Wednesday, March 13, 2013

AMC's Money-Back Guarantee

AMC Health a provider of telehealth solutions is providing a money back guarantee to reduce hospital readmissions for high-risk patients. This offer will enable hospitals, health plans, ACOs, home health agencies, and other customers to use a multi-faceted program to reduce hospital readmissions for high risk patients.

The AMC Health guarantee offers a full refund if readmissions don’t decline by at least 10 percent within 90 days of deployment providing a proven Interactive Voice Response (IVR) program along with case management initially deployed by the Geisinger Health Plan (GHP) and AMC Health.

The program’s success has enabled GHP to decrease all-cause 30 day risk of readmissions among Medicare beneficiaries by 44 percent with actual readmissions reduced by 19.5 percent over a two year period when compared to a control group that received case management alone.

The program works by having discharged patients receive IVR telephone calls. Based on the patient’s response, AMC Health’s telecare managers identify gaps in care and screen for conditions that put individuals at risk of re-hospitalization. A case manager will then contact clients when problems arise that require the involvement of a clinician.

On October 1, 2012, CMS instituted penalties equaling up to one percent of Medicare receipts for more than 2,000 hospitals that readmitted too many patients with pneumonia, heart attacks, and heart failure. CMS will up the pressure on hospitals by expanding the number of covered conditions from three to eight on Oct 1, 2012, and increase the maximum penalty to two percent on October 1, 2012 and up to three percent on October 1, 2015.

“Based on our successful track record and the knowledge and experience we have gained during the past decade, we are confident we can deliver the care coordination solutions and support services needed to provide consistent and significant reductions in 30 day readmissions that will more than offset the cost of our program”, explains Nesim Bildirici, CEO and President of AMC Health.

He continued, “This guarantee is an example of how we “walk the walk” not just “talk the talk” to help ease our customers’ transition to value-based purchasing by improving patient care throughout the care continuum and strengthening their financial outlook.”

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