Spoonful of Sugar Podcast
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Ep 3: Bringing Health Home – The Transitional Care Management Model
March 25, 2022Guest Spotlight:
William (Bill) Mills, M.D., Senior Vice President, Medical Affairs, BrightSpring Health
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The transitional care management model has been growing in popularity in long-term care as more residents seek to stay healthy at home with the person-centered support they need and several new programs allow Medicaid-funded services at home or in the community. As residents discharge from nursing homes, this approach affords facilities the opportunity to play an active role in transitional care management for those leaving and realize:
- Lower costs
- Increased medication adherence
- Reduced rehospitalization rates
- Improved clinical and quality outcomes
- Continuum inter-referrals
- Value-based upside
- Enhanced referral relationships
In this episode, we’ll explore the influencers that support this transitional care model and how facilities can take steps to capitalize on the growth of care at home to impact their census, financial penalties, and outcomes.