Post-Acute Care (PAC) is fragmented.
Health plans often do not have the specialized resources to manage the complexity of the post-acute care continuum, resulting in increased risk for adverse patient outcomes, waste, and additional costs. To solve for this, CareCentrix implements an end-to-end post-acute care program on behalf of our clients, managing patients’ post-hospital discharge throughout the entire care continuum.
To help select the right site of care for the right length of stay, the CareCentrix Post-Acute Care program provides personalized care with an emphasis on the home. The CareCentrix program:
CareCentrix works with network providers – including hospitals, Skilled Nursing Facilities (SNFs), Inpatient Rehabilitation Facilities (IRFs), Long Term Care Hospitals (LTCH) and home care providers – to connect a patient’s journey across the continuum, identify paths for care that help optimize clinical outcomes, and identify patients most at-risk for readmissions so we can help them get the follow-up care they need. The program also coordinates the services patients need to transition to care at home safely, via home health, durable medical equipment (DME), and home infusion providers.
Through HomeBridge®, our purpose-built care coordination technology platform, we combine the power of insight from a quarter of a billion patient records with a personalized approach for each individual’s care that can eliminate dangerous gaps as a patient transitions from hospital to home.
Health plan business leaders can build optimal provider networks, ensure that the right provider is matched with the patient based on his or her unique needs, and future-proof their patient engagement approach by deploying the clinical and technology services that a patient needs to heal and age at home.
The goal of PAC integration is to increase quality and control costs by addressing individual patient needs. It requires unprecedented insight and assimilation: medical condition, medical history, demographics, home resources, provider network, and more. Value-driven advances in information technology, evidence-based medicine, quality standards, and cost transparency are now bringing integration and optimization to PAC.
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