'' As healthcare moves from a focus on volume to one on value, the approach to post-acute care (PAC) needs to change. We exist to change the way the transition to post-acute care is experienced by all stakeholders. ''

Eiran Z. Gorodeski, MD, MPH, FACC.

WE EXIST TO CHANGE THE WAY THE TRANSITION TO POST-ACUTE CARE IS EXPERIENCED BY ALL STAKEHOLDERS

Rovicare was established by medical professionals who recognized the need for an efficient solution to simplify the transition from acute care to post-acute care.

While there has never been a strong communication or process pathway between acute care and post-acute care facilities, even as regulations and individual prospective payment systems (PPS) were introduced in post-acute care settings, siloed care became even more dramatic. This led to an environment in which care transition is labor-intensive, frustrating and ultimately, costly.

Many hospitals formed networks with post-acute care providers to streamline the patient transfer process and attempt to ensure a quality patient experience throughout the system. However, with so many steps and a variety of stakeholders involved, networks without a system to streamline the process are not sufficient. Rovicare is the missing technology solution.

RECENT LEGISLATIVE CHANGES DROVE AN EVOLUTIONARY MOVEMENT IN WHICH OUTCOME AFFECTS PAYMENT

2012

Hospital Readmissions Reduction Program

Hospitals are financially penalized under this program if they have higher than expected risk-standardized 30-day readmission rates for acute myocardial infarction, heart failure, and pneumonia.

2015

Medicare Access and CHIP Reauthorization Act of 2015 (MACRA)

A performance-based system using MIP, APM, and Accountable Care Organizations (ACO) requires the provider to supply information on the quality of service given, how valuable it is to the patient, and the provider’s accountability to the treatment being performed.

2018

Medicare Bundled Payments for Care Improvement Initiative (BPCI)

An initiative under which organizations enter into payment arrangements that include financial and performance accountability for episodes of care. Four broadly defined models of care, which link payments for the multiple services beneficiaries receive during an episode, potentially lead to higher quality and more coordinated care at a lower cost to Medicare.