Health plans, providers, and systems face a familiar challenge in today’s healthcare landscape. They manage financial risks once a patient is discharged into the post-acute ecosystem. The post-acute ecosystem is an extension of their initial inpatient care and those that patients come into contact with directly impact the outcomes of their care and well-being. Those […]
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Our CEO, Saqib Akhter, spoke with the Innovators Connection podcast at the AHA Leadership Summit in July 2022 to discuss the success of value-based care models through building high-performing post-acute networks. In his brief chat, he stressed the importance of helping health systems through practical strategies to reduce acute length of stay, impact patient outcomes […]
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COVID-19 delivered a type of perfect storm filled with disrupted usage patterns and delayed elective surgeries with many opting for post-acute care at home due to fear of infection and facility lockdowns. Lower utilization rates meant that health plans found themselves falling below the medical loss ratio (MLR) limits—even as restrictions are gradually lifted, some […]
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According to a recent study, post-acute care (PAC) patient volumes decreased significantly during the COVID-19 pandemic. The cancellation of elective surgeries and decrease in non-urgent hospital admissions were the biggest drivers for provider loss of revenue. This was in part spurred on by the CMS guidelines recommending the cancellation or postponement of elective, non-essential procedures […]
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Achieving most of the Centers for Medicare & Medicaid Services’ (CMS) value-based care efforts requires the ability to monitor patients through the continuum of care and accurately report on that patient’s journey. It also requires that several disparate organizations coordinate their efforts and work together to achieve the best outcomes at the lowest costs. However, this […]
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Two recent reports have determined that building an effective post-acute care network will help healthcare systems improve patient outcomes while reducing costs and spending variations. Analysis from The Institute of Medicine and a Deloitte survey both indicate that—in order to succeed in value-based care—health systems need to establish a trusted, narrow network of high-quality, post-acute care partners. Not […]
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