We assume utilization management and claims management responsibilities on your behalf. We monitor for fraud and abuse. We regularly evaluate the medical necessity and appropriateness of the home care, treatment and support services being delivered to your members.
Through our national network of 7,000 best-in-class credentialed home care agencies, we staff home care referrals 24/7, guaranteed. If there is a delay in your member’s discharge from the hospital as a result of our service, we will pay for the additional cost of the hospital stay.
We have collaborated with health care plans and leaders in the area of hospital readmission prevention to develop our HomeSTAR program.HomeSTAR is designed to reduce avoidable hospital admissions and other adverse medical events. Please contact us at to learn more.