Geisinger Community Health Services

GEISINGER COMMUNITY HEALTH SERVICES STRIVES TO PROVIDE CLINICAL EXCELLENCE, ADVOCACY AND INNOVATIVE SOLUTIONS TO ENHANCE THE HEALTH AND INDEPENDENCE OF ALL ITS COMMUNITY MEMBERS.

I. GENERAL PROGRAM SERVICE INFORMATION GEISINGER COMMUNITY HEALTH SERVICES (GCHS) WAS ESTABLISHED IN JULY 1998 AS A 501(C)(3) NOT-FOR-PROFIT CORPORATION THAT OPERATES GEISINGER'S LIFE PROGRAM. GCHS STRIVES TO PROVIDE CLINICAL EXCELLENCE, ADVOCACY, AND INNOVATIVE SOLUTIONS TO ENHANCE THE HEALTH AND INDEPENDENCE OF ALL ITS COMMUNITY MEMBERS. GCHS PROVIDES QUALITY MEDICAL HEALTHCARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, OR HANDICAP. THE MAJOR PROGRAM SERVICE ACTIVITY AVAILABLE THROUGH GCHS DURING THE YEAR ENDED DECEMBER 31, 2021 WAS LIFE GEISINGER. LIFE GEISINGER (LIVING INDEPENDENTLY FOR ELDERS) PROVIDES ADDITIONAL INDEPENDENCE FOR OLDER INDIVIDUALS AND THEIR CAREGIVERS. LIFE GEISINGER IS RECOGNIZED BY THE STATE OF PENNSYLVANIA AND THE CENTERS FOR MEDICARE AND MEDICAID SERVICES AS A PACE PROVIDER. PACE MEANS PROGRAMS FOR ALL- INCLUSIVE CARE OF THE ELDERLY - THOSE THAT OFFER OLDER ADULTS A VARIETY OF SERVICES DESIGNED TO MAINTAIN HEALTH, PREVENT NURSING HOME PLACEMENT, AND IMPROVE THE QUALITY OF LIFE. TO QUALIFY TO BECOME A LIFE GEISINGER PARTICIPANT, INDIVIDUALS MUST: -BE 55 YEARS OF AGE OR OLDER -MEET ELIGIBILITY CRITERIA FOR NURSING FACILITY LEVEL OF CARE -LIVE IN ONE OF THE FOLLOWING COUNTIES: COLUMBIA, JUNIATA, LACKAWANNA, LUZERNE, MIFFLIN, MONTOUR, NORTHUMBERLAND, SCHUYLKILL, OR SNYDER -BE ABLE TO LIVE SAFELY WITHIN THE COMMUNITY WITH SERVICES PROVIDED BY LIFE GEISINGER -FINANCIAL ELIGIBILITY IS BASED ON CURRENT MEDICAL ASSISTANCE CRITERIA OR THE ABILITY TO PAY PRIVATELY THE MAIN PREMISE IS TO PROVIDE HIGH QUALITY, COMPREHENSIVE, TEAM-BASED CARE TO THE FRAIL ELDERLY, IN ORDER TO MAXIMIZE INDEPENDENCE AND QUALITY OF LIFE. THE PROGRAM HAS FIVE FULL LIFE CENTERS LOCATED IN SCRANTON, LEWISTOWN, KULPMONT, WILKES-BARRE, AND MINERSVILLE. II. UNCOMPENSATED CARE GCHS RECOGNIZES THAT ITS MISSION IS TO MEET COMMUNITY HEALTH NEEDS AND TO SUPPORT THE GOALS OF GEISINGER IN THE COMMUNITIES WHERE GCHS PRACTICES. IN THIS REGARD, GCHS PROVIDES SUBSIDIZED CARE BELOW COST AND SUPPORTS VARIOUS HEALTH ACTIVITIES AND PROGRAMS IN SUPPORT OF THE COMMUNITY. A. MEDICARE/MEDICAID IN RECOGNIZING ITS MISSION TO THE COMMUNITY, GCHS PROVIDES CARE, BELOW COST, TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS. TO THE EXTENT REIMBURSEMENT IS BELOW THE COST OF PROVIDING HEALTHCARE, GCHS IS FURTHERING ITS MISSION TO THE COMMUNITY. THE UNREIMBURSED VALUE OF MEDICARE AND/OR MEDICAID IS EQUAL TO THE COST OF PROVIDING SERVICES LESS THE AMOUNT RECEIVED AS REIMBURSEMENT UNDER THE PROGRAM. THE UNREIMBURSED VALUE OF PROVIDING CARE TO THESE PATIENTS WAS 4,553,886 DURING THE YEAR ENDED DECEMBER 31, 2021. III. COMMUNITY BENEFIT SUMMARY MEDICARE/MEDICAID SHORTFALL 4,553,886