Caresource case number

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CareSource first began working with Appriss Insights to develop a solution in Incarceration data supplied by Appriss Insights provide relevant information about individuals engaged with the criminal justice system in near-real time. These individuals often require more health resources, and a more integrated, efficient system can ensure that they have access to the care they need.

Detailed and up-to-date criminal justice data further empower CareSource to develop improved tools for prioritizing care and support for these members.

Through its proprietary incarceration data, Appriss Insights has helped CareSource improve coordination between the healthcare and criminal justice systems, assist CareSource in identifying individuals entering and exiting incarceration, and meaningfully stratify health needs and outcomes for justice-involved people — potentially reducing recidivism.

Through this partnership, CareSource has been able to identify roughly 7, justice-involved members per month, of which:. Additionally, the integration of jail management system data helps CareSource to identify population needs and utilization patterns that are specific to justice-involved members, informing strategies to work across systems and improve outcomes.

For example, the jail-involved population costs 1. As the frequency of jail recidivism increases, so does overall cost to Medicaid. Members with high jail utilization seven or more jail incarcerations in a year cost four times more than non justice-involved members.

CareSource is better equipped to improve health outcomes for an at-risk population and, in turn, reduce cost per member. This is a unique opportunity to impact the trifecta of health outcomes: individual member health, public health related to infectious disease, and public safety. With this cutting- edge integration in place, CareSource is committed to leveraging crucial incarceration data and providing innovative, high-quality care for its members, ultimately ensuring they get lifesaving healthcare when they need it most.

Appriss Insights delivers breakthrough data and analytics solutions to reduce people-based risk, mitigate fraud and fight crime. To learn more, visit www. For more information on CareSource, contact Kieran Hurley at kieran. It can be difficult to identify individuals entering and exiting incarceration, and it is challenging to both improve health outcomes and reduce cost.

Appriss Insights has helped CareSource improve coordination between the healthcare and criminal justice systems, consistently identify individuals entering and exiting incarceration, and meaningfully stratify health needs and outcomes for justice-involved people.

Justice-involved persons experience a greater percentage of health issues than the general population. Program Challenges CareSource faced numerous challenges navigating a system fractured by limited healthcare data sharing and uncoordinated reentry after incarceration.

About Appriss Insights Appriss Insights delivers breakthrough data and analytics solutions to reduce people-based risk, mitigate fraud and fight crime. CareSource faced numerous challenges navigating a system fractured by limited healthcare data sharing and uncoordinated reentry after incarceration. First, it can be difficult to identify individuals entering and exiting incarceration. By law, Medicaid members who are incarcerated should have their coverage suspended, but there is no consistent, reliable, real-time data sharing between local jail systems, managed care, and community health providers.

With more than 60 full-service jails and smaller holding facilities across the region all using separate jail management systems, identification of those entering and leaving incarceration is uncoordinated. To improve continuity of care for justice-involved members, CareSource began developing a coordinated effort among healthcare, criminal justice, and social services systems.

Second, it is challenging both to improve health outcomes for incarcerated individuals and to reduce medical costs. There is also a lack of consensus on how to define, target, and measure improvement in health outcomes, and a general disengagement with the healthcare system among jail-involved Medicaid members.

CareSource first began working with Appriss Insights to develop a solution in Incarceration data supplied by Appriss Insights provide relevant information about individuals engaged with the criminal justice system in near-real time.

These individuals often require more health resources, and a more integrated, efficient system can ensure that they have access to the care they need.

Detailed and up-to-date criminal justice data further empower CareSource to develop improved tools for prioritizing care and support for these members. Through its proprietary incarceration data, Appriss Insights has helped CareSource improve coordination between the healthcare and criminal justice systems, assist CareSource in identifying individuals entering and exiting incarceration, and meaningfully stratify health needs and outcomes for justice-involved people — potentially reducing recidivism.

Through this partnership, CareSource has been able to identify roughly 7, justice-involved members per month, of which:. Additionally, the integration of jail management system data helps CareSource to identify population needs and utilization patterns that are specific to justice-involved members, informing strategies to work across systems and improve outcomes. For example, the jail-involved population costs 1.

As the frequency of jail recidivism increases, so does overall cost to Medicaid. Members with high jail utilization seven or more jail incarcerations in a year cost four times more than non justice-involved members.

CareSource is better equipped to improve health outcomes for an at-risk population and, in turn, reduce cost per member. This is a unique opportunity to impact the trifecta of health outcomes: individual member health, public health related to infectious disease, and public safety.

With this cutting- edge integration in place, CareSource is committed to leveraging crucial incarceration data and providing innovative, high-quality care for its members, ultimately ensuring they get lifesaving healthcare when they need it most.

Appriss Insights delivers breakthrough data and analytics solutions to reduce people-based risk, mitigate fraud and fight crime.

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The heightened risks of contracting COVID and other infectious diseases while incarcerated — combined with disproportionate rates of comorbid chronic medical conditions, substance use disorder, and mental illness — indicate that the need for more efficient and timely care has never been greater. The cost of recidivism is high. One of the most important ways to meaningfully reduce recidivism rates is to ensure that formerly incarcerated individuals have their physical and behavioral health treatment plans resume as soon as they return to the community.

This would contribute to better outcomes in individual member health, public health in the case of infectious diseases , and public safety. CareSource faced numerous challenges navigating a system fractured by limited healthcare data sharing and uncoordinated reentry after incarceration. First, it can be difficult to identify individuals entering and exiting incarceration.

By law, Medicaid members who are incarcerated should have their coverage suspended, but there is no consistent, reliable, real-time data sharing between local jail systems, managed care, and community health providers. With more than 60 full-service jails and smaller holding facilities across the region all using separate jail management systems, identification of those entering and leaving incarceration is uncoordinated.

To improve continuity of care for justice-involved members, CareSource began developing a coordinated effort among healthcare, criminal justice, and social services systems. Second, it is challenging both to improve health outcomes for incarcerated individuals and to reduce medical costs.

There is also a lack of consensus on how to define, target, and measure improvement in health outcomes, and a general disengagement with the healthcare system among jail-involved Medicaid members. CareSource first began working with Appriss Insights to develop a solution in Incarceration data supplied by Appriss Insights provide relevant information about individuals engaged with the criminal justice system in near-real time.

These individuals often require more health resources, and a more integrated, efficient system can ensure that they have access to the care they need. Detailed and up-to-date criminal justice data further empower CareSource to develop improved tools for prioritizing care and support for these members. Through its proprietary incarceration data, Appriss Insights has helped CareSource improve coordination between the healthcare and criminal justice systems, assist CareSource in identifying individuals entering and exiting incarceration, and meaningfully stratify health needs and outcomes for justice-involved people — potentially reducing recidivism.

Through this partnership, CareSource has been able to identify roughly 7, justice-involved members per month, of which:. Additionally, the integration of jail management system data helps CareSource to identify population needs and utilization patterns that are specific to justice-involved members, informing strategies to work across systems and improve outcomes.

For example, the jail-involved population costs 1. As the frequency of jail recidivism increases, so does overall cost to Medicaid. Members with high jail utilization seven or more jail incarcerations in a year cost four times more than non justice-involved members. The EEOC issued a right-to-sue letter that same day. She was granted in forma pauperis status. The complaint — which is not verified — states that she believes she was "unlawfully discriminated against because of my race, African American.

In this charge, which was notarized and signed under penalty of perjury, Alexander states that she is an African American, the position at CareSource was offered to Wheeler, a Caucasian, and Wheeler's interview was less rigorous than Alexander's because Wheeler was asked less difficult questions.

Counsel entered an appearance on behalf of Alexander on July 12, but did not file an amended complaint. Alexander took at least two depositions in the case, but it does not appear that she sought formal discovery in any other form. CareSource moved for summary judgment, attaching three affidavits, one with "interview notes" of the candidates.

Alexander never submitted an affidavit to the district court, nor any pages of her deposition transcript. She did, however, submit a document purporting to be her resume. The resume states that she has a high school education, and worked as a data processing clerk from to From to she worked for Miami Valley Hospital as a patient account representative. According to her complaint, she was laid off by the hospital in and was forced to live in a homeless shelter. Alexander also submitted a document that purports to be a resume of David Roush.

Before that he worked in various customer service jobs since According to Alexander's brief, Roush was hired for a claims analyst position covering Indiana, he did not have a completed application on file, and he is Caucasian. CareSource responded to the plaintiff's submissions by asking the district court to strike all of Alexander's exhibits except the deposition transcripts because they were not authenticated by an affidavit or deposition testimony.

The district court granted the motion to strike the exhibits as well as the motion for summary judgment, and entered judgment against Alexander on June 3, Alexander filed a timely notice of appeal and contends that the district court erred by granting summary judgment and disregarding her exhibits. This court reviews a district court's grant of summary judgment de novo and applies the same standard as the district court.

Farhat v. Jopke, F. Life Ins. The parties' arguments in this case suggest that it may be useful to review Subscribers can access the reported version of this case.

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Additionally, the integration of jail management system data helps CareSource to identify population needs and utilization patterns that are specific to justice-involved members, informing strategies to work across systems and improve outcomes.

For example, the jail-involved population costs 1. As the frequency of jail recidivism increases, so does overall cost to Medicaid. Members with high jail utilization seven or more jail incarcerations in a year cost four times more than non justice-involved members. CareSource is better equipped to improve health outcomes for an at-risk population and, in turn, reduce cost per member.

This is a unique opportunity to impact the trifecta of health outcomes: individual member health, public health related to infectious disease, and public safety. With this cutting- edge integration in place, CareSource is committed to leveraging crucial incarceration data and providing innovative, high-quality care for its members, ultimately ensuring they get lifesaving healthcare when they need it most.

Appriss Insights delivers breakthrough data and analytics solutions to reduce people-based risk, mitigate fraud and fight crime. To learn more, visit www. For more information on CareSource, contact Kieran Hurley at kieran. It can be difficult to identify individuals entering and exiting incarceration, and it is challenging to both improve health outcomes and reduce cost.

Appriss Insights has helped CareSource improve coordination between the healthcare and criminal justice systems, consistently identify individuals entering and exiting incarceration, and meaningfully stratify health needs and outcomes for justice-involved people. Justice-involved persons experience a greater percentage of health issues than the general population. Program Challenges CareSource faced numerous challenges navigating a system fractured by limited healthcare data sharing and uncoordinated reentry after incarceration.

About Appriss Insights Appriss Insights delivers breakthrough data and analytics solutions to reduce people-based risk, mitigate fraud and fight crime. Solution at a Glance Challenge It can be difficult to identify individuals entering and exiting incarceration, and it is challenging to both improve health outcomes and reduce cost. Solution Incarceration data supplied by Appriss Insights provide relevant information about individuals engaged with the criminal justice system in near-real time.

Results Appriss Insights has helped CareSource improve coordination between the healthcare and criminal justice systems, consistently identify individuals entering and exiting incarceration, and meaningfully stratify health needs and outcomes for justice-involved people. The Incarcerated Population:.

CareSource has been able to identify roughly 7, justice-involved members per month, of which:. Partner Center Blog Contact. She was not offered the job. The Michigan claims analyst position ultimately went to Kim Seiber, who had been employed by CareSource in a provider customer service position. Seiber, apparently, is Caucasian. She interviewed for the position on June 28, , the day before Alexander. According to North, Seiber provided "satisfactory" answers to his questions and he believed that she had received positive performance reviews in her previous position.

ROA at On July 7, , Bentley telephoned Alexander to inform her that the position was given to another candidate. On May 11, , the Ohio Civil Rights Commission concluded that there was probable cause to believe that Care-Source violated the law when it did not hire Alexander. The determination states that Alexander met the job qualifications for the claims analyst position, and after she was refused the job, CareSource continued to interview others "with very similar qualifications as Charging Party.

The report then stated:. Unlike Charging Party, this similarly situated person was not required to submit an employment application, and was offered a position the same day she was interviewed by Respondent.

Charging party became aware of these facts only because she worked alongside this person during Respondent's interview process. On May 2, , citing the Ohio Civil Rights Commission's finding, the EEOC issued a determination that there was probable cause to believe that the allegation of race discrimination was true; but.

The EEOC issued a right-to-sue letter that same day. She was granted in forma pauperis status. The complaint — which is not verified — states that she believes she was "unlawfully discriminated against because of my race, African American.

In this charge, which was notarized and signed under penalty of perjury, Alexander states that she is an African American, the position at CareSource was offered to Wheeler, a Caucasian, and Wheeler's interview was less rigorous than Alexander's because Wheeler was asked less difficult questions. Counsel entered an appearance on behalf of Alexander on July 12, but did not file an amended complaint.

Alexander took at least two depositions in the case, but it does not appear that she sought formal discovery in any other form. CareSource moved for summary judgment, attaching three affidavits, one with "interview notes" of the candidates. Alexander never submitted an affidavit to the district court, nor any pages of her deposition transcript. She did, however, submit a document purporting to be her resume. The resume states that she has a high school education, and worked as a data processing clerk from to From to she worked for Miami Valley Hospital as a patient account representative.

According to her complaint, she was laid off by the hospital in and was forced to live in a homeless shelter. Alexander also submitted a document that purports to be a resume of David Roush. Before that he worked in various customer service jobs since According to Alexander's brief, Roush was hired for a claims analyst position covering Indiana, he did not have a completed application on file, and he is Caucasian.

CareSource responded to the plaintiff's submissions by asking the district court to strike all of Alexander's exhibits except the deposition transcripts because they were not authenticated by an affidavit or deposition testimony.

The district court granted the motion to strike the exhibits as well as the motion for summary judgment, and entered judgment against Alexander on June 3, Alexander filed a timely notice of appeal and contends that the district court erred by granting summary judgment and disregarding her exhibits. This court reviews a district court's grant of summary judgment de novo and applies the same standard as the district court. Farhat v.

Jopke, F. Life Ins. The parties' arguments in this case suggest that it may be useful to review Subscribers can access the reported version of this case. Search over million documents from over countries including primary and secondary collections of legislation, case law, regulations, practical law, news, forms and contracts, books, journals, and more. Advanced A. Founded over 20 years ago, vLex provides a first-class and comprehensive service for lawyers, law firms, government departments, and law schools around the world.

Subscribers are able to see a list of all the cited cases and legislation of a document. Subscribers are able to see a list of all the documents that have cited the case.

Subscribers are able to see the revised versions of legislation with amendments. Subscribers are able to see any amendments made to the case.