to provide patients and doctors with a unique tool to help lower the cost of prescription drugs. Through the Levrx Provider Application, CDPHP empowers physicians to transform the health care experience for its members, at no cost to the physician. With this integrated app, providers can:

  • Easily connect with patients to ensure they’re on the most appropriate, lowest-cost medication.

  • Quickly determine the preferred drug for a condition.

  • Switch patient prescriptions to pharmacies that offer the lowest-cost drugs at the most convenient location.

  • Submit a pharmacy prior authorization request electronically.

  • Reduce gaps in care by communicating with patients about their health in real time.

CDPHP has also engaged with Levrx on a member app, CDPHP ConnectRx, On the Go, which will be available to members on their mobile devices. This app provides information on the pharmacy that offers their prescription at the lowest cost, and allows members to communicate with their physician with questions about their medications.