Respiratory Population Health
Over 50,000 patients & 400,000 assessments, millions of data points = exclusive insight
Encore Healthcare has a proven track record of delivering outstanding patient outcomes AND cost savings for health plans. Our respiratory-focused population health programs have delivered hospitalization and ED utilization reductions in the range of 30-60%, creating an ROI of more than 200% for our Medicaid, Medicare Advantage, and MCO partners. The home-based, Respiratory Therapist driven, Nexus Program uses innovative performance-focused protocols. Our multidisciplinary care team uses patient engagement techniques like Dynamic Dialogue™, which incorporates physician and care team involvement, including medication management. Members diagnosed with COPD and other respiratory conditions have high acute care utilization and fall into a provider gap that does not focus on respiratory population health.
Current COPD Cost:
-
15% of patients account
for 70% of spending
$242.8M in 2019
-
Utilization/spending growing 20% per year
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Nexus program savings @ 30% (current @ 55%) saves $72.6M
Reducing Admissions
via Home Respiratory Protocols
Encore's Nexus Program Drives
Higher Level Clinical Outcomes:
70%
reduction in hospitalizations in population with 63% GOLD
grouped as very severe
80%
reduction in ED visits; 95% of
members onboarded had first
home visit in less than 25 days
70%
members meeting GOLD standards for medication management & symptom improvement/stability
50-80%
members achieving goals:
● Plan of Care
● Access to Care
● Quality of Life/Social
● Quality/HEDIS Metrics
Advantages for Health Plans:
Reduction in annual cost of care
Increased revenue due to optimization of health plan quality metrics
Improved member satisfaction & clinical outcomes
Performance based
PMPM ROI as much as 344%
Reduce utilization via
home-focused respiratory care
Increased patient engagement & compliance
How Does It Work?
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Reduce Admissions & Maximize Quality with Actionable Data
WE DELIVER
Reduce admissions
via home respiratory protocols
WE DELIVER
Understand specific metrics within your patient population
WE DELIVER
Standardize Protocols and Measure Provider Quality
Encore contracts with Payors to manage their chronic respiratory disease members using our Nexus program. Encore’s network of home-based respiratory therapists incorporate Encore’s Nexus software respiratory care protocols & vitality monitoring technologies. Nexus’ proven outcomes lower member utilization, establish quality metrics, align the care management team into workflows and improve Member satisfaction.