The STUDY
- BrightStar (BSC) set out to prove its value by commissioning a study with Avalere Health, one of the leading healthcare analytics firms in the U.S.
- This study compared BSC Personal Care clients from 2018 to a matched control group of Medicare Beneficiaries and assessed the utilization of Part A, B and D Medicare services between the two populations for different health care conditions
- Avalere followed three analytic steps to assess BSC performance on Key Metrics
- Evaluate and match BSC population in the Medicare FFS data set
- Matched cohort development and created analytical plan
- Comparative performance assessment
BSC’s population experienced higher cost savings for numerous health care conditions, which implies lower rates of inpatient admissions, ED utilization, Home Health Utilization and SNF utilization
| % of BSC Population | HCC Description | Study Group | Control Group | Avg Cost Savings/Case |
|---|---|---|---|---|
| 29.6% | Congestive Heart Failure | 1058 | 1094 | $6,618 |
| 22.8% | Diabetes with Chronic Complications | 815 | 820 | $7,949 |
| 22.4% | COPD | 801 | 845 | $5,328 |
HOW PERSONAL CARE MAKES A DIFFERENCE
Registered Nurses
- RN Oversight on all clients
- Reviews discharge instructions and transitional care functions
- Assessment and reassessments to identify clinical exacerbations
- Medication reconciliation
- Provides education to clients and families
- Recommends risk mitigation strategies (fall reduction, home safety, emergency planning, etc.)
- Identifies accurate changes in condition and escalates them to external care teams
HOW PERSONAL CARE MAKES A DIFFERENCE
Certified Nursing Assistants
- Medication Reminders
- Monitors Vital Signs (state specific)
- Helps with Lifestyle Modifications
- Encourages exercise, helps with low salt/low fat diet by the way of meal prep or grocery shopping
- Reports changes to the RN
- Self Care / End of life support
- Personal Care: toileting, dressing, bathing, feeding, help ambulating
Caregivers
- Medication Reminders
- Meal prep
- Transportation
- Running errands
- Companionship
- Encourages exercise