Traditional Medicare payments can lead to minimal coordination with care and fragmented care providers. This lowers the patient’s experience and can adversely impact the efficiency of services that providers, such as hospitals and physicians, and their staff offer. CMS’ Bundled Payments for Care Improvement or BPCI Initiative offers a solution to this issue by incentivising coordination among providers, and investing in patient self-care solutions, thereby achieving BPCI goals of improving outcomes and lowering expenses simultaneously. However, inefficient processes and fragmented tools still make it difficult to achieve these goals and can reduce your chances of achieving target financial margins.
As a BPCI supportive technology, HealthAware’s Kare-N® program can help providers achieve these goals. Here’s how:
1. Increases Profitability via Efficient Utilization
Bundled payments are important for payment reform because it allows providers to sustain margins. Patient compliance and downstream self-care play a vital role in payment margin sustainability. Efficient support, proper utilization, and communication that bolster patients’ understanding of proper self-care can be a gateway to patient compliance. With Kare-N® , providers can rely on the automated, yet compassionate support system the program provides, including keeping up with patients via consistent communication. This provides the benefit of immediate attention and assistance by Kare-N® when readmission risk emerges, ensuring you can proactively prevent readmissions while reducing underutilization. You can further increase your BPCI margins by focusing on patients who need additional care, such as your ER frequent flyers and high-risk Medicaid population. Kare-N® knows how to pay more attention to the high-risk patient. By taking this action, you can eliminate or reduce readmissions, reduce costs, and ensure you get paid.
2. Fosters an Environment of Compliance via Automation
Unnecessary utilization and readmission is a costly pain point that the BPCI aims to reduce. One study indicated that readmissions cost Medicare $27 billion in 2015, of which nearly 63 percent were potentially avoidable. To avoid this, foster an environment of compliance. Kare-N® helps you to achieve this with technological-driven features, such as A.I text messaging and patient profile machine learning, that compassionately engage your patients daily in their care plan, necessary follow-up appointments, and regular self-care.
3. Enhances Patient Experience
According to the Agency for Healthcare Research and Quality (AHRQ), communication can play a key role in reducing patients’ chances of being readmitted back into hospitals after discharge by 30 percent. The key is to ensure that patients have a proper understanding of what to do at home to ensure proper care. With features that support healthy habits, care compliance, and healthcare systems, patients can receive an improved experience.
Frequent communication plays a significant role in maintaining margins and fostering patient compliance. Providers simply can’t afford to provide high-touch communications via FTE teams. With the Kare-N® program, you can transform patient communication, enhance the quality of care with improved care coordination, and bolster patient compliance.