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How provider collaborations are cutting hospital readmissions

June 2nd, 2025
This article was originally featured in Modern Healthcare. Health systems, accountable care organizations and others are bringing extra staff and tracking technology into post-acute care to reduce hospital readmissions. Health systems, such as OSF Healthcare, and accountable care organizations, such as Provider Partners Connect Care are using remote patient monitoring equipment, electronic medical records software and additional staff to ensure patients don’t have a set-back that will send them back to the hospital. Readmissions add costs that ripple through the healthcare system and the Centers for Medicare and Medicaid Services penalizes hospitals and nursing homes for higher-than-predicted readmissions within 30...read more

Interventional Analytics in SNFs Leads to Reduced Readmissions

October 16, 2024
This article was originally featured in Healthcare IT Today. Bridging the data gap between acute care and post-acute care is a significant challenge. However, more and more evidence suggests that sharing the right information from acute care with post-acute care settings, like Skilled Nursing Facilities (SNFs), leads to remarkable outcomes that benefit acute care providers, SNFs, and most importantly, the patient. While it may seem obvious that sharing data between these organizations is beneficial, there is now concrete evidence to support its value. We first highlighted some of these benefits in our previous article, The Value of Bridging the Data...read more

Reducing SNF Hospital Readmissions with Interventional Analytics

September 5, 2024
A recent study of skilled nursing facilities (SNFs) in the American Journal of Managed Care finds that using interventional analytics to prevent hospital readmissions can potentially save Medicare nearly $2.8 billion dollars in annual spending. Hospital readmissions come at a cost to members, health plans, and health systems, representing a significant challenge for SNFs. Of the 1.7 million SNF admissions in the United States annually, more than 20% result in hospital readmissions within 30 days, leading to roughly $5.2 billion dollars in Medicare costs. Findings from the retrospective analysis of the 30-day hospital readmission rates between 2017 and 2022 indicate that SNFs equipped...read more

The Value of Bridging the Data Gap Between Acute and Post-Acute Care

August 27, 2024
This article was originally featured in Healthcare IT Today. When acute care providers look at hospital readmissions, it is natural to think about what is being done once the patient is discharged. However, what many forget is that a large portion of patients are discharged to a post-acute facility. In order for post-acute care teams to address things like readmissions and length of stay (LOS), it is essential for acute care providers to create collaborative relationships with their post-acute partners. This includes sharing of data between organizations. Plus, this need is even more apparent when an acute care organization is...read more

Improving LTPAC Management Interventions Using Real-Time Analytics

June 19, 2024
Real-time analytics improves care management in long-term care by enabling timely interventions and enhancing outcomes under value-based care models.   With real-time interventional analytics, care management teams can monitor member data and respond to changes in status immediately. In nursing homes and skilled nursing facilities (SNF), historically challenging settings for health plan monitoring and care management, immediate data analysis is a better solution than relying on past data to predict future problems. "Individuals in these facilities are a special population, one that health systems and health plans often lose sight of from a care management and data perspective. But the...read more

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