Post-Acute Networks

No-Regrets Strategy Improves Performance

Challenge

Developing a post-acute care network has become an important strategy as organizations focus on the continuum of care. A large-scale, multi-state, integrated health system made a decision to participate in the Bundled Payments for Care Improvement (BPCI) program to advance their value transformation journey.

Solution

Navigant outlined a phased process to formulate their Post-Acute Network across their multiple markets, including discovery and assessment, partnership selection, and implementation. After determining that the organization was discharging patients to close to 500 different skilled nursing facilities and home healthcare agencies, Navigant continued with its assessment selection by applying quantifiable criteria that was utilized to narrow down the list of post-acute facilities.

Results

Through a thoughtful methodology, Navigant was able to assist the organization in reducing its roster of close to 500 skilled nursing facilities and home health providers to a network of 80 preferred providers with mutually-aligned goals to improve quality, enhance patient engagement, and reduce the cost of care. A post-acute scorecard was developed to capture ongoing performance to achieve key cost, quality, and patient engagement metrics reflecting leading practice for each of the conditions.

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