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Date ArticleType
6/4/2018 Payment/Reimbursement
Member Spotlight - Post-acute integration strategies: How strong are your partnerships?

by Jeff Heaphy, Partner, Plante Moran 

Approximately 40 percent of Medicare patients will utilize a post-acute care (PAC) service after discharge. The choice of PAC provider can significantly impact clinical outcomes, readmission rates, and the total cost of care. In addition, hospital satisfaction scores are higher when patients have a favorable care experience after discharge. As healthcare continues to transition away from fee-for-service models, strong partnerships between acute and post-acute providers will be essential to success. 

Hospitals and health systems are developing continuing care strategies that will:

  • Enable timely discharge for patients, and minimize the cost of avoidable inpatient days.
  • Result in the establishment of a post-acute network that will facilitate the placement of patients in the most appropriate post-acute venues with providers that align on clinical protocols, quality, and efficiency.
  • Facilitate success with existing and future models that link payment to quality measures, such as readmission penalties.
  • Position them for success with risk-based models and incentives linked to the total cost of an episode of care or beneficiary spend.

Identifying the right partners is a high priority for hospitals and health systems as they develop their long-term success strategies.

How will your organization stack up?

Post-acute providers should have a solid strategy in place to position your inpatient rehabilitation facility (IRF), skilled nursing facility (SNF), or home health agency (HHA) as a preferred partner to hospitals and health plans. 

It is more important than ever to understand your current market position, and to benchmark your organization to industry standards and local competitors on key quality and cost metrics that are critical to future success. Access to this data will drive high-impact changes and allow you to better communicate your cost and quality value proposition to your existing and future partners.

If you do not have access to the data you need to evaluate your market position, contact Jeff Heaphy at jeff.heaphy@plantemoran.com or 614-222-9035.