POSTED ON MONDAY, June 8, 2020
Providers of hospice care are increasingly relying on predictive monitoring to find patients who need their care. CMS will begin allowing hospices to participate in Medicare Advantage in 2021 with the value-based insurance design demonstration project.
Hospices have utilized these tools to try to identify and find these patients earlier, in order to provide services as early as possible.
“Predictive models attempt to anticipate future outcomes or behaviors based on data about what’s happened in the past to predict what is likely to happen in the future,” said John Dickey, COO of Acclivity Health Solutions, a technology platform provider for post-acute care settings. “Many predictive models do help identify patients at high risk for hospital admission/readmission. The metric is generally presented as a percentage of likelihood that an admission or readmission will occur within a specific time frame, for example, three, six, or 12 months. When used in combination with other patient information and/or predictive metrics, providers, including hospices, can take appropriate steps to intervene proactively and prevent the would-be admission from occurring.”
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