PROVIDER PORTAL: HOMEBRIDGE® FOR PATIENTS CareCentrix Palliative Care Palliative Illness Management™ – at home Access to care for seriously ill patients and their caregivers who are living at home and struggling with multiple issues on a daily basis. Market Challenges Patients with serious illness often require more intensive medical services coordinated across multiple providers, as well as a wide range of social supports to maintain health and functioning. Health plans often lack a consistent, structured process for scaling this type of solution across their member populations and geographies. They seek a systemized solution that seamlessly integrates with existing case and utilization management programs to further optimize the consistency of care and the overall care experience. A Commonwealth Fund survey of patients with complex needs demonstrates the urgent need to apply innovative approaches to management of this population: 47% visited the emergency department multiple times in the past two years Over 50% did not have access to services to help manage their conditions 62% experienced stress about their ability to afford housing, utilities, or nutritious meals Patient-Focused, Home-Based Palliative Care Turn-Key Health’s Palliative Illness Management™ (PIM™) Structured, Consistent Approach to Home-Based Palliative Care A home-based palliative care model, the PIM™ program serves health plans, provider organizations and their members who are experiencing a serious illness. Complementing the CareCentrix post-acute care model, PIM identifies, engages and improves the member and caregiver quality of life, reduces over-medicalization and lowers cost. Systemized and Process-Driven The PIM program utilizes predictive analytics for member identification and prioritizes the importance of home-based care, arranges appropriate services to address Social Determinants of Health (SDoH), provides clinical assessments / referrals, and partners with physicians to deliver a patient-centered, data-driven, and evidence-based solution. Member Identification:The PIM program identifies members likely to experience over-medicalized care or death. In conjunction with the CareCentrix PAC program, it provides the benefit of holistic evaluation, leveraging evidence-based tools to assess for palliative appropriateness in real-time, bridging claims lag. Member Engagement: A network of PIM clinicians provide support through telephonic outreach and home visits. They conduct member engagement to provide home-based support including symptom monitoring, medication reconciliation, psychosocial / spiritual support, and documentation of advance care plans. Provider Engagement: Extending the reach of physician practices and the medical home, the PIM model provides practical support that complements and enhances care management. It seamlessly integrates with existing case and utilization management programs to further optimize the overall care experience. Quality Control & Reporting: Clinical teams are guided by the PIM platform tools and assessments. This includes a proprietary Palliative Activation Scale (PAS), designed to optimize patient and caregiver engagement. The CareCentrix suite of reports provides ongoing insights into key clinical, operational and financial outcomes. Overcoming the Burdens of Serious Illness Proven Return on Quality Improvement & Resource Investment Identifies members earlier Identifies members earlier in their disease progression who could benefit from home-based palliative care Supports the medical home Supports the medical home, a first-hand window into the member’s home to understand the breadth of challenges Enhances member engagement Enhances member engagement with clinicians who facilitate conversations and align goals of care with treatment preferences Reduces costs Reduces costs by optimizing pre- and post-acute care, reduces hospitalizations, ED visits, readmissions and number of ICU days FAQs What is palliative care? How does the PIM program support the patient? How does the program help ensure highest quality care? How does the PIM program engage with members? Featured Resources Journal of Palliative Medicine Study DOWNLOAD THE STUDY Interested in learning more about how we are changing the way we talk about advanced illness? We will provide a complementary savings analysis based on your data. REQUEST AN ANALYSIS FOLLOW US OUR SOLUTIONS Post-Acute Care Home Health & Home DME Home Infusion Home Sleep Palliative Care RESOURCES All Podcasts Whitepapers Webinars OUR COMPANY About Us News Careers Contact Us Report Fraud Certification to Manage Risk, Improve Security Posture and Meet Compliance Requirements If you have difficulty understanding English, we offer language assistance and interpretation services at no cost to you. For help, please call 1-844-359-5381. If you have hearing or speech loss and use Telecommunications Relay Services (TRS) or a Text Telephone (TTY), dial 711 to connect with a TRS operator. 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