2 min read

Parkinson suggests I-SNPs as a managed care strategy in senior care

By Prime Care Tech Marketing on Fri, Jun 11, 2021 @ 10:19 AM

In Feds to deliver ‘positive news’ on Provider Relief Fund in coming days: Parkinson, McKnight's LTC News summarized recent comments from AHCA President and CEO Mark Parkinson at the Synergy Summit in Utah.

Among other things, Parkinson stressed managed care is not going away and encouraged senior care providers to embrace it by:

Naturally, you may want to know more about I-SNPs and if/how you might take advantage of them. The below Q&A may be of help to you in assessing this.

What is an I-SNP?
I-SNP stands for Institutional Special Needs Plan and is designed for those who will live in a long-term setting for 90 days or more with no immediate plans for discharge

How does it fit within Medicare?
An I-SNP is a Medicare Advantage plan focused on the care of specialized populations. It replaces traditional Medicare to cover inpatient and outpatient services, plus prescription drugs (as a Part D service).

Who is eligible for an I-SNP?

  • Reside in a long-term care facility with no anticipated discharge
  • Currently enrolled in Medicare A/B
  • Live in a county where I-SNP is licensed

*Check CMS' Special Needs Plan (SNP) Data to see who is operating in your state.

What are the highlights of an I-SNP?

  • Nurse practitioners provide preventative and proactive care
  • RN case managers coordinate care according to the Model of Care (MOC) required by CMS
  • Residents are assigned a 'Risk for Hospitalization' level, which determines care plan and a schedule for proactive rounds
  • Rounds occur as often as weekly or can be more frequent for high-risk residents
  • Provider visits are not subject to medical necessity requirements of traditional Medicare, so they can be more proactive and frequent

How do I-SNPs benefit SNFs/residents?

  • Increased provider visits; faster identification of conditions/treatment
  • Treatment-in-place advantage – visits can happen in the nursing facility
  • Proactive and preventative care; prevents unnecessary hospitalizations
  • Reduce risks and stress associated with hospital stays

How can technology help facilities with I-SNPs?

  • Case-to-contract management is essential to following an ISNP
  • Our Managed Care MASTER software brings contracts online, PLUS pairs them with best-practice workflows and alerts
  • With this automation, you can easily train anyone to act as a case manager and ensure reimbursement

If our Managed Care MASTER can help you 'manage' your managed care, including I-SNP contracts and care, let's connect.

Get in Touch

Topics: managed care Managed Care MASTER medicare advantage ISNP Institutional Special Needs Plan SNP
1 min read

LTC 100: Helping you reinvent your roadmap to success

By Jim Hoey on Thu, Apr 25, 2019 @ 10:26 AM

LTC100 Banner

Prime Care Technologies is pleased again to help sponsor the LTC 100 Leadership Conference. This year’s theme Carpe Diem - Roadmap to Reinvention  reflects the changing LTC landscape and your need to provide quality, value-based outcomes, while also succeeding as a business.

As a 15+ year post-acute technology provider, we know the ropes. Join us to see how we are solving operational pain points with our comprehensive post-acute claims and managed care reimbursement solutions. You'll see how our technologies are evolving with PDPM and Five Star, too. 

If it's easier, pick a time to connect!


 

Topics: cloud computing technologies primeCLAIMS claims processing automation post-acute claims clearinghouse Managed Care MASTER managed care reimbursement managed care software post-acute technology solutions managed care optimization IT strategy LTC 100 Leadership Conference improve patient care
1 min read

Let's talk technology at AHCA/NCAL Spring CEO Conference May 1-3

By Jim Hoey on Tue, Apr 23, 2019 @ 02:08 PM

MultiCEO

We’re heading to AHCA/NCAL 2019 Spring CEO Conference with innovative tech solutions that help post-acute execs prepare for value-based care.

Our new Managed Care MASTER solution is getting rave reviews from customers who are increasing their Managed Care revenue, while decreasing therapy costs and improving outcomes. It’s designed to handle complex level and Medicare RUG/PDPM reimbursement drivers, so your teams can be PDPM-ready by October.

Connect with us to learn more about our suite of applications that can solve your most difficult operational challenges.

Topics: reduce procurement costs automated procurement process primeVIEW primeCLAIMS claims processing automation post-acute claims clearinghouse e-procurement Managed Care MASTER managed care reimbursement managed care software primeVIEW business intelligence dashboard post-acute business intelligence dashboard primeCOMMERCE managed care optimization 2019 AHCA/NCAL Spring CEO Conference
1 min read

Let's connect at OHCA Convention and Expo April 29-May 2

By Rusty Zosel on Mon, Apr 22, 2019 @ 12:11 PM

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I’m excited to once again join my colleagues at Prime Care Technologies in exhibiting at OHCA. Stop by Booths 127 and 129 to discover our latest advances in post-acute technologies. Our experts will demonstrate how we integrate and accelerate data to optimize business intelligence, claims and managed care reimbursement, as well as purchasing automation from Procurement Partners. We have much to share to address your operational pain points, so let's connect over a break!

Topics: primeCLAIMS claims processing automation post-acute claims clearinghouse Managed Care MASTER managed care reimbursement primeVIEW business intelligence dashboard purchasing automation primeCOMMERCE OHCA
1 min read

[Event] 2018 National Investment Center (NIC) Fall Conference

By Prime Care Tech Marketing on Thu, Oct 11, 2018 @ 11:14 AM

Join Jim Hoey, President and CEO, Prime Care Technologies, with executive team members at the NIC Fall Conference October 17-19. As a post-acute technology innovator, we continuously respond to industry trends and requirements to improve operational efficiencies and revenue opportunities. Schedule here for breakfast, lunch or dinner on how we are leading the way!

  • primeCLOUD – Managed IT services that increase security and efficiency
  • primeVIEW – Post-acute performance dashboard that improves operational outcomes
  • primeCOMMERCE – 100% purchasing control and automation that saves you money 
  • primeCLAIMS – Comprehensive claims clearinghouse that provides total visibility and control
  • primeFORCE Resident Telehealth – 24/7 virtual provider networks that elevate quality of care from your facility
  • Managed Care MASTER  – Patient care syncs with payer contracts to optimize managed care reimbursement

We look forward to seeing you in Chicago.

   

 

Topics: centralize purchasing primeCLAIMS primeCLOUD Managed Care MASTER case management for managed care managed care revenue primeVIEW business intelligence dashboard primeFORCE Resident Telehealth purchasing automation managed IT services primeCOMMERCE