eviCore’s Post-Acute Care solution provides a patient-centered approach that expands upon standard utilization review and prior authorization processes to fully coordinate the post-acute recovery process. We help patients receive the right care in the most appropriate setting by applying evidence-based guidelines to determine the appropriate level and site of post-acute care. The ultimate goal is to transition the patient to their home in a timely manner.

Benefits:

• Members

Our patient-centric, comprehensive solution provides an individualized plan of care across the most appropriate continuum of post-acute care. We manage patient cases from day one of the inpatient stay to 30-, 60-, or 90-days after discharge from the acute setting.

• Providers

Our Post-Acute Care solution relies on clinical protocols that utilize nationally recognized evidence-based guidelines. Our unmatched experience in care management and utilization management ensures improved clinical outcomes, lower readmission rates, and enhanced care coordination.

• Health Plan

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

• PDPM

Our current Skilled Nursing Facility (SNF) payment model is consistent with the new SNF payment model that CMS is mandating beginning October 2019.

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