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Health Plan Executives Discuss the Integral Role Post-Acute Providers Play in the Future of Health Plans

November 15, 2023
Health plans continue to face challenges as they assume responsibility for care that extends beyond the walls of their network’s facilities, specifically, in post-acute care (PAC). In 2021, Medicare spent $28.5 billion on skilled nursing facilities (SNFs) – representing a significant percentage of member care coming in at an extremely high cost. So, just how important is it for health plans to partner and build a post-acute network? More significant than you would think. Real Time recently sat down with a group of health plan executives to learn more about the challenges and successes they face in achieving value-based outcomes...read more

McKnight’s One on One: Improving Outcomes Through Value-Based Care

October 23, 2023
Originally published by McKnight's on October 19, 2023.  As staffing constraints and mounting regulations continue to challenge nursing homes nationwide, it is imperative for care providers to develop innovative strategies in adopting value-based care initiatives that will improve facility performance, occupancy and revenues. During a recent webinar, McKnight’s Long-Term Care News Executive Editor James M. Berklan sat down with Scott Rifkin, MD, founder and executive chairman of Real Time Medical Systems (Real Time), to discuss the various types of value-based care payment models available and proven strategies that enable facilities to demonstrate value as high-performing providers for their hospital and health plan...read more

SNF QRP Changes Are Coming – Is Your Facility Ready?

September 27, 2023
CMS has confirmed the 2024 Final Rule for the skilled nursing facility (SNF) prospective payment system (PPS) and as a result, major changes are on the horizon. Beginning October 1, 2023, and continuing through September 2024, and future years, the Final Rule includes updates to the SNF Quality Reporting Program (QRP), along with the addition of two new measures being implemented, one modification, and three being removed.   SNF QRP Data Completion Threshold Beginning in 2024, SNFs will bear the responsibility to collect data and publicly report to ensure compliance with QRP measures. One of the most pivotal changes will...read more

Getting Ahead of State Surveyors through Live Data

July 19, 2023
State surveys are coming. The question for SNFs is simple: Will your facility be ready? The key to navigating the state survey process is knowing what areas are most commonly explored. Here is a look at the top three areas most cited amongst surveyors, with insight from experts at Real Time Medical Systems, who discuss the steps SNFs can take for complete survey preparedness.

Real-Time Data: Enhancing Payer Contracts in Post-Acute Care Settings

July 17, 2023
Real-time data and interventional analytics are improving payer contracts and outcomes in post-acute care.   Payers face limitations when relying too heavily on claims data for managing care and selecting partners in post-acute care settings. Claims data tends to be outdated and lacks sufficient detail. That detail comes from real-time information and interventional analytics that can help payers create post-acute networks that offer unique advantages to providers and patients, most notably the ability to identify high-risk individuals upon entry to a skilled nursing facility or long-term care home. Real-time data also allows for timely interventions by nursing home staff, physicians,...read more

Get Ahead of State Surveyors with Live Post-Acute Analytics

June 21, 2023
In this interview, we sit down with Real Time Medical Systems (Real Time) Clinical Account Specialist Michele Self, MA, CCC SLP, CMA, Clinical Program Director Kathy Derleth, RN, BSN, and Clinical Account Specialist Cheryl Scalzo, RN, to discuss what SNFs can do to prepare for state surveyors. Michele, Kathy, and Cheryl will discuss three key areas that are most cited amongst surveyors, including the importance of having a comprehensive care plan, ensuring quality care, managing Infection Prevention and Control (IPC) efforts, and how data driven technology solutions can improve patient outcomes while ensuring SNFs are prepared for survey teams.   COMPREHENSIVE CARE...read more

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