How does the EviCore by Evernorth post-acute care program work?
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’s nurses and social workers also collaborate with these teams to plan for a safe discharge and address any health barriers, and they continue to monitor the member’s status for up to 90 days after the member returns home to help prevent readmissions.