Friday, December 28, 2018

Home Care Path Wisconsin Governors Business Plan Contest Medical Need

Home Care Path is preparing their submission for the Wisconsin Governor's Business Plan Contest.  Part of this will involve communicating how the digital platform will benefit the medical providers throughout the State.

Medical providers are the hospital and nursing homes serving the local community.  This medical delivery is dependent upon Medicare and Medicaid funding to meet their tight budgets.  The Center for Medicare and Medicaid Administrators have enacted regulations that require a patient to present very ill to quality for a paid stay in the hospital - nursing home setting.

The Medical providers - the hospital and nursing home staff realize a patient may need more help at home - but does not present ill enough to be admitted for medical care.  Insurance funds want the patient population spending most of their time recovering at home supported by non-medical staff.  The Home Care Path digital platform creates a way for the patient not meeting level of care to access help for the home setting.

Finding non- medical help at home for a patient discharging from a hospital - nursing home setting has become more important than ever.  The Centers for Medicare and Medicaid have enacted regulations that limit reimbursement for a patient who is readmitted to a hospital - nursing home within 30 days of discharge.  This means the patient that returns to the hospital - nursing home for care within 30 days of discharge - consumes non- reimbursable service.  This is a huge unexpected expense for the hospital - nursing home and can lead to loss of a location.

Medical providers are realizing the responsible tasks of discharge must involve assisting the patient to access non- medical service that can help at home.  The Home Care Path digital platform is an inclusive modal that creates access across underserved areas.  This is a community health intervention aimed at supporting improved outcomes.  This is care assurance at the community level with activity that strengthens reimbursement for local hospital and nursing home providers.

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