The COVID-19 pandemic shifted patient and provider perception of home health, particularly for post-acute care episodes.

Forward-thinking health plans are using the post-pandemic recovery period as a catalyst to leverage home health in post-acute care. Here’s how they are using intelligent prior authorization (PA) to:

💸 Improve outcomes and reduce cost using PA data

🛏️ Decrease length of inpatient stay with PA automation

👉 Align utilization with pre-submission influences called nudges

🥼 Enhance provider experience by bundling PA using episodic authorizations

Download this white paper to discover how health plans are reducing provider abrasion and facilitating better patient outcomes.

Featured Content

How COVID-19 catalyzed a value-based care approach and brought post-acute care to the home.

News You Can Use

🏠 From facility to home: How healthcare could shift by 2025 (McKinsey)
Up to $265B worth of care services for Medicare fee-for-service and Medicare Advantage beneficiaries could shift to the home by 2025.

🧑‍⚖️ Lawmakers seeking to block home health Medicare cuts (Home Health Care News)
The Preserving Access to Home Health Act of 2023 was introduced in June. Its largest objective: prevent further cuts to home health payments in 2024 and beyond.

💳 Home health value-based purchasing slightly improved spending, care (HealthPayerIntelligence)
An analysis found that home health value-based purchasing was associated with lower utilization and spending and slight improvements in quality of care.

Cohere Minute

🤖 Responsible AI and the prior auth trends making waves in 2023 (LinkedIn)
Regulatory requirements, changes catalyzed by the pandemic, and a push for better interoperability are just a few of the trends in prior auth.

🏛️ Congress proposes relief on prior auth, but CMS is ahead of the game (HealthLeaders)
Increasing congressional interest in prior auth reform under Medicare Advantage is taking hold on Capitol Hill.

3️⃣ Three ways the 2020 pandemic changed home health (Cohere Health)
How health plans are using the post-pandemic recovery period as a catalyst to rethink home health.