Complex discharge planning
This team member will work with the facility to understand the member’s needs, discharge plan and possible home needs. If your patient is sent to a post-acute setting, we will also work with that facility to understand any barriers to discharge and referrals to other Medicare programs.
If the member requires assistance after discharge, we will offer a team member to help the member receive necessary referrals to identified programs, help the member follow their discharge plan and assist in making any necessary appointments to see their doctors.
This is a collaborative program; we need your help to understand what your patients need to be successful upon discharge and to reach our common goal – avoidance of readmissions and ER utilization.
We look forward to working with you, and the acute and post-acute facilities that offer this value added program to our Medicare Advantage population.
March 2020 Anthem Provider News - Wisconsin