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Care Solutions

Partnering With Payors, ACOs, And Other Risk-Bearing Entities

Are you interested in advancing your value-based care initiatives to improve quality, improve patient experience, and reduce total cost of care? In a partnership with Compassus, your organization can tap into our differentiated clinical care model, advanced analytics and reporting, and value-based care products to improve care for your patients.

Our value-based care products:

Advanced Care Management

Advanced Care Management (ACM) is a care model focused on improving care and clinical outcomes for patients with serious illness. The foundation of our ACM model is palliative care, which includes symptom management, advanced care planning, goals of care discussions, medication reconciliation, and hospice transition support if needed. In the ACM model, Compassus uses predictive analytics to identify high risk patients who could benefit from palliative services, initiates patient outreach through multiple engagement channels, and provides home-based palliative and care management services with an interdisciplinary team.

With Advanced Care Management, our partner organizations have experienced total cost of care reductions in the last year of life up to 35%! We achieve savings through increased access to high quality hospice care and reductions in unnecessary emergency department visits and inpatient stays.

SNF at Home

Skilled Nursing Facility (SNF) at Home is a home-based clinical model that allows more patients to recover at home with advanced clinical and ancillary services. The foundation of our SNF at Home model is home health, which provides skilled nursing, therapy, aide, and social work services to support patient recovery. In the SNF at Home model, Compassus patients have access to higher intensity clinical services, personal care, meal delivery, non-emergency transportation, and durable medical equipment (DME). In this model, our patients have access to a clinical support and triage team daily through in-person visits as well as virtual telehealth and remote patient monitoring services. Each of these model components are deployed at the patient level to provide a tailored and personalized patient experience to improve patient recovery and keep patients safe at home. Compassus collaborates with health system case management teams to appropriately identify and transition patients into our SNF at Home model, greatly improving patient access to home-based care and creating a seamless discharge process from hospital to home.

With SNF at Home, our partner organizations have the opportunity to increase access to home-based recovery solutions that reduce unnecessary rehospitalizations and improve the patient experience.    

woman and nurse smiling while discussing hospice care and palliative care for stroke