Post-Acute Care: Overview

eviCore’s Post-Acute Care solution provides a patient-centered approach that goes beyond standard utilization review and prior authorization processes to coordinate the post-acute recovery process. We help patients receive the right care in the right setting by using evidence-based guidelines to determine the appropriate level and site of post-acute care. The ultimate goal is to transition the patient to the home in a timely manner. Our solution works with the patient throughout the entire care continuum. We facilitate care touchpoints: from the acute hospital, through any required post-acute care settings, to the home. Our ongoing provider engagement efforts, which include clinical program development and analytical services, ensure a best-in-class performing network of post-acute facilities. Leveraging these core strengths, eviCore's Post-Acute Care management ensures appropriate site-of-service selection, safe care transitions, effective information sharing, and implementation of condition-specific clinical programs and patient-centric pathways.

  

  

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Everyone benefits through better outcomes

  • Plans

    Our Post-Acute Care solution works closely with the patient, their caregivers, and providers throughout the program. This staying power enables us to better manage quality of care, cost, and readmission risk, while improving both patient and provider satisfaction.

  • Providers

    Our Post-Acute Care solution relies on clinical protocols that utilize nationally recognized evidence-based guidelines. Our significant experience in Care Management and Utilization Management ensures that each patient receives the right care in the right setting.

  • Patients

    Our Post-Acute Care solution offers a patient-centric, comprehensive solution that provides individualized plans of care as well as continuity across the continuum of post-acute care and manages patient cases from day one of the inpatient stay to 30, 60, or 90 days after discharge from the acute setting.

  

The more we know, the better the outcome

A list of the most common post-acute care queries are provided below. For more detailed information, visit the Contact Us page.

What is Post-Acute Care?

At eviCore, the 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:​

  • Analytics
  • Utilization review
  • Site-of-service management
  • Network development and management
  • Transitional care management (clinical staff embedded within acute and post-acute facilities and dedicated facility assigned telephonic clinical teams)
  • Provider education

Why is Post-Acute Care needed?

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.​

How does eviCore interact with Post-Acute Care patients?

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.​

Who and what guides our Post-Acute Care?

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.​

Where do you provide Post-Acute Care?

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.​

  

Contact Us

For more information, please fill out our contact form below.

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Educational Tools & Links​​​​​​

Here you’ll find all the resources, tools, and links to know more about eviCore’s Post-Acute Care solution.​

Educational Links