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

  • Nexus program savings @ 30% (current @ 55%) saves $72.6M
     

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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:

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Reduction in annual cost of care 

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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

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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

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WE DELIVER

Understand specific metrics within your patient population

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WE DELIVER

Standardize Protocols and Measure Provider Quality

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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.