• BCBSM and WellSky:
    Together, we can transform post-acute
    care management in Michigan

BCBSM and WellSky: Together, we can transform post-acute care management in Michigan

In the U.S., post-acute care spending exceeds $2.7 trillion, prompting health plans to reconsider their strategies. WellSky offers a technology-driven, value-based approach to ensure members receive the right care at the right time. With intelligent coordination, advanced analytics, and a connected ecosystem, we enable effective post-acute care management. This leads to cost reduction, improved quality, and an excellent member experience.

WellSky PAC Advance offers unmatched
post-acute care management capabilities

Connected provider network

WellSky represents a wide range of providers across the care continuum – from acute to post-acute, home, and community. In the state of Michigan, WellSky’s technology supports more than 734,000 patient discharges from acute facilities to home or post-acute care.

laptop display of WellSky’s intake and scheduling master calendar, found within their home health software

Emergency Department insights and diversion capability

One in five Americans will visit the emergency department (ED) at least once a year but between one-third and one-half of these visits are for non-urgent matters. WellSky’s technology provides real-time alerts and clinical insights when a patient presents at the ED. WellSky acts on the notification to determine a diversion opportunity or admission to an alternative level of care, and provides proactive visibility on the member’s status. 

hospitalization risk overview chart found within WellSky’s home health software

Optimized level of care

From a skilled nursing facility to care in the home, there are several options for post-acute care. While the goal is to get patients home faster, sometimes a skilled nursing facility is needed. Our technology, integrated within existing hospital discharge workflows, helps planners send patients to the best performing, higher-quality PAC providers.

nurse and patient sitting on rocking chairs outside looking at WellSky’s home health software on a tablet

WellSky Auth Advance

Obtaining authorization requests during discharge takes time and can delay the transition to the next level of care. With WellSky Auth Advance, you can avoid these delays by up to 1.5 days because authorization requests are sent directly from the discharge planner, streamlining the process and improving provider satisfaction.

claims manager dashboard within WellSky’s home health software

Proactive discharge planning

With WellSky’s ED insights being embedded in the acute and post-acute workflows, we can proactively recommend the appropriate next level of care, resulting in improved discharge planning and care transitions between requesting and servicing providers.

financial reporting charts found within WellSky’s home health software

High-performance network

Use of real-time post-acute performance analytics – including readmission rates and length of stay by diagnosis – allows us to identify the highest performing skilled nursing facilities and home health agencies in your network. This ensures members receive the right care, in the right setting, to improve outcomes.

predictive analytics graphs and charts found within WellSky’s home health software

Member journey

WellSky powers more than 734,000 discharges in the state of Michigan