Advanced Care Management
Advanced Care Management is a care model designed to bridge gaps and improve care and clinical outcomes for patients with serious illness. We use advanced analytics to identify candidates, then work with Payors and Accountable Care Organizations to provide holistic, person-centered palliative care.
For Patients
Our teams meet patients where they are, providing high quality care from telephonic check-ins to in-home provider care. Compassus’ person-centered approach to care increases peace of mind for patients and their loved ones. Â
For Plans
With ACM, our partner organizations have experienced total cost of care reductions in the last year of life up to 35%, due to increased access to high quality hospice care and reductions in unnecessary emergency department visits and inpatient stays.Â
What services are provided?Â
A nurse practitioner and health care team to visit patients in the homeÂ
24/7 access to nursing support Â
A personalized care plan based on individual patient needs and goalsÂ
Pain and symptom managementÂ
Education for patients and family on the disease or illness and its progressionÂ
Support for the physical and mental stress of living with a serious illnessÂ
Help with important medical decisions and advanced care planning
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OutcomesÂ
Identify – Claims-based predictive modeling to identify highest risk membersÂ
Quality – Reduce readmissions; improve patient experienceÂ
Access – Increase Hospice utilization Â
Cost – Reduce total cost of care in last year of lifeÂ
Meet Coushatta
Listen to Compassus’ innovation with ACM in this podcast:
Advanced Care Management provides supportive care for those with serious illness diagnoses including:Â
CancerÂ
COPD (Chronic obstructive pulmonary disease)Â
Heart failureÂ
DementiaÂ
StrokeÂ
Advanced kidney diseaseÂ
Advanced liver diseaseÂ
General signs of decline (including weight loss, exhaustion, anemia)Â