Illuminate Masthead Logo

Spoonful of Sugar Podcast

Podcast Library

Ep 3: Bringing Health Home – The Transitional Care Management Model

March 25, 2022

Guest Spotlight:
William (Bill) Mills, M.D., Senior Vice President, Medical Affairs, BrightSpring Health

Listen NOW


Open on Spotify

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.

Supplemental Article