“Change is always tough, but survival depends on it.”

Kenneth Lund
President & CEO
Nosilla Relyt
CALTCM Conference May 2014

White Papers
Over 9 million beneficiaries in the U.S. are dually eligible for both Medicare and Medicaid (duals). Underlying care for duals is still uncoordinated and disjointed, resulting in 1.8 times higher healthcare costs compared to non-dual Medicare patients.
The post-acute care sector faces a rocky future—and significant opportunities for early change adapters—due to a perfect storm of burgeoning costs, dwindling reimbursements, and a growing demand for measurable quality of care. In two to five years, there will be a major incentive to employ population management because it offers the means to reap a triple win for providers, payors, and patients.
Contracts have been our M.O. in California for several years, and they are sweeping markets across the country as ACOs, bundled payment pilots, and capitated Medicaid programs take hold. In this paper, we’ll share 10 points we’ve learned about negotiating contracts.
Few can imagine a 50-70% cut in skilled rates, but that’s exactly what unfolded in Southern California as ACOs and MCOs challenged the status quo. What will you do when that happens in your world?
As healthcare reform reshapes post-acute care, the luxury of having time for strategic planning and execution of major change is gone.
Case Studies
Today Shea Family offers services across the continuum and centralized logistics. Superior quality, clinical outcomes, and financial performance compared to peers have resulted in ACOs and MCOs in the region selecting Shea Family as the provider of choice.
The Blog
I have a signed and dated poster from the grand opening of the Kennedy Presidential Library in 1979 that reads: “One person can make a difference, and everyone should try.” I look at it, read it, and reflect on its deeper meaning daily.
Additional Resources
As coordination rises, cross-continuum spend falls – and in one case, up to 64% on skilled nursing, according to an August 2014 report by The Commonwealth Fund. This study reviews 18 complex care management programs and summarizes best practices to improve quality and drive cost reductions.