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National Kidney Month is in March

March 9, 2022

During National Kidney Month, we recognize how kidneys play an important role in keeping our bodies healthy. In fact, all the blood in our body takes a trip through these bean-shaped organs about 40 times per day!

Below, we’ll dive into what your kidneys do and how to keep them working in tip-top shape. We’ll also touch on chronic kidney disease symptoms and living kidney donors.

What do your kidneys do?

You have two kidneys on either side of your spine, between your ribs and your belly button. They are about the size of an adult fist, and they perform many complex functions to keep the rest of your body feeling well.

Most of us know that kidneys remove waste from our body. But did you know they also make hormones that regulate your blood pressure and red blood cells?

Yup, you can thank your kidneys for:

Removing excess fluid and waste from your body
Filtering toxins from your blood
Regulating the production of your red blood cells
Producing essential vitamins
Releasing blood pressure-regulating hormones

Over a million tiny filters, called nephrons, make up each of your kidneys. Nephrons work together to filter your blood, remove waste and return necessary nutrients back to your blood. The waste and extra water is what makes up urine.

How to keep your kidneys healthy

Now that we’ve talked about the importance of this organ duo, it’s clear why keeping them healthy is a priority.

Here are some things you can do for your kidney health:

Drink plenty of fluids, especially water
Eat nutritious foods, like fruits and vegetables
Avoid eating too much salt or fat
Maintain a healthy blood pressure
Stop smoking
Drink alcohol in moderation
Lose excess weight
Stay active
If you’re a diabetic, keep your blood sugar levels under control

Chronic kidney disease

About 1 in 7 adult Americans live with chronic kidney disease. This means their kidneys are damaged and are not functioning properly. Chronic kidney disease can be caused by diabetes, high blood pressure or an immune system disease such as lupus.

The word “chronic” is used because the disease gets worse over time. If you’re at risk for kidney disease, talk to your doctor about getting tested. The sooner you’re diagnosed, the sooner you can begin treatment. Unfortunately, there is no way to reverse chronic kidney disease, but there are ways to slow the progression, such as lifestyle and diet changes.

Learn about living kidney donors during National Kidney Month

Individuals with chronic kidney disease eventually need dialysis or a kidney transplant. In the U.S, 100,000 people are awaiting a kidney transplant. Healthy people with normal kidney function can become living kidney donors. Our bodies can function normally with just one kidney.

A living kidney donor could donate their organ to someone who needs a functional kidney. This could be a blood relative, spouse, or friend. Kidneys can also be donated to someone anonymously (non-directed donation).

In this National Kidney Month article, we hope you have learned more about your kidneys and how to keep them healthy.

WelbeHealth Participant, Story of Resilience: Anthony

February 1, 2022

We interviewed Anthony Mitchell, WelbeHealth participant since early 2020. Read about his experience with WelbeHealth’s PACE services.

A Family Caregiver and Self-Advocate

Before sitting down to talk with Anthony, we overhear him tell his wife, Anita, that he will take her for a manicure soon. “Every three weeks I get her a manicure and a pedicure to make her feel special,” he explains. “I just do my best to look after her.”

Anita has Alzheimer’s disease, and Anthony’s adult son has severe disabilities. For Anthony, it’s essential to stay well so he can care for his family members.

Anthony says, “I’m an advocate for myself. I don’t let myself get pushed around. I made that mistake once, to not trust my own judgment, and I wound up losing a toe [due to diabetes]. I said, ‘Never again will I do that.’ If I’m not an advocate for myself, I can’t take care of my family. I need to be here for people.”

Very Different Health Care Experiences

Anthony says, “I was not happy with my prior health plan. I felt like I was a shuffle-through. What I needed and what I was getting were two different things entirely.”

WelbeHealth’s PACE model allows Anthony to get personalized, comprehensive care. A team of experts works together to meet his health care needs.

“At WelbeHealth, I feel like people care for me. Instead of getting passed around as fast as they can. Here people make me feel special,” Anthony says. “What I like most about WelbeHealth is the way everybody works together as a team for you. Everybody I’ve dealt with has been supportive, respectful, and helpful. It’s not just beyond customer service. It’s not just beyond health care. It’s someone looking and saying, ‘This is what we need to do. We see what the problem is. Let’s pull together as a team.’

How WelbeHealth Keeps Him Going

Besides the emphasis on physical health, Anthony appreciates the mental health support provided by WelbeHealth. It has given him the support he needs to be the best family caregiver to his loved ones.

Anthony says, “At my last health plan, I was not comfortable with the mental health services, and I didn’t feel heard. At WelbeHealth, my doctor listens and helps me move forward. Without the mental health support that I have now, I could not take care of my wife and my son.”

He adds, “When you are strong mentally, you can become strong physically. That’s one of the most important things that I’ve gotten: the mental support to keep me strong, so I can be the man that I need to be.”

To Anthony, WelbeHealth has become more than a health plan or service. He says, “There’s no judgment. There’s always complete understanding. You call us participants, but I just feel more like… something special. I feel more like family. You treat me like family.”

Yoga for Seniors

January 26, 2022

What comes to mind when you hear the word yoga? If it’s a young person twisted into a pretzel-like position, you’re not alone. Many people don’t realize that yoga for seniors is incredibly flexible – even if you’re not! Yoga can be adapted to meet the abilities of all age groups, from children to older adults.

Yoga is ideal for seniors looking for a gentle way to care for their mind and body. Here’s how to start a regular yoga practice. (No pretzel formation is necessary!)

The Benefits of Yoga for Seniors

The mindful movement of yoga can be beneficial for everyone, including older adults. Regular practice increases muscle tone, balance, strength, and boosts mood.

Shelley Newhouse is the Director of Talent Attraction & Enablement at WelbeHealth. She is also a 500-hour certified yoga instructor with Yoga Alliance. She says yoga for seniors can help relieve stress and tension in the body.

“Yoga can make us more comfortable and at ease. When you start to integrate the breath and the mindfulness of the practice, it can be really calming,” Newhouse explains. “Yoga allows people to be more present. They aren’t as caught up in what happened yesterday or what might happen tomorrow. Yoga can help people enjoy what is truly meaningful.”

By lengthening and stretching muscles, yoga can provide some relief for tight muscles and joints. If you have arthritis, you may find regular yoga helpful when paired with your other treatments.

Best Types of Yoga for Seniors

Chair Yoga for Seniors

If your mobility is limited, you can still get the benefits of yoga while sitting in a chair. In most cases, chair yoga is gentle and good for seniors who may be new to the activity.

During chair yoga for seniors, poses are done while seated comfortably in a chair. Or, you may use the chair for support during standing poses. You can choose how much you use the chair depending on your body and mobility. With time and regular practice, you may find that you need the chair than when you began!

Restorative Yoga for Seniors

While traditional yoga focuses on stretching and strengthening, restorative yoga focuses on relaxation. During restorative yoga for seniors, poses are gentle and often held longer. You’ll focus on your breath and quiet your mind.

Many restorative yoga poses are done lying on the ground. These poses are supportive to the nervous system and have a calming effect on the mind.

How to Get Started

Before you begin your yoga practice, there are a few things you’ll want to do to prepare. Take these steps to choose the yoga practice that is right for you.

Talk to Your Healthcare Provider

Speaking with your healthcare provider is the first step and one you won’t want to skip. Let your doctor know that you’d like to try yoga, and make sure they don’t have any concerns.

Your physician may tell you to avoid certain poses or suggest you start with chair yoga. This conversation will help you stay safe, prevent injury, and know your limits.

Decide on Virtual or In-Person

In a post-pandemic world, yoga for seniors is more accessible than ever thanks to the internet. Do a quick search on YouTube to find many yoga videos. You’ll want to decide if you’re going to stream your yoga practice or find an in-person class.

Newhouse says there are advantages and drawbacks to virtual classes. “Virtual yoga classes are great because you can do them anywhere,” she says. “But people need to be mindful when they are doing a virtual class. They have to pay close attention to how their body feels because an instructor isn’t there to correct their alignment.”

Many beginner yogis may benefit from an in-person class where they can ask questions and get hands-on help from the instructor. Plus, being in a class with other seniors creates a sense of community. Check your local YMCA, recreation center, or senior center to find an in-person yoga class for older adults

Set the Mood

Whether you’re practicing at home or in a class, there are a few things you can do to optimize your yoga practice.

Choose a time of day – Pick whether you want to practice yoga in the morning or the evening. Make sure it is a time that you can stay consistent with.
Eliminate distractions – For some people, this may be silencing their phones or turning off the television. For others, it may mean decluttering their space.

“If your mind tends to wander, creating a distraction-free space can help you stay focused,” says Newhouse.

Wear comfy clothes – You don’t have to buy special clothes for yoga. Just wear something comfortable that you can move in.

Listen to Your Body

Like any activity, don’t push your body to its limit. If your body tells you to stop a certain movement, listen.

“You don’t need to go to the fullest extreme,” Newhouse advises. “If a movement creates pain or discomfort in your body, then definitely back off.”

Yoga Poses to Try

If you want to try yoga on your own, Newhouse recommends these poses.

Seated Mountain Pose

Benefits: Relaxes shoulders and promotes awareness in the body

Sit tall in your chair with your back straight and your hands on your knees. Gently soften your gaze, let your shoulders relax away from your ears, and focus on the sensation of your breathing.

Seated Cat/Cow

Benefits: Stretches chest muscles and releases tension in the neck

From your Seated Mountain Pose, inhale and arch your spine, moving your shoulders down your back. Exhale and round your spine, bringing your shoulders away from each other and your chin to your chest. Repeat 5-6 times.

Seated Side Bend

Benefits: Promotes balance and stretches the side of the body

From your Seated Mountain Pose, reach your right arm above your head and gently lean your upper body to the left. You’ll feel a lengthening sensation along the right side of your body. Hold for 3-4 breaths. Return to Seated Mountain Pose and repeat on the left side.

Standing Mountain Post

Benefits: Teaches the body alignment and awareness

Stand tall with your feet hips distance apart. Roll your shoulders back and bring your arms by your sides with your palms facing toward your body. Fix your gaze softly or close your eyes. Hold for 5-6 breaths.

Chair Pose

Benefits: Builds heat in the body and strengthens legs

From Standing Mountain Pose, sit your hips back like you’re about to sit into a chair. Shift most of your weight into your heels rather than your toes. Tuck your pelvic bone under to engage your core. Lift your arms over your head while pulling your shoulders away from your ears. Hold for 3-4 breaths.

Final Thoughts

Whether you practice once a week or every day, the benefit of yoga for seniors is the same. Many studies have shown that older adults can increase their strength, flexibility, and balance through a regular yoga practice. Speak with your healthcare provider to see if yoga is a good activity for you!

UC Berkeley Study Reveals WelbeHealth’s Rapid Adaptation To COVID-19 Eldercare Yielded Exceptional Results And Saved Lives

July 14, 2021

As policy momentum grows toward home and community-based services, study recommends that policy choices focus on the Program of All-Inclusive Care for the Elderly (PACE), and it’s 45-year track record of success in serving the most complex elderly patients.

SILICON VALLEY, Calif., July 14, 2021 — A new study from UC Berkeley’s Berkeley Roundtable on the International Economy (BRIE) features WelbeHealth in a case study illustrating how this California eldercare PACE provider responded early and decisively to the COVID-19 crisis with exceptional results.

“By rapidly transforming its care model, WelbeHealth had exceptional results: as COVID-19 cases rose across the country — and in particular within nursing home populations — WelbeHealth did not have a single COVID-19 death during the first 8 months of the pandemic. The first WelbeHealth loss from COVID-19 occurred on November 21, 2020 and 10 WelbeHealth participants died of COVID-19 since the beginning of the pandemic.”

-UC Berkeley

READ THE STORY:

Welbehealth: Case Study of Adapting PACE Under COVID-19

Key findings:

WelbeHealth and the PACE community overall had lower death rates than nursing homes; the national PACE COVID-19 death rate was 3.8%, nearly one-third the 11.8% death rate in nursing homes. WelbeHealth calculated a death rate of 2.4%.
WelbeHealth acted early and decisively to minimize exposure with an Incident Command response strategy, dispersing tablets for telehealth visits, PPE, thermometers, food, medication, and other essentials into participants’ homes, and providing nearly all care remotely, which proved effective.
PACE’s capitated payment model moves the risk from payor to care provider, aligning incentives and encouraging innovation and efficiency in keeping patients well.
Technology provided an important amplification to PACE’s model of care — it allowed for regular check-ins and informed decision-making on care needs. However, the social aspect of the PACE day center cannot be replaced by technology, and it is clear that in-person visits are vital.
With America’s senior citizen population set to double by 2040, the demand for long-term care will skyrocket. The pandemic underscored that work must begin now to meet the needs of present and future vulnerable elders.
Existing home and community-based services (HCBS) such as PACE demonstrated profound success during the pandemic leading to fresh momentum among policymakers to expand these options further.

PACE’s person-to-person, fully integrated approach maintains the participant’s highest level of independence and quality of life[i]; PACE participants experience an 80% drop in rates of depression after joining.[ii] At a time when America is searching for a better way forward in eldercare, PACE is a proven approach for this vulnerable group.

“While PACE has a 45-year track record of success, it remains optional in Medicaid while nursing home benefits are required — it’s time for every vulnerable elder in the country to have access to this gold standard of long-term care,” said Elizabeth Carty, Chief Regulatory Affairs Officer of WelbeHealth.

Many PACE participants reside in medically underserved areas like San Joaquin County, California, where WelbeHealth’s creative problem-solving and speed to action kept seniors safe in their homes when resources for the elderly were relatively scarce.

“As other healthcare organizations were assessing the potential impact and spread of the pandemic, the WelbeHealth team had already taken its crisis response to the next level, ” said Amy Shin, former CEO of Health Plan of San Joaquin. “I was impressed with how nimbly this team charted out a plan not only to keep seniors safe and vaccinated but to vaccinate the community as well. This study’s findings should alert legislators that this style of home and community-based services is the ideal model of care for frail seniors.”

What is PACE?
PACE (Program of All-Inclusive Care for the Elderly) serves low-income seniors who meet their state requirement for nursing home level care allowing them to live independently in their own homes and communities while receiving fully coordinated medical and dental care, physical and occupational therapy, transportation, meals, day programs, home care assistance and more, managed by an 11-person integrated care team. The “one-stop-shop” PACE day centers are the hub of the program, offering seniors a pleasant place to receive care, socialize and enjoy meals within a state-of-the-art facility.

About WelbeHealth
WelbeHealth is a physician-led healthcare organization that provides seniors with high-quality, compassionate care so they can live in their own homes and communities rather than a nursing home. To accomplish this, WelbeHealth uses the PACE (Program of All-Inclusive Care for the Elderly) model. WelbeHealth currently operates four programs in the Stockton/Modesto, Pasadena/Burbank, Long Beach, and Fresno communities of California.

[i] Center for Consumer Engagement in Health Innovation, “Care That Works: Program for All-inclusive Care for the Elderly.” https://www.healthinnovation.org/resources/publications/care-that-works-pace

[ii] National PACE Association, “COVID Data Demonstrates That the PACE Model Is Safer Than Nursing Home Care.” https://www.npaonline.org/about-npa/press-releases/covid-data-demonstrates-pace-model-safer-nursing-home-care

mHealthIntelligence: California Provider Sees Telehealth as an Integral Part of PACE Programs

June 7, 2021

WelbeHealth President Matt Patterson says COVID-19 has taught the industry a good lesson on how to use telehealth, and it should be a permanent part of the senior care service.

By Eric Wicklund

May 27, 2021 – A California-based healthcare provider is integrating telehealth into its PACE programs, saying the connected health platform improves its ability to provide value-based care for seniors in their own homes.

While the focus of PACE programs has been on in-person care, the coronavirus pandemic prompted many to shift to connected health to maintain contact with their patients. For WelbeHealth, that meant partnering with Grandpad to equip patients with senior-friendly mHealth tablets that allow them to connect with caregivers on-demand and access health and wellness resources online.

“COVID-19 introduced the need for us to pivot to telehealth,” says WelbeHealth President Matt Patterson. “And in the process, we have saved lives.”

WelbeHealth is one of hundreds of providers focused on the senior care market, many of which participate in the Centers for Medicare & Medicaid Services’ Program of All-inclusive Care for the Elderly (PACE) program. Developed by CMS roughly 30 years ago as a capitated model of care for dual-eligible beneficiaries (ninety percent are dual-eligible), it provides all necessary medical care, therapies, long-term care and services, meals, socialization, transportation, day center services, and activities.

There are currently 135 PACE programs in 31 states, enrolling between 50 and 3,000 patients, for a total of more than 54,000 seniors served. The programs are based in a care center and feature an interdisciplinary care team (IDT) of primary care physicians, nurses, therapists, social workers, dieticians, home care professionals, and others and offers a variety of services on-site and in the home.

PACE programs have traditionally shied away from telehealth, but COVID-19 changed that line of thinking. Now Patterson and his team are at the forefront of a new wave of care providers who want to make telehealth an integral part of the program.

“It’s an exciting opportunity to extend the reach of PACE (and) do more to improve and enrich the lives of our participants,” says Patterson, a former naval surgeon who served as president of digital health pioneer AirStrip before moving into the senior care space.

Telehealth gives PACE programs with WelbeHealth’s the ability to be there for seniors at any time, and to address issues that might not be addressed during in-person visits. That’s important at a time when, mostly due to COVID-19 restrictions, seniors are experiencing high rates of depression, anxiety, stress and substance abuse.

That point has been proven in the Grandpad project. According to a case study, seniors in the WelbeHealth program logged nearly 34,000 hours on the tablets – using both synchronous and asynchronous services – between March of 2020 and March of 2021, including more than 1,500 hours accessing mental health treatment. They also used the tablets to access medical care and exercises aimed at treating cognitive decline.

Patterson says emergency measures adopted by both state and federal governments during the COVID-19 public health emergency have enabled PACE programs to use telehealth more freely. He and his company have been lobbying state officials to make those freedoms permanent.

On the federal level, a bill introduced in March and now before Congress would ensure permanent coverage for audio-only telehealth services for Medicare Advantage and PACE programs, giving providers like WelbeHealth the freedom to incorporate phone calls and non-video telehealth platforms into care plans.

The benefits of connected care are numerous. On-demand access to care providers means seniors can go about their day knowing there’s someone always available should an emergency occur. They have instant access to health and wellness resources that go beyond what they’re getting when the nurse comes by for a visit. They can also collaborate more often on medication management, keep track of daily vital signs, or just talk to someone if they’re lonely or depressed.

Patterson says the pandemic is giving WelbeHealth and others the time to prove the value of connected health and to gather data and experiences to support permanent coverage.

That will be important. CMS has traditionally been very reluctant to expand telehealth coverage and has long argued that it needs evidence that these tools and platforms improve clinical outcomes and reduce wasteful expenses and unnecessary treatments. In short, they want proof.

“PACE is an ideal model for integrating high-touch and virtual care,” Patterson counters. And he wants to do more of that.

“Telehealth is definitely not a replacement (for in-person care), but it gives us more tools, and we want to use these tools for what our participants desire,” he says. “As an organization, we only do well when our participants do well. And they’re doing well.”

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Why We Support California Assembly Bill (AB) 523: Because Lifting Regulatory Bottlenecks Saved Lives During Covid-19 Crisis

February 26, 2021

Why Assembly Bill 540 Must Pass: Because seniors have a right to know about the PACE option for home and community based care

February 25, 2021

WelbeHealth Administers First Shipment of COVID-19 Vaccines

December 30, 2020

LONG BEACH Dec. 31, 2020 – WelbeHealth is administering its first COVID-19 vaccines to its elderly participants this week, beginning at the organization’s center in Long Beach, California. The first seniors received their vaccinations on Wednesday, and additional vaccines will be administered next week.

WelbeHealth, a healthcare provider delivering integrated home-based care for frail seniors across California, received its first shipment of the vaccine earlier this week and rapidly deployed its plan to administer the injections to its highest-risk participants.

“This is a momentous occasion for our programs and our society. It’s essential that we all get vaccinated, not only for ourselves but for the safety and wellbeing of everyone in our communities,” said WelbeHealth President Matt Patterson, MD. “With each vaccine, we are literally saving the lives of our elders who have given so much to enrich our world.”

WelbeHealth provides care as part of PACE (Program of All-Inclusive Care for the Elderly), a longstanding Medicare and Medicaid program that enables older adults to live in the community instead of a nursing home.

At the onset of the coronavirus pandemic, WelbeHealth shifted to a remote home-based care model, providing each participant with an internet-connected WelbeLink computer tablet and delivering care in the home whenever possible. The program has a long track record of positive outcomes, including longer life expectancy and dramatically improved mental health and quality of life. The PACE model has proven dramatically safer for seniors during the pandemic, with 85-95 percent lower infection and mortality rates than nursing homes.

TAKING ACTION TO PROTECT OUR SENIORS DURING THE COVID-19 PANDEMIC

March 23, 2020

To our dear seniors, families, and caregivers,

As you know, the spread of coronavirus continues to escalate globally, nationally, and here in California. During these challenging times, I want you to know that our leadership teams have been working around the clock to implement a proactive clinical and operating model to keep our seniors safe and our team healthy.

We are taking bold, aggressive, and preemptive actions to maintain the health and well-being of our PACE participants and our team.

Pandemic Response Systems Implemented:

Our organization has been prepared to operate during a pandemic since long before the emergence of COVID-19. On March 13, we formally mobilized our emergency preparedness program and launched our Pandemic Incident Response Systems. These systems include a well-defined chain of command and pandemic-specific roles and responsibilities for our team, ensuring clear communication and enabling continued high quality of care for our participants.

Remote/At-Home Patient Care Launched:

As of March 16, our PACE participants are receiving nearly all their care remotely, at home. In addition to medical care, we continue to provide essential services to our seniors based on individual needs, including food preparation and delivery, medication delivery, and personal hygiene assistance.

Each participant has also been provided with a 4G LTE “WelbeLink” tablet with hardware and software specifically designed for use by seniors. Our care teams are using these tablets to maintain regular video communications with participants in the home.

Work from Home Mandated:

As of March 16, all WelbeHealth staff have been mandated to shelter in place and work from home unless otherwise assigned by our emergency response team. This mandate protects our participants and caregivers and ensures immediate containment of any single COVID-19 case.

COVID-19 Resources Ready:

We’re working closely with local, state, and federal health officials to ensure we have appropriate resources in place to care for our seniors. We are prepared to test participants and staff for COVID-19 when appropriate. In addition, we continue to monitor and comply with evolving government and CDC guidance.

My colleagues and I chose to work in healthcare out of a sense of calling—a desire to serve and contribute when it matters most. I’m grateful for the opportunity to serve you, and I assure you that our team will continue to make every effort to do the right thing and protect our seniors during this critical time.

Sincerely,
Si France, MD
CEO, WelbeHealth

To learn more about our PACE services, click here

How COVID-19 Spreads

How to Protect Yourself & Others

Social Distancing

Entrepreneur.com: How This Mission-Driven Change Agent Is Disrupting Healthcare

February 2, 2020

A doctor and entrepreneur shares how his team is changing eldercare.

Entrepreneur

5 min. read February 2, 2021 – WelbeHealth Founder and CEO, Si France, MD was interviewed by Entrepreneur.com’s Jessica Abo about what motivated him to pave his own path to entrepreneurship.

Health Care Capitalist or Mission-Driven Change Agent? Check out what he has to say about pivoting from the success of the business-model-based GoHealth Urgent Care, to something that was a force for good:

“I wanted to go create this organization where people weren’t resources in some kind of capitalist plan. We cared about people.”

With a focus on elder care, Si went on to create WelbeHealth, an operator of the Medicaid/Medicare PACE (Program of All-Inclusive Care for the Elderly).

PACE serves low-income, Medicaid/Medicare eligible, frail seniors by providing 11-person integrated care teams to each participant so that they can live independently in their own homes and communities while having full access to medical and dental care, meals, transportation, medication management, home health aides, adult day programs, and more. Teams who operate PACE, like Welbe, report an 80% average drop in depression rates after enrollment.

During COVID-19 it saved lives and its rapid response to the pandemic has been featured as a case study in the rapid deployment of telehealth during the lockdown, while still emphasizing the absolute importance of high-touch, in-person care.

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