CMS Moves Unskilled Medical Delivery Needs From SNF To Community

The Centers for Medicare and Medicaid (CMS) under section 1115a of the Social Security Act and Affordable Care Act have began pilot programming for Skilled Nursing Facilities (SNF).   This calls on CMS at the Federal level to facilitate innovative payment and service delivery models to reduce Medicare and Medicaid expenditures.  The focus is on optimal recovery while improving coordination, quality, and efficiency. 

The basic initiative discontinues payment at the level of skilled medical care for the provision of non-medical services.  Stronger assessment criteria now must record the skilled medical need for a Medicare reimbursed nursing home stay.  One pilot program option involves bundled payment for post acute care only.

The nursing home stay is triggered by a hospital stay. This time period must begin within 30 days of discharge from an inpatient setting.  Nursing homes (SNF) participating in the pilot program are reimbursed with a bundled payment method.  Bundled payment is reimbursement on the expected costs for a medically defined episode of care.  Discharge from the nursing home must occur within 30, 60, or 90 days of admission.

The challenge is for participating nursing homes to more effectively connect discharging seniors to community health organizations (https://homecarepath.sharepoint.com/Pages/default.aspx) that can provide for necessary chores , hygiene, groceries, and outpatient visits.   This is a piece of a top down approach to integrate community and inpatient delivery providers to improve care while reducing the out flow of public funds.

Home Care Path celebrates 4 years of successfully serving seniors in South Central Wisconsin


Web site  https://homecarepath.sharepoint.com/Pages/default.aspx

 

Twitter  https://twitter.com/seniorcareWI

 

Facebook https://www.facebook.com/pages/SENIOR-CARE-AT-HOME-CARE-PATH-COM/124865717538950?ref=hl

 App  http://appsmakerstore.com/appim/j6kcdet8xvwk4s


Blog  http://homecarepathseniorcare.blogspot.com/

 Home Care Path  www.homecarepath.com and the Wisconsin PATH ALONG model deliver an advanced supportive care service.  Helping seniors in the home, with clinic visits, at the hospital, nursing home and assisted living facility.  Helping seniors downsize with a move in to an adult child's home. 2014 rates are 20.00 per hour.  Simply call 608-432-4286 to schedule an interview.  We can be there when you are working.  We accept long term care insurance.  Services can be tax deductible.  Help with resources and the transition from private payment to public funded programming.  Valuing home and human life  

Home Care Path Supports The Rural Hospital ER

The lack of integration between community personal supportive care organizations and the health care centers emergent urgent service can prevent patients from returning home for non-medical reasons such as insufficient support for necessary chores, hygiene, and groceries.  This lack of integration and communication causes hospitals to keep less acute patients (observational stay) which exacerbates the issue of limited capacity and inflates the number of barriers to a vacant hospital bed.

The availability of hospital beds in the rural Wisconsin setting becomes extra important with the onset of cold weather and development of symptoms related to an often unpredictable flu season.  Emergency providers have a greater reliance on community care organizations during peak communicable disease times.

Home Care Path (https://homecarepath.sharepoint.com/Pages/default.aspx) facilitates a process arrangement that improves care quality by engaging communication designed to strengthen the function of the whole health system.

Elder Home Care Assistant's 20/hr
help with ADL's and IADL's

Hospital and Outpatient Transitional Care Support
PATH ALONG copyright original model 29/hr

Senior Living Analysis and Consultation 39/hr
Basin- comprehensive discharge to placement coordination

Personal - Supportive Care Senior Living Solutions

Home Care Path promotes opportunities for information sharing designed to establish an effective flow from an acute (hospitalization) treatment event to community providers operating services aimed at managing the chronic aspects of extended illness.   This is educating emergent -urgent treatment providers on an effective means to expand their practice with valued coordination  designed to bolster care assurance.

Home Care Path celebrates 4 years of successfully serving seniors in South Central Wisconsin


Web site  https://homecarepath.sharepoint.com/Pages/default.aspx

 

Twitter  https://twitter.com/seniorcareWI

 

Facebook https://www.facebook.com/pages/SENIOR-CARE-AT-HOME-CARE-PATH-COM/124865717538950?ref=hl

 App  http://appsmakerstore.com/appim/j6kcdet8xvwk4s


Blog  http://homecarepathseniorcare.blogspot.com/

 Home Care Path  www.homecarepath.com and the Wisconsin PATH ALONG model deliver an advanced supportive care service.  Helping seniors in the home, with clinic visits, at the hospital, nursing home and assisted living facility.  Helping seniors downsize with a move in to an adult child's home. 2014 rates are 20.00 per hour.  Simply call 608-432-4286 to schedule an interview.  We can be there when you are working.  We accept long term care insurance.  Services can be tax deductible.  Help with resources and the transition from private payment to public funded programming.  Valuing home and human life  

Wisconsin Badgercare Special Enrollment Period

Delivery of skilled medical care within the Wisconsin health centers is taking an outpatient focus.  This can mean a series of scheduled visits over an extended period of time.  For this practice to work the population needs to have a valid pay source for the outpatient visits.

Senator Tammy Baldwin and fellow legislators have convinced (CMS) The Centers for Medicare and Medicaid to grant Wisconsin a special 60 day enrollment period.  This applies to former Badgercare recipients who lost coverage on April 1, 2014 and have not yet enrolled in the federal marketplace.

The special enrollment period began on September 4, 2014 and will run until November 2, 2014.  Simply call 1-800-318-2596 to enroll today.  Having a valid pay source helps hospital and clinic providers deliver a more effective level of care.

Enrolling now in Wisconsin insurance plans that contract to sell their products on the federal marketplace will boost current active State users above the 139, 815.00.   The number of insurance plans available  to Wisconsin citizens on the federal marketplace is expected to continue to expand.

Home Care Path celebrates 4 years of successfully serving seniors in South Central Wisconsin


Web site www.homecarepath.com

 

Twitter  https://twitter.com/seniorcareWI

 

Facebook https://www.facebook.com/pages/SENIOR-CARE-AT-HOME-CARE-PATH-COM/124865717538950?ref=hl

 App  http://appsmakerstore.com/appim/j6kcdet8xvwk4s


Blog  http://homecarepathseniorcare.blogspot.com/

 Home Care Path  www.homecarepath.com and the Wisconsin PATH ALONG model deliver an advanced supportive care service.  Helping seniors in the home, with clinic visits, at the hospital, nursing home and assisted living facility.  Helping seniors downsize with a move in to an adult child's home. 2014 rates are 20.00 per hour.  Simply call 608-432-4286 to schedule an interview.  We can be there when you are working.  We accept long term care insurance.  Services can be tax deductible.  Help with resources and the transition from private payment to public funded programming.  Valuing home and human life