CARE TRANSITIONS

PREVENTING COSTLY HOSPITAL READMISSIONS

Our Care Transitions Program reduces the chance of Medicare patients being readmitted to the hospital within 30 days.

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OVERVIEW

Nearly 20% of Medicare beneficiaries are readmitted within 30 days of being discharged from the hospital. The average cost to health plans? Each readmission amounted to an average penalty of roughly $13,000. Fortunately, many of these readmissions are preventable with remote-enabled, live monitoring of patient vital signs and daily phone consultations with licensed nurse practitioners.

Through our 30-Day Care Transitions Program, we aim to prevent these costly hospital readmissions by utilizing licensed nurse practitioners, telephone outreach, and remote monitoring devices placed in members’ homes. Members are trained to operate a tablet and simple, FDA-approved medical devices to provide outreach nurses with their vital signs in real-time.

BENEFITS

Decreases preventable and costly readmissions

Assists senior members with chronic illnesses (e.g., COPD, CHF, diabetes)

Enables members to play a proactive role in treatment process

Safeguards adherence to medication and treatment schedule

Ensures efficacy of treatment

Members maintain their lifestyles and independence at home

KEY SERVICES

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  • Healthcare Solutions

    Home Health Assessments

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  • Healthcare Solutions

    Chronic Care Management

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  • Healthcare Solutions

    Consulting Services

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