Caresource

Programs: Caresource management group co ("csmg"), as a supporting organization, provides strategic oversight to caresource, caresource indiana inc. , the caresource foundation, caresource kentucky co, caresource georgia co, caresource west virginia co, caresource life services co, caresource north carolina co, caresource virginia co, and caresource management group foundation. See the attached organizational structure for the caresource family of companies. In march 2012, csmg signed an alliance agreement with humana, inc. , to jointly participate in state bid opportunities for medicaid and provide coverage for people who qualify for medicaid in the commonwealth of kentucky. As of december 31, 2016, there were 137,362 medicaid members in a humana caresource medicaid plan. Caresource management group holds a third party administrator (tpa) license in six states. Csmg also funds supported organizations in the supported organizations exempt activities. In furtherance of supported organizations governance, csmg provides committee oversight regarding quality of care measures, healthcare effectiveness data and information set, national committee for quality assurance, as well as state and federal quality measures. The governance oversight also includes financial review, compliance with all applicable healthcare laws, cybersecurity surveillance, and enterprises risk management functions. Csmg provides enhanced benefits to members that are above and beyond required benefits defined by state or federal agencies. In 2016, csmg paid approximately $6. 3 million to provide these enhanced benefits. In order to ensure members are able to access the most appropriate medical care, csmg provides transportation services for office visits to their medical provider's office, ensuring that members are keeping preventive, sick, or follow-up appointments. Further showing csmg's dedication to ensuring that our most vulnerable members receive needed care, csmg does not charge medicaid members a copayment for pharmacy products, dental visits, vision examinations, vision hardware or non-emergent emergency department visits, even though regulations allow for such copays. Csmg is dedicated to motivating our pregnant members to seek prenatal and postpartum care, by participating in the organization's babies first member incentive program. Moms-to-be can receive reward cards for attending regular ob/gyn appointments while pregnant and for also attending appropriate follow-up visits after giving birth. Together, these enhanced benefits provide csmg members additional program benefits in order to make a lasting difference in our members' lives by improving their health and well-being. In support of csmgs commitment to its charitable purposes, some of its appointed trustees and committee members may elect to earn charitable credits for board or committee meeting attendance. At year-end, trustees and committee members designate their credits to their irc 501(c)(3) tax exempt charity of choice. Charitable donations in the amount of $19,875 were paid or accrued in 2016 under this policy by the organization.