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COORDINATING PERSONAL CARE AND HOME HEALTH AT SCALE

AMEDISYS CARE COORDINATION PROGRAM

The healthcare industry is undergoing transformative change as the entire ecosystem, including CMS, payers, hospitals, and other providers, recognize the impact of non-clinical factors on health outcomes, quality of life, and overall cost.

The industry also recognizes that social determinants and functional limitations1 related to health outcomes2 drive a multiple of cost for complex chronic populations.

For patients 65 and older with three or more chronic conditions, the traditional healthcare system isn’t designed to manage the challenges of patients with social determinants and functional limitations, which need to be addressed on a daily or weekly basis.

The Program

The Amedisys Care Coordination Program will deliver an interoperable connection between home healthcare and personal care to improve care coordination, quality, and outcomes.

One functional limitation triples the expected annual healthcare cost from approximately $7,500 to over $21,000 per year.

Chart-Illustration

Source: Commonwealth Fund

THERE ARE TWO PRIMARY METHODS FOR COORDINATING CARE THROUGH THIS PROGRAM:

1
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Amedisys’ Care Team will identify and understand when a patient’s social determinants or functional limitations suggest a need for personal care. Amedisys’ clinicians can identify qualified, high-risk patients that are in need of personal care support. Upon the patient’s request and written consent, and following an accepted care request, Amedisys may share necessary information with qualified personal care agencies, who can then establish a relationship and provide for their personal care needs.

2
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When the patients or family of WellSky Personal Care agency clients make a request for home healthcare support, or agency clients believe that skilled care is needed, upon patient’s written consent, the agency may send a care request electronically to Amedisys. Upon Amedisys' acceptance, the personal care agency can send necessary information to support follow-up.

BE PART OF THE TRANSFORMATION

For any patient/client who requires a combination of personal care and home healthcare, this Program offers better coordinated care transitions in the event of a hospitalization or other acute episode – with a shared goal of keeping clients out of acute settings and supporting a seamless return to their homes.

Provide better coordination, help reduce hospitalizations, improve member satisfaction, and deliver a better member experience.

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Differentiate your agency

Deliver the quality and scale that is demanded from healthcare payers and providers.

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Deepen your relationship with Amedisys

Create a technology-enabled connection to Amedisys, a national home care provider and expert, which handles over 375,000 patients per year.

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Achieve new levels of quality and service

Deliver coordinated care, including transitions in the event of a hospitalization or other acute episode.

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Connect personal care to healthcare

Provide patients a seamless personal and home healthcare experience on a day-to-day basis as well as critical, high-risk transitions of care.

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Keep patients at home and out of the hospital

Present a more comprehensive suite of capabilities in the home.

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Connect to Medicare and MCOs

Leverage Amedisys’ relationships to participate in expanded payer landscape.

1. e.g. a disability, or does not have the physical, cognitive or psychological ability to independently perform the routine activities of daily living – such as dementia
2. e.g. physical and geographical living conditions, economic status and access to healthcare