CareCentrix has developed purpose-built technology, analytics, and experience to guide care that keeps patients on the path to the ultimate site of care: home. To address the complexities of post-acute care, we engage patients and caregivers, coordinate care transitions, improve clinical outcomes, and do all we can to help patients heal or age at home.
By finding new ways to break down the silos across the continuum of care, we are able to identify and capture savings health plans can count on.
Described as the biggest Medicare reimbursement overhaul in 20 years, the recent changes to the Centers for Medicare and Medicaid’s (CMS) payment models have caused a lot of buzz. The reason for all the hype is the transition towards a more value-based system and away from the fee-for-service status quo. The intent behind these administrative changes, commonly known as the Patient-Driven Payments Model (PDPM) for skilled nursing facilities (SNFs) and the Patient-Driven Groupings Model (PDGM) for home health care, is to improve the quality of patient care, promote the overall health and wellbeing of the Medicare Advantage population, and lower healthcare costs.
Vanessa, a health plan member, sustained multiple fractures and injuries in an accident. CareCentrix provided care coordination, medical equipment, and nurse coaching to support her transition back to independent living. All while allowing her to heal where she most wanted to be… at home.
Our new white paper, “Surpassing the Competition: Your Medicare Advantage 2021 Bid Success Kit” highlights critical Centers for Medicare and Medicaid Services (CMS) policy changes and the competitive opportunities they create for health plans looking to offer a richer, more competitive Medicare Advantage benefit package.
Success is often defined by the bottom line and payors are constantly looking for levers to pull for maximum cost-savings in areas such as: home health, post-acute care (PAC), fraud, waste and abuse, care coordination, and hospital readmissions.
“If we leverage nurses, social workers, and technology so patient relations are managed in a more intelligent, holistic way and the team is connecting and collaborating in a more effective way—we’re not going to bend the cost curve, we’re going to break it.” – John Driscoll