Post-Acute Provider Shifts Gears to Succeed in New Payment Models

Post-acute care providers around the nation have been facing a rapidly changing environment, with new Medicare and Medicaid payment models demanding adaptations.

While new models are sometimes hard to understand and changes can be difficult to implement, providers are achieving success by shifting into a new gear, elevating clinical and data-driven practices while adjusting their mindset about the patient journey.

That’s our approach here at Consonus Healthcare, which provides rehab, pharmacy, post-acute care transformation services and consulting in over 300 facilities nationwide. Our parent company, Marquis, owns and operates 24 post-acute and assisted living facilities.

With regulatory focus on aligning providers in the Triple Aim, the Centers for Medicare and Medicaid Innovation have developed alternative payment models (APMs) that are redistributing our incentives. These several new models are requiring that we reevaluate our historically successful practices to ensure that we are giving our patients the best clinical outcomes in the shortest amount of time while keeping costs low enough to be sustainable.

Each APM type is testing a slightly different theory of accomplishing the Triple Aim.

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