Evernorth Post-Acute Care Program Overview

This document is a guide detailing the Evernorth Post-Acute Care (PAC) program, which aims to improve health outcomes and reduce costs associated with post-acute care for patients with chronic conditions. The PAC solution utilizes a collaborative approach involving in-home, virtual, and telephonic capabilities, supported by a team of clinicians from various specialties. The process begins with notification of a patient in need of PAC services, followed by an assessment of individual care needs based on evidence-based clinical guidelines. A tailored care plan is developed and shared among the patient, providers, and facilities, with weekly case conferences to monitor progress. The program emphasizes whole-person health and proactive strategies, addressing social determinants of health and ensuring smooth transitions from care facilities to home. It also includes features such as flexible offerings and comprehensive care teams, ultimately aiming to enhance recovery rates and minimize readmission costs.