A recent letter to families from Sunflower is a clear example of how disjointed, fragmented and inefficient KanCare is. An entity called Thelohealth sent a very short letter informing families that the MCO provider has selected them for a new service — a visit from a nurse practitioner to conduct a health assessment.
Case managers were not notified, nor were families asked if their child or guardian needs the service. Perhaps they are already receiving good medical care. Perhaps they don’t want someone to visit their home.
How much is this service redundant with other medical services the person served has, including those from community providers and a person’s own physician? My son is served by KanCare, but he is also covered by Medicare and already receives excellent medical care.
Here’s the letter:
August 28, 20Your Medicaid provider, Sunflower Health Plan, is working with a partner called TheloHealth to
provide a new service. This program is run by skilled Nurse Practitioners (NPs) who will visit you where
you live. Our NPs will:
• Assess your condition and health history
• Talk about steps you can take to improve your health
• Answer any health questions you may have
• Check up on you to see how you are doing
You have been selected to participate in this program. You will receive a call in the next few Weeks to schedule a visit with your TheloHealth NP.
We are looking forward to meeting you. If you have any questions about the program, please contact us at 1-844-777-6888 or email@example.com.