When a request is made for post-acute or home health services, EviCore’s nurses and medical directors review it to ensure the member’s level of care aligns with evidence-based guidelines.  

As the member receives care in a facility or through a home health agency, EviCore’s nurse managers actively monitor their progress and update their care plan as needed. Weekly case conferences with facility teams help ensure the member receives appropriate care and recovers as expected.  

EviCore offers transition of care for all members receiving post-acute care (PAC) services to help reduce the rate of readmissions after members return home from facilities. This program is typically conducted by telephone for 30 or 90 days post discharge. We can also perform in-home transitions of care visits if health plan clients are interested in including this service alongside the PAC program. 

Yes. EviCore can partner with other vendors while continuing to deliver the full benefits of our program. For example, if your organization works with a vendor to provide post-discharge meal benefits, EviCore will coordinate with them to share discharge plans, ensuring members receive their meals promptly after returning home from a PAC facility.

Post-acute care is care that is provided to members after hospitalization. PAC services can be provided in specialized facilities or in the home and are typically provided until the member regains their strength. Post-acute care serves as either a bridge to optimal recovery or a long-term chronic care program.