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Growing penalties and lower Medicaid reimbursements due to readmissions keep hospitals from profiting after patient expenses are paid.
Hospital readmissions lead to increased length of stay and the utilization of more hospital resources.
When calculating a facility’s Overall Hospital Quality Star Rating, hospital readmissions represent 22% of the total measurement.
25-40 percent of hospital readmissions are preventable likely as a result of a lack of communication and coordination.
Aidin empowers patients to choose the best medical care for themselves and filter based on facility rankings on responsiveness, quality of care and reliability.
Aidin houses workflows and data to promote operational efficiencies.
Aidin’s referral marketplace gives case managers access to customized networks to build partnerships with outside healthcare organizations.
Reduces time consuming and expensive operational inefficiencies by centralizing the case management process. Combined with improved communication management within your care community, providers and case managers can organize potential partners based on patients’ needs.
Open market approach gives patients more choice to determine their ideal care, case managers more visibility to available post-acute providers, and healthcare systems with transparency around performance data. Providers with low readmission rates will be rewarded with higher reimbursements and a consistent flow of referrals. Through the structure of the referral marketplace, healthcare systems can filter potential partners by proof of quality care, ensuring they’re building valuable relationships with other providers.
Alleviates capacity challenges caused by increased length of stay and hospital readmissions. Improved workflows, assignment alerts, and patient checklists adds much needed structure to the acute care transition process.
Referral and authorization requests enter providers’ electronic health record system – a single, seamless, and centralized digital platform.
Our comprehensive digital platform enables document sharing, timeline creation, prompts, and efficient collaboration via fax, text, and online communication
Case managers can organize data and patient information, track processes, and pinpoint delays.
Stakeholders (including providers, health plans, and their partners) are held accountable and rewarded when working in a timely manner.
VHC Health, long focused on improving quality inside its walls, was looking to impact quality of care in its post-acute market, both to improve its own internal operations and reduce Medicare cost per beneficiary in preparation for planned moves to risk-based reimbursement models.
UCLA Health faced severe capacity constraints, consistently placing the ER on divert. They were also looking to increase participation in value-based reimbursement structures and wanted to ensure their operations were ready.
ProHealth Care had done significant work to improve quality of selected post-acute care facilities in an effort to reduce re-admissions and prepare for bundles, but given regulatory restrictions on patient advising and a lack of comparison data, patients chose care facilities largely based on geography and continued to re-admit despite...
There are several benefits that come from reducing hospital readmissions, including but not limited to:
1. Increased profitability for your healthcare organization.
2. Reduced costs and a decreased chance of penalties from CMS and other insurers.
3. Improved standard of care for patients by keeping the patient at home.
Readmissions have a negative impact on revenue, due to penalties charged by CMS and other payers.
