This issue of FutureFocus highlights the innovation of an in-home, physician-led model working collaboratively with a payor to manage complex care. The results are impressive after one year. The model stimulates team-based care, a physician housecall's program, and the delivery of patient-centered care in the home.
Our FutureFocus e-newsletter will provide your organization with ten ways to identify future partnerships between physicians and the home care industry. In some payment models, physicians will need to demonstrate in their applications that they have a network of relationships with other care organizations in the community to ensure that beneficiaries can access the care best suited to their longer-term needs.
Our FutureFocus identifies where the highest risk of readmissions come from. The pressure is mounting for skilled nursing facilities (SNFs). For 2019, SNF's value-based purchasing program has a 2% withhold on performance. One of their key measurements is hospital readmissions. Learn how your organization can gain insight about changes to the SNF's value-based purchasing program and new opportunities to collaborate.
In this FutureFocus are insights on the new Primary Cares Initiative that will transform care and payment for complex, high-need patients. The five different payment models introduce models to keep patients healthy in their homes, partnerships for hospice and palliative care, and new ways for your organization to build relationships with physicians to deliver better patient centered care. This is a must read for every organization. This is a long-awaited game changer.
In this FutureFocus, we take a look at large studies that conclude patients after knee and hip replacement discharged to home have overall lower costs and lower rates of medical complications.
In this FutureFocus is the new guidance issued by CMS about where Medicaid beneficiaries can receive home and community-based services. This impacts several settings such as assisted living facilities that, in the past, were using waivers to provide certain services. All PAC providers should be reading this to understand opportunities/challenges to their organizations.
In this FutureFocus is important discussions about the future adoption of EHRs across post-acute sectors. A new RFI has been issued by CMS to ask for stakeholder feedback about the best ways to incentivize EHR adoption in post-acute. We have pulled out from the RFI important communications about proposed patient information hospital’s would be required to provide to post-acute providers at admission and discharge.
In this week’s FutureFocus, is an OIG Advisory explaining how hospitals can provide free, in-home care to discharged patients. Attorney, Elizabeth Hogue describes the details and requirements.