In This Report
Health reform is still taking shape as 30 million additional Americans enter the U.S. healthcare system. Beyond improving access, a paramount objective of the “Patient Protection and Affordable Care Act” (PPACA) is to create integrated care and payment models that demand higher degrees of accountability and drive improved health outcomes. Today, care delivery in the U.S. is highly fragmented and plagued with little coordination and communication across the healthcare system. Physicians are encouraged to narrow their focus and are trained to become experts in very specific medical disciplines, and many healthcare strategists argue that delivery models with greater focus and more repetitions (commonly referred to as “focused factories”) improve outcomes. While this “practice makes perfect” model has shown signs of success within each silo, it undermines the importance and value of care coordination between them. Unnecessary hospital admissions account for more than $26 billion in excess cost, burdening the healthcare system today, a number that is poised to escalate as more Americans access our disjointed care delivery system.
- One in every ten hospital admissions could have been avoided with 6% coming from avoiding chronic conditionrelated admissions and 4% from preventable acute conditions.
- Nearly one-fifth of Medicare beneficiaries in traditional feefor-service (FFS) are re-admitted to a hospital within 20 days of their original discharge.
It is increasingly clear that a tremendous opportunity exists for innovative solutions that strengthen the seams between healthcare settings and promote a more holistic, integrated care system. Delivery models and supporting technologies that can help patients navigate our rapidly transforming healthcare system and eliminate waste in a $63.5 4 billion post-acute care marketplace are not only integral to the sustainability of the U.S. healthcare system, but will also garner significant interest from both the strategic acquirer and financial sponsor communities.
This report will analyze the market dynamics and trends that are driving demand for improved post-acute care coordination. It will also explore forward-thinking companies that are developing post-acute care delivery strategies to break the cycle of unnecessary patient admissions and re-admissions.