Page 25 Telehealth and Remote Patient Monitoring RPM for Long Termand Post Acute Care A Primer and Provider Selection Guide 2013

20

• Improve care quality and population health • LTPAC provides holistic person-centered care,
while reducing growth in expenditures. including support services.
The act puts explicit emphasis on the use of health • LTPAC offers lower cost care settings than
information technology (HIT), including telehealth hospitals.
and RPM, in Health Homes for Enrollees with
Chronic Conditions, the Independence at Home These new care delivery and payment models will
Demonstration and the Use of Technology in New provide LTPAC providers utilizing technologies,
State Options for Long-Term Services and Sup- like telehealth and RPM technologies, with oppor-
ports. 55 tunities to derive revenue sources from strategic
partners. The following whitepaper offers some key
These initiatives include: questions LTPAC providers should discuss with
their acute care partners: http://www.leadingage.
• Hospital Readmission Reduction Program org/uploadedFiles/Content/About/CAST/Re-
(HRRP) 56 sources/The_importance_of_home_and_commu-

• ACOs 57 nity_March_2013.pdf.

• Bundling of Payments models, of which 6.6 Private Pay
the following two are relevant to LTPAC
providers: Another payment source for telehealth and RPM

• Retrospective Acute Hospital Stay plus services may be private payers or out of pocket. As
58
Post-Acute Services mentioned above, home health services under the
prospective payment system may use telehealth to
• Retrospective Post-Acute Care Only 59 enhance the efficiency and effectiveness of home
visits during the 30-60 days of post-acute services.
LTPAC providers bring a significant value for hos- When the Medicare coverage period expires, these
pitals, physician groups, payers and ACO partners, agencies usually offer an extension of telehealth
by providing the following services: and RPM services, with home visits as needed, to

• Rehabilitation and skilled nursing facilities clients if they would benefit from such a program as
private duty services covered out of the patient’s or
provide post-discharge/post-acute patient family’s pocket.
rehabilitation.

• Skilled nursing facilities, assisted living 6.7 Standard of Care and Other
facilities, continuing care retirement Payment Sources
communities, housing with services, and home
health agencies provide post-acute patient LTPAC and community health providers, special
stabilization and sub-acute chronic disease population agencies, self-pay and self-insured orga-
management. nizations and others, especially not-for-profits, may
offer/cover an array of telehealth and RPM services.

LeadingAge Center for Aging Services Technologies (CAST)