PAC/PDPM - Developing Strategic Alliances to Manage Patients Across the PAC Continuum

Healthcare is changing and providing high quality care at a good value is a primary initiative of CMS. SNFs are held accountable for patient care and preventing hospital readmissions even after a patient has discharged from their care. In order to maintain low readmission rates and achieve a high value based purchasing score, SNFs must develop innovative programs to support patients beyond their facility and into the community. This presentation will help providers identify strategic alliances within their own organization and with partnering organizations to create programs that support the complex medical needs of patients that transition back to the community. It will explore the clinical components, marketplace components and reimbursement components of these programs. In addition, the presentation will cover how the development of innovative programming can leverage a SNFs preferred provider status among ACOs and APMs. In the presentation, we will provide an example with case studies that demonstrates how a strategic alliance between a SNF and respiratory DME provider led to a 36% reduction in cardiopulmonary readmissions to the hospital and allowed the SNF to achieve the highest multiplier in the CMS value-based purchasing program since its inception in FY2019.