Three years ago, Northwestern Medicine's hospital in Crystal Lake, Illinois, was paying penalties averaging $300,000 a year to the Center for Medicare and Medicaid Services. One challenge: preventing its bundled payment patients from making a U-turn back into the hospital.
When hospitals select preferred providers, they often rely on skilled nursing facilities or home health agencies that they’ve built relationships with and trust. Providers may be friends or long-time partners. Or, they might bring in lunch or treats for hospital staff. All too often the referral flow is based on doughnuts and not data. But in a value-based care environment, data matters.
If you manage bundled payment programs, there’s a good chance you also manage something else: the financial penalties that come with exceeding parameters set for episodes of care.
Jefferson Health, a 14-hospital system in Philadelphia and New Jersey with $5 billion in revenue, named Prepared Health its digital technology partner.
Collaboration supports Jefferson Health CEO Stephen K. Klasko’s vision of transforming Philadelphia and New Jersey regions into “model of innovation” for the rest of the country
The U.S. population is aging, an increasing number of patients suffer from more than one chronic condition, and Medicare spending on post-acute care is up. Depending on your market, it can be a competitive time to be in the post-acute care business. As part of the Prepared Health community, you now have access to all of the sub-acute providers in your region that are on the network. Here’s how to expand your network and become a preferred provider:
We'll be at CMSA Chicago's 26th Annual Conference on April 11th to discuss coordinating care, streamlining referrals and connecting care teams. We're looking forward to meeting you.
And please join us for Happy Hour following the conference:
Hilton Chicago/Oak Brook Suites
10 Drury Lane, Oak Brook Terrace
April 11, 5-7 pm
Enjoy complimentary food and drinks while networking with peers and industry leaders. RSVP today at: info.preparedhealth.com/cmsa-chi
About Prepared Health: Our digital platform is revolutionizing post-acute care by streamlining the referral process, simplifying case management, reducing readmission rates, and improving the patient experience. The enTouch network helps hospital case managers, post-acute providers, home health agencies and family caregivers stay connected in real-time.
Our team is heading to Seattle April 13-17 for the 2019 ACMA National Conference. We're looking forward to meeting you. Prepared Health's digital platform, enTouch, is revolutionizing post-acute care by streamlining the referral process, simplifying case management, reducing readmission rates, and improving the patient experience. enTouch allows everyone from hospital case managers to home health and family caregivers to stay connected in real-time.
Hospitals historically have had little responsibility for the post-acute care that follows a patient's hospital stay. In fact, 93 percent of healthcare organizations don’t have a fully coordinated care plan as patients move between inpatient, post-acute and home settings, according to a New England Journal of Medicine Catalyst report. Here's why that needs to change.