EviCore facilitates the delivery of post-acute care services in the most appropriate setting based on the patient’s medical necessity. The frequency of transitional care touchpoints is based on each patient’s clinical needs and the nature of the post-acute care setting. The modes of communication used may include in-person contact, telephonic, secure email/text, or a combination of methods.

Our teams of medical directors, RNs, and their support teams utilize a proprietary case management system built specifically for managing post-acute care through evidence-based and CMS guidelines.

Our nurse care managers begin engagement prior to hospital discharge, bringing evidence-based guidelines specific to the patient’s recovery needs into the discharge planning discussion. We involve patients, patient’s families, their doctor and nurse teams, and community resources in order to create the most supportive and consistent recovery plan available.

The continuum of care from hospital to home can be very fragmented, involving many teams of caregivers, multiple post-acute providers and services, as well as home-health options. Each step of the post-acute decision process can be complex and provide a significant risk for re-hospitalization or a setback to clinical progress. Our post-acute solution has been developed to proactively identify hazards to successful recovery and provide one consistent source of support throughout the care continuum.

EviCore’s Post-Acute Care solution was developed to close the existing care gaps within the post-acute care continuum. Our solution eliminates inefficiencies, decreases cost, focuses on transitional care efforts, and improves the quality of patient care. The post-acute services include: