Post-acute Care

Tracing the Path to Whole-person Care

Whole-person care is the coordination of health, behavioral health and social services with the goals of improving outcomes and making more efficient use of resources. But how does it work in practice across the post-acute and human services communities? Let’s take a look at what’s driving whole-person care, similarities between post-acute care and human services providers and explore preliminary results from programs that are already in place. Healthcare Costs Are Rising at Unsustainable Rates And the biggest chunk of the…

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Q & A: How Health Systems View Value-based Care

As payment models and risk continue to shift, health systems are looking to post-acute providers to provide transparency and data to support referral relationships and reduce readmission rates. Do you have the right technology in place to support value-based care initiatives? Gene Huang, vice president of business development at Remedy Partners shares his thoughts. Q. How do health systems view the delivery of value-based care? A. The answer to that question depends on whom you ask. Hospital and health system…

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Hospice: Hope in the Changing World of Healthcare

More than 1 million people each year have to make a life-changing decision: continue intensive treatment to fight a chronic illness or pursue the best quality of life possible in their final months, weeks, or days. When faced with this scenario, most people would prefer to stop intensive treatment and be kept comfortable at home, surrounded by their loved ones. In fact, seven out of 10 Americans say they would prefer to die at home, according to a CNN poll,…

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Home Healthcare: A Focus in Today’s Healthcare Environment

They say that “home is where the heart is,” but now, home is where healthcare is, too. In the United States, the home care industry serves about 8.6 million patients, including primary care, pre-acute care intervention, post-acute care services and hospice and palliative care. There are also more than one million home health and hospice employees serving these patients. Home healthcare services, one piece of the home care industry pie, is not just the fastest growing industry in healthcare, but…

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Post-acute Strategy: Using Technology to Attract and Retain Health System Relationships

Post-acute care has long been a fragmented sector of healthcare. In a recent report, a physician executive referred to it as “an archipelago of little islands.”1 But the disconnect between post-acute care and other care providers is becoming less distinct. Payer requirements and the trend toward shared risk payment models are driving health systems and hospitals to narrow their preferred partners lists and forge referral relationships with organizations that can help them save money, reduce potential penalties and improve patient…

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Value-Based Care: Building a Strategy for Improved Outcomes and Lower Costs

With healthcare making a shift from episodic to continuous, whole-person care, providers are focusing more on delivering the right care in the right acuity setting and in the most cost effective way. Organizations across the country are evaluating everything from their workflows and processes to their technology and network partnerships to make sure that they have what it takes to be successful in this new landscape. As a post-acute provider, where does your organization sit when it comes to making…

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Success in Long-term Care Through Care Coordination

Think about a time you’ve had to make a big decision. You took the facts you were aware of and you made your decision based off of the information you knew. What if a major piece of information wasn’t presented as an option or you were not given all of the details to consider the best choice? If you had access to all of the information before making the decision, you may have made a different choice. That’s not the…

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Home Health Groupings Model: The Future of Home Health

In our previous installments of this CareThreads blog series, we examined the Home Health Groupings Model and the reaction it’s currently getting from the home health industry. Today, we’ll get a glimpse of what it means for home health going forward. The rule modifies the way home health agencies would be reimbursed for care, categorizing patients into six groups based on diagnosis. It also proposes moving from the current 60-day episode of care to 30-days, which is expected to create…

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Home Health Groupings Model: Industry Reaction

In the first blog of our series, we’ve discussed, at a high-level, upcoming payment changes for CY 2018 and beyond. The biggest, most talked about change is the Home Health Groupings Model, or HHGM. In a nutshell, the model proposed by Centers for Medicare and Medicaid Services (CMS) would end the impact to reimbursement based on the number of therapy visits. Reimbursement would then be based on newly modified mix of patient and case characteristics, such as episode timing, admission…

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How to Survive Audits by Documenting Medical Necessity in Home Healthcare Part III

So now that you’ve brushed up on best practice how-tos and tips to maximize the information in your documentation, you might be thinking that your organization will be immune to ADR requests. Fact is, it’s not a matter of if it happens, more like when. All organizations receive ADR requests at some point or another. Part I and II of our series provide a good foundation to help prevent major headaches for when it does. Responding to ADR Even if…

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