Payers
WellSky® offers access to the largest connected network of post-acute and social care providers, defragmenting the most fragmented part of healthcare. A partnership with WellSky allows health plans, government organizations, and other risk-bearing entities to collaborate with providers and execute precise care management programs at scale for the pursuit of lower costs, better outcomes, and a tremendous member experience.
WellSky® offers access to the largest connected network of post-acute and social care providers, defragmenting the most fragmented part of healthcare. A partnership with WellSky allows health plans, government organizations, and other risk-bearing entities to collaborate with providers and execute precise care management programs at scale for the pursuit of lower costs, better outcomes, and a tremendous member experience.
Background
Health is complex and has many influences. The World Health Organization describes “health” as being “a state of complete physical, mental and social wellbeing and not merely the absence of disease or infirmity.”
As the social determinants of health have become better understood, it’s become clear that healthcare problems cannot be solved through the healthcare system alone. Policymakers are looking beyond traditional medical care toward the other determinants of health such as housing, education, work, income, early life experience, race and ethnicity.
People with multiple health and social needs are high consumers of healthcare services and are thus drivers of high healthcare costs. One US study estimates that high-risk, high-need patients represent 20 percent of the population and generate 80 percent of healthcare costs.
Addressing these challenges requires smarter solutions that achieve lasting outcomes. That’s what WellSky is all about.
Background
Health is complex and has many influences. The World Health Organization describes “health” as being “a state of complete physical, mental and social wellbeing and not merely the absence of disease or infirmity.”
As the social determinants of health have become better understood, it’s become clear that healthcare problems cannot be solved through the healthcare system alone. Policymakers are looking beyond traditional medical care toward the other determinants of health such as housing, education, work, income, early life experience, race and ethnicity.
People with multiple health and social needs are high consumers of healthcare services and are thus drivers of high healthcare costs. One US study estimates that high-risk, high-need patients represent 20 percent of the population and generate 80 percent of healthcare costs.
Addressing these challenges requires smarter solutions that achieve lasting outcomes. That’s what WellSky is all about.
Solutions for seamless collaboration
WellSky Home Care Coordination
Leverage WellSky’s technology-enabled solutions to contract, coordinate, refer, and schedule home-based care providers to support your members.
WellSky Transitional Care Coordination
WellSky connects payers and providers through technology-enabled solutions to increase visibility into data, coordinate interventions, and improve member outcomes during transitions of care.
WellSky Social Care Coordination
WellSky empowers payers to identify social needs in a member population and coordinate care through a network of community-based partners to optimize and improve outcomes.
WellSky Home Care Coordination
WellSky Home Care Coordination
Leverage WellSky’s technology-enabled solutions to contract, coordinate, refer, and schedule home-based care providers to support your members.
WellSky Transitional Care Coordination
WellSky Transitional Care Coordination
WellSky connects payers and providers through technology-enabled solutions to increase visibility into data, coordinate interventions, and improve member outcomes during transitions of care.
WellSky Social Care Coordination
WellSky Social Care Coordination
WellSky empowers payers to identify social needs in a member population and coordinate care through a network of community-based partners to optimize and improve outcomes.
Reshaping the way payers and providers deliver care
Reshaping the way payers and providers deliver care
Related WellSky services
WellSky Real-Time Insights
Optimize member care in the home with WellSky Real-Time Insights. Features include real-time hospitalization risk predictions, hospice suitability analytics, missed visit alerts, and visibility into social determinants of health factors.
WellSky Network Insights
Analyze, monitor, and manage network performance with WellSky Network Insights. Payers can improve outcomes with insights into risk-adjusted performance, hospitalization and clinical improvement analytics, and diagnosis-specific performance insights.
WellSky Compliance Services
WellSky Compliance Services provides a wide array of regulatory and compliance services to help home health and hospice agencies mitigate financial and compliance risk and improve accuracy for better quality and financial outcomes.
Related WellSky services
WellSky Real-Time Insights
WellSky Real-Time Insights
Optimize member care in the home with WellSky Real-Time Insights. Features include real-time hospitalization risk predictions, hospice suitability analytics, missed visit alerts, and visibility into social determinants of health factors.
WellSky Network Insights
WellSky Network Insights
Analyze, monitor, and manage network performance with WellSky Network Insights. Payers can improve outcomes with insights into risk-adjusted performance, hospitalization and clinical improvement analytics, and diagnosis-specific performance insights.
Related WellSky resources
Tip Sheets | Payers
Three ways payers can tackle challenges related to the social determinants of health
are more than just data collection
Learn three ways health plans can leverage member data to build targeted interventions that can help improve community health outcomes across vulnerable populations.
Ebooks & White Papers | Payers
Home health utilization in traditional Medicare and Medicare Advantage: Comparing care costs and patient outcomes
Home health is proven to reduce healthcare spending while improving health outcomes. Get the facts you need to support the case to increase home healthcare utilization for beneficiaries enrolled in your Medicare Advantage plan.
Webinars | Payers
Your physician network: The secret to success in value-based care
Karen Johnson, PhD and Vice President for Practice Advancement at the American Academy of Family Physicians (AAFP), explains why physicians are critical to helping payers achieve success with a value-based care model.
Related WellSky resources
Tip Sheets | Payers
Tip Sheets | Payers
Three ways payers can tackle challenges related to the social determinants of health
Learn three ways health plans can leverage member data to build targeted interventions that can help improve community health outcomes across vulnerable populations.
Ebooks & White Papers | Payers
Ebooks & White Papers | Payers
Home health utilization in traditional Medicare and Medicare Advantage: Comparing care costs and patient outcomes
Home health is proven to reduce healthcare spending while improving health outcomes. Get the facts you need to support the case to increase home healthcare utilization for beneficiaries enrolled in your Medicare Advantage plan.
Webinars | Payers
Webinars | Payers
Your physician network: The secret to success in value-based care
Karen Johnson, PhD and Vice President for Practice Advancement at the American Academy of Family Physicians (AAFP), explains why physicians are critical to helping payers achieve success with a value-based care model.
“WellSky is a partner, not just a software company. They are more than willing to listen to our ideas and come up with a solution that not only benefits us a hospital, but the industry as a whole.”
Cathy DwyerVice President and CIO, Burke Rehabilitation Hospital
“WellSky’s solution platform stands out among the crowd. With their evolving platform and superior customer service, this solution will help increase your compliance, decrease your risk, and allow you a more personalized approach to care.”
Joel BednoskiFounder & Principal, Harpeth Consultant Advisory Group
“We noticed immediately that documentation was more thorough, communication improved, productivity increased, and people were able to spend more time with our clients, which resulted in better care.”
Donna SpellmanMS Executive Director, River House, Connecticut
“Don’t let everyday business tasks consume you. This software enables you to work ‘on’ your business instead of ‘in’ your business.”
Scott BonnerDirector, Today’s Care and Family, Maryland
“WellSky is a partner, not just a software company. They are more than willing to listen to our ideas and come up with a solution that not only benefits us a hospital, but the industry as a whole.”
Cathy DwyerVice President and CIO, Burke Rehabilitation Hospital
“WellSky’s solution platform stands out among the crowd. With their evolving platform and superior customer service, this solution will help increase your compliance, decrease your risk, and allow you a more personalized approach to care.”
Joel BednoskiFounder & Principal, Harpeth Consultant Advisory Group
“We noticed immediately that documentation was more thorough, communication improved, productivity increased, and people were able to spend more time with our clients, which resulted in better care.”
Donna SpellmanMS Executive Director, River House, Connecticut
“Don’t let everyday business tasks consume you. This software enables you to work ‘on’ your business instead of ‘in’ your business.”
Scott BonnerDirector, Today’s Care and Family, Maryland
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