Each stage of post-acute care is interconnected. Reducing costs in one area, without careful planning, can have unanticipated impact in another area. Reducing over-utilization of Skilled Nursing Facilities (SNFs), for example, must be augmented by carefully managed home care to result in lower readmissions. Many patients also require home health or DME in the course of ongoing treatment.
Connecting the silos that exist on a patient’s post-acute care journey requires an approach that integrates home health and home DME. Unfortunately, many plans don’t have the resources or ability to affect this approach.
After patients undergo treatment, surgical or otherwise, they will be discharged for post-acute care. This care may occur at a facility, such as a skilled nursing facility or long-term acute care facility, but, in many cases, it can be administered in the patient’s home instead. The goal of home health with home DME is to give patients access to trained professionals and resources they need to heal.
CareCentrix provides scalable solutions for cost-effective, patient-centered Home Health & Home DME through a national provider network of over 8,000 locations. Our program:
Answer: CareCentrix maintains a broad network of over 8,000 credentialed provider locations arranging home care services nationwide for our clients’ members. As new clients are added, we customize our network to best meet our clients’ needs.
Answer: CareCentrix has generated net savings of 12-20% on average for our DME clients. Through our national scale and unparalleled knowledge of post-acute care, we can identify savings opportunities for our clients.
Answer: While a relatively small percentage of members need DME, for those that do, DME represents a significant amount of their total medical spend – approximately 25% (average $15-$25K annually for our commercial population*). By optimizing the care for those members, we can identify significant cost-savings opportunities.
All figures based on CareCentrix Analysis, Jan. 2018.
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All figures based on CareCentrix Analysis, Jan. 2018.
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CareCentrix is leading the path home through an approach that combines advanced analytics and clinical teams who interact directly with individual patients through proprietary workflow tools. We are helping our clients reduce waste, prevent unnecessary hospital readmissions, and help patients heal where they most want to be – at home.
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