Prepared for: Wisconsin Department of Health Services
Department of Long Term Care
1 West Wilson Street
Madison, WI 53703
This is an unsolicited proposal to participate in the
Wisconsin Family Care Program upgrade as a contracted provider of independent
personal care assessments. Wisconsin’s
2015/2017 Budget Assembly Bill 21/ Senate Bill 21 authorizes the (DHS) Department
of Health Service to establish contracts with local providers to be reimbursed
for performing independent personal care assessments.
PC-bin is a lean model of operation designed to provide the
primary medical doctor with the ADL and IADL information needed to complete the
insurance plan certification documentation.
This is an in home face to face
visit to produce a task/time summary of the individual’s personal care
need.
PC-bin is an independent personal care assessment service
that fills the gap between the authorizing insurance plan and the contracted
personal care provider. PC-bin is an
exclusive process streamlined to balance safety/quality with cost.
PC-bin leverages technology to eliminate duplication
reducing the investment of time with re-assessments. Analysis demonstrates the delivery cost of
second and third assessments can drop to fifty percent of the initial cost of
an independent personal care assessment.
Re-assessment is an important aspect of managing fraud and waste across
the large number of personal care recipients.
PC-bin embraces analysis which speaks to a predictive
capacity that may prove valuable to a network of providers utilizing an
evidence based approach to quality improvement. PC-bin is a product being developed by Home
Care Path LLC to support the State wide transition from a Care Management
Organization model to a Health Insurance Plan model of delivery.
Home Care Path LLC
810 Cedar Street
Wisconsin Dells, WI 53965
No comments:
Post a Comment