Is your patient on the right care pathway for recovery across acute and post-acute settings? Are your per patient episode costs within a target boundary? CapsicoHealth offers state-of-the-art, world-class, episode driven Bundled payment analytics tools to providers to reduce cost variation, improve care outcomes and optimize revenue. CapsicoHealth's data and risk platform combines a variety of risk, payment, claims and clinical data to provide deep insights to providers to configure and manage bundles. CMS recently announced that by 2018, nearly 50% of beneficiary payments will be value based on a traditional fee for service model. Our products will empower healthcare providers to plan, optimize and manage pathways for revenue management across episodes and payment bundles.

Follow-Ups Improve Pathway Adherence

Over 1 in 3 patients with chronic conditions see a limited follow-up or a drop-off from their providers post-discharge, leading to patient dissatisfaction and prolonged recovery. Post-discharge, a multitude of providers engage patients over short periods of time but very few share data or coordinate recovery services leading to patient dissatisfaction, low adherence and poor recovery.

Relationships Drive Care

Poor communication and broken relationships between patients and providers have been shown to result in a limited understanding of health goals and drop-offs, leading to a rise in unplanned ambulatory and ED visits, and variability in costs. With a shift towards value based purchasing and payment, there is a strong incentive for providers to reduce cost of episode based services while building relationships with patients.

Insights Reduce Cost Variability

CapsicoHealth enables patent pending, data platform and risk tools to design bundles and manage episode of care and payment. Our data platform integrates critical pieces of information for Bundled payments, and gathers data from post-acute billing, EMRs, call-center records, home-visit records, and enables longitudinal assessments of patients.

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