We know that controlling the direct cost of Long Term Service and Support (LTSS) delivery is an important and desired outcome for the entities that contract our services. An additional and real value to our partners is the capacity to leverage in-home services to gather information about the health trajectory of the member. This is especially important for those members at the highest risk, the Dual Eligibles. Information on these members provided to the payor in real time is critical to achieving better health outcomes.Read More
No one knows more about the health condition of the member and is better positioned to identify and capture this information than the HomeCare Aide.
Recognizing the critically important role home care aides play, we developed and implemented our Addus Dual Advantage®model. Under this program, Addus’ HomeCare Aides have full visibility into the specific and unique social, clinical and activities of daily living needs of the member. During the normal course of providing services, they continuously identify changes in the member’s condition based upon a pre-determined checklist which can be customized to meet the payor’s requirements and the member’s diagnosis. This information is communicated, using our proprietary technology, to the appropriate health care professional and triggers the development of an action plan resulting in early intervention and better health outcomes. This empirically leads to fewer hospitalizations and other costly acute care services.
Effective integration of in-home personal care and medical services lowers costs for the Dual Eligible and Medicaid populations, while improving their quality of life. That is the Addus Dual Advantage®.
Addus will be your case management extension by connecting the case manager to their acute members through our employees and technology, better enabling us to:
Our experience includes working with individuals in the Dual Eligible population, as well as Medicaid, TANF (Temporary Assistance for Needy Families), and CHIP (Children’s Health Insurance Program) beneficiaries. To support goals and objectives unique to Managed LTSS, Addus is prepared to provide the following services:
Our Dual Advantage® model offers unique benefits for our MCO partners;
Since 1979, Addus has contracted and partnered with countless government entities to provide quality home care services in compliance with all standards, regulations and contract requirements. We have developed relationships with community partners and payors, allowing us to become experts in the available funding sources and other resources for our patients.Read More
We currently serve in our states under the following types of programs:
In total, we hold more than 300 contracts with Federal, State, County and Municipal governments, as well as Area Agencies on Aging and private insurers. We presently have contracts in place for services such as:
Addus possesses exceptional capacity to successfully complete new business proposals and associated applications, and our leading-edge technological systems provide the ability to bill services accurately and efficiently, while also providing partners with robust data reports. We incorporate scheduled audits and quality assurance mechanisms to ensure we comply with all applicable contract and governmental licensure requirements. We ensure that our quality standards are met through internal audit and monitoring.
Through these processes, we are highly confident the care we provide is cost effective and meets high-quality standards while operating within the established guidelines of government-funded programs.
At Addus, we understand the numerous funding streams and their place in the financing of health care and home care services. We work continuously to improve coordination with and between payors for our services, including Long-Term Care Insurance, Workers Compensation, Auto and Commercial Carriers, as well as private funding sources.Read More