Signify Health’s Home Care Transition Coordination Solution Launched in Over 50 Hospitals Across Country | Business


Signify Health, Inc. (NYSE: SGFY), a leading value-driven healthcare platform that leverages advanced analytics, technology and nationwide healthcare provider networks , has activated its Transition to Home solution in more than 50 hospitals to provide Medicare patients with the clinical and social services they need during the hospital-to-home transition. The solution, designed to reduce the clinical and financial impacts of preventable inpatient readmissions and unnecessary emergency department visits, is used by some of the industry’s most visionary healthcare systems and providers, including Ardent Health Services, Beaumont Health, Cape Fear Valley Health, and Premier Santé.

Signify Health’s Transition to Home solution is designed to complement existing post-discharge care coordination strategies in hospitals, healthcare systems, clinically integrated networks (CINs) and responsible care organizations (ACOs). Through virtual and telephone coordination of clinical and social care, Signify Health uses a holistic, evidence-based clinical model that supports Medicare patients for 90 days after discharge from an acute care facility. Through this customizable and scalable model, Signify Health works with patients and their care teams to improve quality of care and outcomes, and to ensure a high-quality patient experience that extends beyond the four walls of the hospital. ‘establishment.

“As large healthcare systems and physician groups take on more risk, they seek to better address clinical and social gaps that exist outside of acute care, but which can have a significant impact on health outcomes. of their patients, ”said Kyle Armbrester. , CEO of Signify Health. “We are excited to activate our extensive patient engagement capabilities at home and around our supplier partners participating in episodes and other value-based programs. Facilitating a rapid transition to home and extending the reach of our partners beyond the hospital setting will improve the patient care experience, achieve better outcomes and improve financial performance. “

Potentially preventable hospital readmissions cost Medicare an estimated $ 17 billion a year, and hundreds of thousands of patients are affected. Barriers to post-discharge recovery are responsible for many of these readmissions and encompass a wide range of issues such as the social determinants of health gaps, multiple co-morbidities, medication mismanagement and poor adherence to the treatment plan. care.

Analysis of readmission results for 800,000 episodes of care managed by Signify Health under Medicare’s Value-Based Pooled Payment Program (BPCI-A) shows that nearly 44% of all readmissions occur over 30 days after discharge from hospital. To address the risk of readmission during this critical phase, Signify Health’s Transition to Home solution provides patients with evidence-based clinical and social care coordination services for 90 days after discharge. Services offered include risk stratification, patient education, social needs and behavioral health assessment, medication review, care plan reminders, facilitation of PCP and specialist follow-up, coordination with acute care clinicians and escalating and triage care pathways.

These services are provided by Signify Health’s interdisciplinary care team made up of clinical and social care coordinators, pharmacists, nurses and physicians, who maintain a regular cadence of contact with patients and providers to identify and respond. to individual needs and act as an extension of the patient’s care team. . The Signify Health care team uses proprietary technology and tools to coordinate care with the patient’s PCP, apply evidence-based care coordination interventions, and facilitate networked use.

By applying motivational interviewing techniques that allow for deeper conversations, Signify healthcare coordinators typically identify between two and four social needs (such as food insecurity and lack of access to transportation) per patient and are able to meet more than 50% of these needs.

“Signify Health’s evidence-based approach to our Transition to Home solution focuses on the key drivers of unnecessary readmissions,” said Marc Rothman, MD, medical director of Signify Health. “Our clinical and social care professionals are trained to meet the needs of patients regardless of their level of risk, ensuring that provider care teams can focus on the most urgent cases. Ultimately, this offering was designed to address the most important measure of success: healthier, happier patients, and empowered clinicians. “

Since the program’s pilot launch in 2021, Signify Health’s Transition to Home solution has grown rapidly and now supports patients in 10 states. Early results indicate a strong consumer interest in telephone support for post-discharge care coordination, with over 60% of affected patients engaging with the Signify Health care team and initial analyzes showing this engagement has a statistically significant effect on reducing readmission rates.

To learn more about Signify Health’s Transition to Home solution, please visit our website at or contact us at info @

About Signify Health

Signify Health is a leading healthcare platform that leverages advanced analytics, technologies and nationwide healthcare provider networks to create and power payment programs based on value. Our mission is to transform the way care is paid and delivered so people can enjoy healthier, happier days at home. Our solutions support value-based payment programs by aligning financial incentives with results, providing tools to healthcare plans and healthcare organizations designed to assess and manage risk and identify actionable opportunities for improve patient outcomes, coordination and cost savings. Through our platform, we coordinate what we believe to be a holistic suite of clinical, social and behavioral services to meet an individual’s health needs and prevent adverse events that result in excessive costs, while moving services. to the home. For more information on how we’re bringing health home, visit us at

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SOURCE: Meaning health

Copyright Business Wire 2021.

PUB: 07/20/2021 4:35 PM / DISC: 07/20/2021 4:35 PM

Copyright Business Wire 2021.

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