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Post-Acute Care

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How BPCI Advanced data will unlock opportunities to redesign care

This past September, CMS provided preliminary target prices and baseline claims data to organizations that participate in or applied to participate in BPCI Advanced Model Year 3. These new insights will be an important component of an organization’s care redesign plan to improve outcomes and reduce expenditures. In these latest Essential Insights, naviHealth’s Executive Medical Director, Dr. Jomy Mathew, and Vice President of Value-Based Care, Gina M. Bruno, share their perspectives on how you should prepare for and manage this influx of data.

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Patient engagement and AI shined bright at HIMSS19

There was a ton to unwrap from HIMSS19 in Orlando, Florida. From the new interoperability rules that were released by CMS, to the glitz and glam of the overwhelming number of healthcare company booths on full marketing display, there was a lot to digest. Luckily, some of our naviHealth experts sat down and tried to make sense of all of it for you. Here are three overarching themes from HIMSS19 that will have a significant impact in 2019 and beyond.

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Helping High-Risk Patients Stay Healthier and at Home

At Cardinal Health, we support healthcare leaders as they implement best practices to transform patient care. A particular focus for many of them, as a result of a rapidly aging population and ever-increasing healthcare costs, is the prevention of avoidable hospital readmissions for high-risk patients.

Here, we visit with two such leaders, one a naviHealth customer, and the other the recipient of a Cardinal Health Foundation E3 Grant. With very different approaches, each is working to help improve the quality of life for seniors with multiple chronic conditions, and, at the same time, is reducing healthcare costs.

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Looking for ACO success? Look no further than post-acute care

Results from a recent study published in JAMA Internal Medicine found that ACO participation was associated to reductions in post-acute care (PAC) spending through reductions in discharges, length of stays and acute inpatient care. These findings further reinforce the importance of PAC spending for the success of ACOs, as well as provide evidence that ACOs – a key value-based initiative – can reduce Medicare costs and improve quality of care.

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