In a groundbreaking move that promises to transform the landscape of healthcare coordination across the United States, WellSky has unveiled a nationwide care coordination network boasting over 10,000 in-home care agencies.
This innovative platform is set to empower care managers, payers, and Accountable Care Organizations (ACOs) in delivering precise and timely interventions to patients, reducing costs, and enhancing the quality of care.
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A Trusted Partner in Healthcare
WellSky, already a formidable player in the healthcare industry, facilitates the day-to-day operations of a remarkable 25% of home and community-based providers in the country. Their extensive reach means that whether a patient resides in the heart of Sacramento, California, or the rural expanses of Little Rock, Arkansas, WellSky’s network can efficiently dispatch care from qualified local providers.
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Streamlining Healthcare Coordination
The core of this groundbreaking system lies in its ability to seamlessly connect payers and ACO care managers with an expansive network of in-home care providers, all within a single platform. This one-stop-shop approach simplifies the often complex and fragmented landscape of healthcare coordination, making it easier than ever to manage a national in-home care network.
A Case Study in Action
But how exactly does WellSky’s platform work? Let’s delve into a real-world scenario to grasp its potential impact. Imagine an ACO care management program responsible for overseeing patients with high-risk conditions like diabetes or congestive heart failure. By harnessing the analytical prowess of WellSky and its care coordination platform, a coordinated care management program is born.
Identifying High-Risk Patients
Here’s a glimpse of how it unfolds: The ACO care manager receives a notification on the WellSky analytics dashboard indicating a patient with a pending discharge and a high risk of readmission. This patient lives in a rural area with limited transportation options and requires assistance with ambulation and meal preparation, all while battling diabetes.
Using WellSky’s robust analytics, the system automatically identifies this patient as high-risk based on machine learning predictions built upon a staggering 1.2 million patient-years of data.
Armed with this insight, the system recommends a targeted intervention. In this case, it suggests a food pharmacy intervention, given the patient’s vulnerability.
Customized Care Plans
The ACO care manager can then specify the exact protocols for the intervention, which may include delivering a healthy food bundle, meal preparation, and medication reminders.
With a simple click, the ACO manager can dispatch this referral to local qualified providers already utilizing WellSky to manage their operations and clinical delivery.
Seamless Care Coordination
Once the local provider accepts the referral, the care plan seamlessly transfers over, including all the relevant details and tasks related to the food pharmacy intervention.
Throughout the patient’s care journey, the agency can provide real-time updates, ensuring complete transparency for the referring care manager. Point-of-care information is captured during patient encounters, with protocols being rigorously followed as specified by the ACO.
Transforming Outcomes and Reducing Costs
The results speak for themselves: By following this protocol, the patient’s projected healthcare costs plummeted from a staggering $100,000 to approximately $35,000. Even more importantly, the patient could receive care in the comfort of their own home, avoiding the stress and expense of hospitalization.
WellSky’s analytics-driven platform offers a single point of national access and connectivity across its extensive network of over 10,000 partners nationwide.
This revolution in healthcare coordination promises to improve patient outcomes, reduce costs, and ensure that more individuals can receive the care they need in the most suitable setting – their own homes.
For more information on how WellSky is reshaping the future of healthcare coordination, visit their website today. The dawn of a new era in healthcare has arrived, and it’s powered by WellSky.