Healthcare Headlines Blog
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In the years leading up to and throughout the COVID-19 pandemic, consumers have taken a greater interest in their overall health, especially those with chronic illnesses.
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Medically complex patients represent a small, but consequential portion of America’s patient population that can put strain on the nation’s health system if not treated in the proper setting. In order to improve outcomes and lower total costs of care, provider networks must be able to identify these patients and determine the most effective and efficient care delivery pathway for them. A recently-published HealthLeaders e-Book explores some of today’s chronic illnesses and comorbidities and explains why LTACHs are often the most appropriate setting to treat such conditions.
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Determining the appropriate post-acute care (PAC) delivery setting for a patient based on his or her medical needs is essential to achieving optimal outcomes, reducing readmissions and lowering total cost of care. However, not all post-acute providers have the same capabilities, and therefore cannot efficiently care for patients with the same clinical needs.
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Establishing the appropriate care delivery path for patients after a stay in the ICU or med-surg unit is essential to achieving optimal outcomes. Without the right clinical capabilities and surrounding environment in which to recover, patients may experience delays or suffer medical setbacks that impede recovery. Furthermore, unnecessary discharge delays and avoidable readmissions can increase the total cost of care.
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The pandemic has pushed infection control standards to the forefront as patients and providers are counting on advanced protocols to reduce viral spread and prevent further outbreaks. Now more than ever, it’s important for patients to be treated in a care setting that is not only best suited to their medical needs but also upholds the highest federally and clinically-recognized health and safety requirements.
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In today’s intense healthcare environment, collaboration between acute and post-acute providers as well as payors have been particularly essential. Recent analysis conducted by ATI Advisory, a Washington, DC-based research and advisory services firm, evaluated post-acute provider performance during the public health emergency using claims data from Centers for Medicare and Medicaid Services (CMS).
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Based on continued evaluation of the patients suffering from and recovering from COVID-19, a new subset of patients is emerging, formally called “post-COVID".
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Recent research indicates that respiratory failure poses an increasing challenge for providers and payers, in part due to the COVID-19 pandemic and demographic changes1. In order to optimize outcomes and efficiently manage total cost of care, payer networks should ensure that patients with acute pulmonary conditions have access to the most appropriate level of care.
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The latest research findings are honing in on the clinical conditions associated with COVID-19, along with the specific care pathways needed for patients, once stabilized, to fully recover. Specialized care after the initial hospital stay is proving to play a critical role.
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