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.
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.
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.
What services are provided?
A nurse practitioner and health care team to visit patients in the home
24/7 access to nursing support
A personalized care plan based on individual patient needs and goals
Pain and symptom management
Education for patients and family on the disease or illness and its progression
Support for the physical and mental stress of living with a serious illness
Help with important medical decisions and advanced care planning
Identify – Claims-based predictive modeling to identify highest risk members
Quality – Reduce readmissions; improve patient experience
Access – Increase Hospice utilization
Cost – Reduce total cost of care in last year of life
Coushatta’s journey as a caregiver for her grandmother was filled with love but also uncertainty. Struggling with an advanced illness, her grandmother was enrolled in Compassus’ Advanced Care Management (ACM) program.
Listen to Compassus’ innovation with ACM in this podcast:
Advanced Care Management provides supportive care for those with serious illness diagnoses including:
COPD (Chronic obstructive pulmonary disease)
Advanced kidney disease
Advanced liver disease
General signs of decline (including weight loss, exhaustion, anemia)