Buckeye is dedicated to make working with us easier, supporting our communities and caring for our members. The information below will be kept up-to-date and change, as needed. Please be sure to check back regularly to see results of initiatives and our latest highlights.
Buckeye Case Manager Dessarae has teamed with one of our agencies to support the needs of Alice, a Buckeye member. Alice had multiple health concerns. The agency shared that Dessarae has been very compassionate and helpful. With her extensive knowledge of Buckeye’s services, she was able to brainstorm ideas, explain medical conditions and check doctors’ notes to help provide a whole picture of Alice’s many needs. Alice recently passed away, but her husband insisted that we contact Buckeye to let us know how much she appreciated all the care and support she received from Dessarae. ”The agency shared, I wish I could have a partner like Dessarae for all my individuals!”
Our Care Guides assist with short-term goals and one-time needs. Care Manager/Coordination assist with long-term goals and more complex needs. Learn more.
Below are some highlights of what we are driving to make working with Buckeye as easy as possible.
September 2023
We continue to maintain this process on an ongoing basis. We will begin to run quarterly updates to determine if the roster reconciliation and network alignment work is improving the availability of quality specialists in our network, along with routine contracting efforts.
July 2023
Buckeye is using data from internal and external sources to ensure each specialist affiliated with contracted groups is properly displayed in our directory for access by members and primary care providers. We are also using the information to identify additional opportunities to bring new specialists into our network.
September 2023
We've held discussions with key provider groups to provide education and collaboration on current processes in place to effectively decrease denials and rework for both parties.
July 2023
Will provide education to providers, as needed, and enrich system capabilities, if applicable
September 2023
Through additional provider surveys, we gathered feedback directly from individuals using the reports. We are working to make the reports more user friendly, easier to understand and disseminate data across teams by providing a report summary document along with a corresponding data dictionary.
July 2023
Information about the types of reports available to providers to assess their financial and/or clinical performance will post to our website, along with information about how to access those reports.
September 2023
Continuing to monitor page and feedback for any questions or improvements in the process.
July 2023
Complete. We created a new page on the website to easily determine your PEA and how to reach them.
September 2023
Planning for second round in the Fall is underway, we are targeting to have these completed by the end of October. Stay tuned for more details!
July 2023
Complete. In May, 2023, we conducted seven successful Face to Face Office Manager Forums. Thanks for your feedback as we bring even more valuable updates.
Planning is underway for a second round in the Fall!
September 2023
Our Provider Engagement team is partnering with our Care Guides to introduce the program and dedicated staff to our provider community. Enhanced reporting is in completion stages to further aid the process of helping members navigate care with their assigned providers.
July 2023
Complete, with ongoing enhancements.
With the launch of Next Generation, managed care plans offer more care coordination services to help members navigate their care. In addition to our care managers, a new role is now available called Care Guides.
The care guide assists members with short-term goals and one-time needs.
The care manager assists members with long-term goals and more complex needs.
Buckeye Health Plan’s Care Guides help members access and navigate community resources for help with needs such as finding a doctor, housing, transportation, and durable medical equipment, among other necessities. They also assist Buckeye members with questions related to their health care, their community involvement, and their overall well-being and ensure members are connected with and receiving resources to which they are entitled. A great aspect of the Care Guide program is that each member is assigned to their own personal care guide and act as liaisons between Buckeye and providers of health care to Buckeye members. Providers can encourage members to reach out to Buckeye directly to learn more about care coordination.
Our member website page includes further information.
Note: this does not apply to MyCare Ohio plans.
September 2023
We received and analyzed the survey feedback. We will be holding discussions with 3 providers groups within a targeted segment to gather additional insight on where these areas operate at current and where the opportunity remains. We will conclude our feedback gathering by the end of this month and will begin to build out actionable items for a more positive experience.
July 2023
We have reached out to a group of providers to get their feedback on specific items in question to gain more insights into these key areas. We will analyze survey data to get a better understanding and build out actionable items for a more positive experience.
September 2023
We received and analyzed the survey feedback. We will be holding discussions with 3 providers groups within a targeted segment to gather additional insight on where these areas operate at current and where the opportunity remains. We will conclude our feedback gathering by the end of this month and will begin to build out actionable items for a more positive experience.
July 2023
We have reached out to a group of providers to get their feedback on specific items in question to gain more insights into these key areas. We will analyze survey data to get a better understanding and build out actionable items for a more positive experience.
Community Impact Report
At Buckeye, we Lead with Heart and support local problem solvers in each area of the state with compassion, connection, authenticity and accountability. W
e have a conversation about what is needed, what is working, what is changing and how we can help. Then we roll up our sleeves and help.
Helping others is our calling, our mission, our passion – and fortunately, it’s part of our day-to-day work. We know that healthcare is people care and that’s why we invest in our communities – the places that make Ohio a great place to live, work, play and raise a family.
See some highlights of our community-based work in 2022. Thank you for your interest in what we do and who we are as a company and as individuals. Let us know how we can help in your community.
You may have recently received a mailer from Buckeye highlighting some of the things we are doing to make working with us easier, how we support our members by leading with heart, and working alongside you to support your patients' overall health and well-being.
If you did not receive the mailer, you can see it here.
