CareCentrix uses proprietary first-party data and predictive analytics tools to determine the home-readiness of the member and to inform the optimal site of care.
Determining Optimal Site of Care and Home-Readiness
Schedule a conversation with our team for an assessment of how CareCentrix can improve your Post Acute Care.
Due to a fragmented and unmanaged healthcare system, there is over $100 billion every year in waste, from transition failures to avoidable acute events.
The transition from an acute event, to post-acute care, is a high-risk event in the member’s care continuum. Due to a fragmented and unmanaged healthcare system, there is over $100 billion every year in waste, from transition failures to avoidable acute events.
With our proprietary first-party data and predictive analytics tools, we review individual, economic, and behavioral SDoH to determine the home-readiness of the member and to inform the optimal site of care, whether that is at home or a SNF.
Our research shows that 80% of discharges to SNFs could have recovered at home with the same or better outcomes. However, patients are often discharged home without any plan of care. This lack of plan results in barriers to recovery unrelated to the admitting condition, and those patients account for 50% of health plans’ readmission spend. We aim to change that.
Due to a fragmented and unmanaged healthcare system, there is over $100 billion every year in waste, from transition failures to avoidable acute events.
The transition from an acute event, to post-acute care, is a high-risk event in the member’s care continuum. Due to a fragmented and unmanaged healthcare system, there is over $100 billion every year in waste, from transition failures to avoidable acute events.
With our proprietary first-party data and predictive analytics tools, we review individual, economic, and behavioral SDoH to determine the home-readiness of the member and to inform the optimal site of care, whether that is at home or a SNF.
Our research shows that 80% of discharges to SNFs could have recovered at home with the same or better outcomes. However, patients are often discharged home without any plan of care. This lack of plan results in barriers to recovery unrelated to the admitting condition, and those patients account for 50% of health plans’ readmission spend. We aim to change that.
Leveraging our proprietary analytics and care transition team, our nurse liaisons collaborate with clinicians and care managers to drive the optimal path of care. With these analytics and invaluable SDoH information, the care transition team identifies patients and acute events to proactively assess their individual risk for readmission.
Partnering with providers, the care transition team ensures every patient has the right care plan for them prior to discharge, identifying members that may need path of care assistance. This process can reduce or eliminate likely barriers to recovery, reducing readmission rates by nearly 40% in some cases, and refer members to community services that relieve barriers of care at home.
By removing barriers to recovery and collaborating with community resources, our care transition team reduces the total length of stay in acute care facilities, reduces spend in SNFs, and brings members home faster, leading to better outcomes.
With Year 1 savings between $10–11 per member per month and an 18% reduction in 90-day readmissions, our care transition team provides value to health plans and members.
Post-acute care accounts for
an estimated 20-25 percent
of total spend in Medicare
Health Plans absorb $17.5
billion in wasteful spending
while members face
5% of hospital readmissions are
caused by preventable errors
$10-11 PAC spend reduction PMPM in Year 1
38% reduction in readmission rate for orthopedic
patients for MA population
32% of patients managed are referred to
community services
18% reduction in all-cause 90-day readmission rate
22% reduction in SNF Days/1K for MA population
Post-acute care accounts for an estimated 20-25 percent of total spend in Medicare
Health Plans absorb $17.5 billion in wasteful spending while members face
5% of hospital readmissions are caused by preventable errors
$10-11 PAC spend reduction PMPM in Year 1
38% reduction in readmission rate for orthopedic patients for MA population
32% of patients managed are referred to community services
18% reduction in all-cause 90-day readmission rate
22% reduction in SNF Days/1K for MA population
Leveraging our proprietary analytics and care transition team, our nurse liaisons collaborate with clinicians and care managers to drive the optimal path of care. With these analytics and invaluable SDoH information, the care transition team identifies patients and acute events to proactively assess their individual risk for readmission.
Partnering with providers, the care transition team ensures every patient has the right care plan for them prior to discharge, identifying members that may need path of care assistance. This process can reduce or eliminate likely barriers to recovery, reducing readmission rates by nearly 40% in some cases, and refer members to community services that relieve barriers of care at home.
By removing barriers to recovery and collaborating with community resources, our care transition team reduces the total length of stay in acute care facilities, reduces spend in SNFs, and brings members home faster, leading to better outcomes.
With Year 1 savings between $10–11 per member per month
and an 18% reduction in
90-day readmissions, our care transition team provides value to health plans and members.
Post-acute care accounts for an estimated
20-25 percent of total spend in Medicare
Health Plans absorb $17.5 billion in
wasteful spending while members face
5% of hospital readmissions are caused
by preventable error
$10-11 PAC spend reduction
PMPM in Year 1
38% reduction in readmission rate for
orthopedic patients for MA population
32% of patients managed are referred
to community services
18% reduction in all-cause 90-day
readmission rate
22% reduction in SNF Days/1K
for MA population
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1. National Association of Independent Retail Druggists (NAIRD) in Association with National Home Infusion Association (NHIA) 2. Shelley, Suzanne. “Home-Infusion Providers Struggle With Unfriendly Reimbursement Policies.” October 2009 3. Persistence Market Research (PMR), “Home Infusion Therapy Market Will Reach USD 26.7 billion in 2020.” May 2015 4. http://www.ahdbonline.com/issues/2010/january-february-2010-vol-3-no-1/97-feature-97
