Managing The Risk of Transition to Home
A poorly optimized plan of care is one of the greatest causes of readmissions. In fact, 75% of hospital readmissions are caused by preventable errors, and these errors significantly drive up costs for health plans. In order to reduce hospital readmissions, it is vital to determine the optimal Home Health agency or skilled nursing facility for each individual member’s recovery. There are also individual and Social Determinants of Health (SDoH) that may increase a member’s risk of readmission if not proactively determined and managed.
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.
A poorly optimized plan of care is one of the greatest causes of readmissions. In fact, 75% of hospital readmissions are caused by preventable errors, and these errors significantly drive up costs for health plans. In order to reduce hospital readmissions, it is vital to determine the optimal Home Health agency or skilled nursing facility for each individual member’s recovery. There are also individual and Social Determinants of Health (SDoH) that may increase a member’s risk of readmission if not proactively determined and managed.
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.
Our Site of Care Optimization provides outreach to all members discharged from hospitals and post-acute care facilities, especially those at greatest statistical risk for readmission. We direct the member to the most appropriate post-acute site of service and providers, whether that is with a Home Health agency or in a skilled nursing facility. The CareCentrix approach also leverages Social Determinants of Health (SDoH) factors and evaluates provider performance ratings to match member needs with the optimal care.
HomeBridge, our proprietary analytics tool, uses a quarter of a billion discharge records to identify the optimal path home for your members. Our Care Transition Team of nurse liaisons uses that data to collaborate with hospitals, PAC facilities and your discharge management team to ensure an optimal transition of care for your members. This coordination leverages Home Readiness analytics to ensure members are primed for the best outcomes and help care providers set goals for healing at home. Through our integration with a nationwide network of providers, we help ensure the final stage of care is planned for and our nurse coaches ensure the plan is properly executed, easing the burden of compliance on the member or care provider.
Our Site of Care Optimization provides outreach to all members discharged from hospitals and post-acute care facilities, especially those at greatest statistical risk for readmission. We direct the member to the most appropriate post-acute site of service and providers, whether that is with a Home Health agency or in a skilled nursing facility. The CareCentrix approach also leverages Social Determinants of Health (SDoH) factors and evaluates provider performance ratings to match member needs with the optimal care.
Our Site of Care Optimization provides outreach to all members discharged from hospitals and post-acute care facilities, especially those at greatest statistical risk for readmission. We direct the member to the most appropriate post-acute site of service and providers, whether that is with a Home Health agency or in a skilled nursing facility. The CareCentrix approach also leverages Social Determinants of Health (SDoH) factors and evaluates provider performance ratings to match member needs with the optimal care.
HomeBridge, our proprietary analytics tool, uses a quarter of a billion discharge records to identify the optimal path home for your members. Our Care Transition Team of nurse liaisons uses that data to collaborate with hospitals, PAC facilities and your discharge management team to ensure an optimal transition of care for your members. This coordination leverages Home Readiness analytics to ensure members are primed for the best outcomes and help care providers set goals for healing at home. Through our integration with a nationwide network of providers, we help ensure the final stage of care is planned for and our nurse coaches ensure the plan is properly executed, easing the burden of compliance on the member or care provider.
HomeBridge, our proprietary analytics tool, uses a quarter of a billion discharge records to identify the optimal path home for your members. Our Care Transition Team of nurse liaisons uses that data to collaborate with hospitals, PAC facilities and your discharge management team to ensure an optimal transition of care for your members. This coordination leverages Home Readiness analytics to ensure members are primed for the best outcomes and help care providers set goals for healing at home. Through our integration with a nationwide network of providers, we help ensure the final stage of care is planned for and our nurse coaches ensure the plan is properly executed, easing the burden of compliance on the member or care provider.
While most care providers place the burden of compliance with discharge plans on the member, CareCentrix ensures member compliance with discharge plans, reducing post-acute care (PAC ) costs by an average of 15%.
Utilizing our robust database and predictive analytics, we reduce length of stay and transition members to the proper care pathway that fits their needs, reducing costs and achieving better outcomes.
Coordinating directly with providers, our Care Transition Team reduces readmission rates by nearly 40% and reduces the total cost of care.
While most care providers place the burden of compliance with discharge plans on the member, CareCentrix ensures member compliance with discharge plans, reducing post-acute care (PAC ) costs by an average of 15%.
While most care providers place the burden of compliance with discharge plans on the member, CareCentrix ensures member compliance with discharge plans, reducing post-acute care (PAC ) costs by an average of 15%.
Utilizing our robust database and predictive analytics, we reduce length of stay and transition members to the proper care pathway that fits their needs, reducing costs and achieving better outcomes.
Coordinating directly with providers, our Care Transition Team reduces readmission rates by nearly 40% and reduces the total cost of care.
Utilizing our robust database and predictive analytics, we reduce length of stay and transition members to the proper care pathway that fits their needs, reducing costs and achieving better outcomes.
Coordinating directly with providers, our Care Transition Team reduces readmission rates by nearly 40% and reduces the total cost of care.
75% of hospital readmissions are caused by
preventable errors in post-acute care
Hospital readmissions cost an estimated $26
billion annually (Wilson, 2019)
80% of patients discharged to a skilled nursing
facility could have had the same or better
outcomes at home
75% of hospital readmissions are caused by preventable errors in post-acute
care
Hospital readmissions cost an estimated $26 billion annually (Wilson, 2019)
80% of patients discharged to a skilled nursing facility could have had the
same or better outcomes at home
95% of patients would recommend the
CareCentrix program to a friend
An industry leading 2.5 million members served
to date
15% average reduction in post-acute care costs
40% reduction in all-cause readmission rates
95% of patients would recommend the CareCentrix program to a friend
An industry leading 2.5 million members served to date
75% of hospital readmission are caused by
preventable errors in post-acute care
Hospital readmissions cost an estimated
$26 billion annually (Wilson, 2019)
80% of patients discharged to a skilled
nursing facility could have had the same or
better outcomes at home
15% average reduction in post-acute care
costs
40% reduction in all-cause readmission
rates
95% of patients would recommend the
CareCentrix program to a friend
An industry leading 2.5 million members
served to date
Learn how CareCentrix reduces post-acute care costs by an average of 15% for health plans.
Learn how CareCentrix helps health plans reduce post-acute care costs and reduces all-cause readmission rates by nearly 40%.
Learn how CareCentrix reduces post-acute care costs by an average of 15% for health plans.
Learn how CareCentrix helps health plans reduce post-acute care costs and reduces all-cause readmission rates by nearly 40%.
Copyright © 2021 CareCentrix, Inc. All rights reserved. HomeBridge® is a registered trademark of CareCentrix, Inc.
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
