Managed Care and Capitation

SuperCare Health’s Care Management Programs and Clinical Pathways Drive Superior Quality and Cost Savings for Payors and Providers

Your Top Challenges

Effective management of utilization and high-risk patient populations
Chronic and/or transition care for respiratory diseases is complex
Manage costs via capitation and performance-based arrangements
Need for trusted, high-quality specialty providers in the post-acute setting, especially homecare

Our Solutions

As a comprehensive ancillary provider managing in home respiratory equipment and supplies, SuperCare Health has developed strong utilization management and a specialized intake team that understands medical necessity guidelines, and powerful logistics technologies to get your members the services they need with our care teams on the spot. We combined these services with a proven in-home chronic care model with the best high tech connected care teams to provide proven financial and clinical outcomes.

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A Small Investment Reaps Large Savings

5% of your high risk patients account for 50% of your costs

	1	Coordinating Discharge Care Effectively Providing comprehensive ancillary services Coordinating safe hospital discharges Enhancing your utilization department
	2	Connecting Patients With Care & Adherence Solutions Reinforcing adherence to therapy Increasing engagement to increase satisfaction Enabling improved PAP compliance
	3	Reducing Over-Utilization Sharing our expertise in medical necessity Providing in-home assessments Scheduling re-occurring calls with puck ups Executing supply management based on Medicare guidelines
	4	Reducing Hospital Utilization Managing care in-home Implementing iBreathe high-risk programs Preventing rehospitalizations with clinically proven programs Using existing clinicians and supporting your DSM programs Enabling Bluetooth-integrated and BYOD technology
		Execution We obtain a preferred provider ancillary agreement at cost neutral rates and provide a simple, customized shared-savings solution to manage your high-risk patients, and to support your medical management team

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