Home Evernorth Home-Based Care

Evernorth Home-Based Care

The right care, right at home.

Improved outcomes, affordability, and patient satisfaction for your chronically ill population started in the home.

Nurse helping elderly lady with a walker at home
Healthcare workers discussing home-centered care with patient

A Shifting Health Care Landscape

To improve and maintain the health of aging populations, it’s imperative to reduce inequities and disparities across the board, while recognizing the unique health care needs of each individual. Fragmented health care systems further complicate these patients’ journeys due to unaddressed challenges, frequent readmissions, and escalating costs.

It’s About Whole Person Health

This population is underserved and in the most need for in-home primary care. Their challenges are unique and require the right guided support. Many health plans need reliable partners to help navigate this new world. Evernorth has more than 25 years of experience providing comprehensive, in-home population health and clinical services and solutions—all ready to implement.
Evernorth Home-Based Care Overview
Holistic Patient Care
While most of these services can be used separately, Evernorth Home-Based Care enables our clients to access configured, integrated solutions, presenting a single source for what have traditionally been fragmented and uncoordinated applications of services. The result is improved outcomes, cost management, and member satisfaction.
Government Programs Expertise
Our government programs expertise (e.g., in Medicare and Medicaid) provides us unique insights across the entire population, supporting the patient’s journey from hospitalization, to facilities, to home, and in-home care. We can apply a wide range for government programs, consulting with our clients regarding specific populations, and configuring capabilities to drive affordability and quality metrics.
Open Architecture
To tailor a program that best complements the unique needs of each payer client, we apply an “open architecture” approach that provides flexibility in leveraging not only our own assets and capabilities, but also our clients’ capabilities and third-party resources. Factoring our clients’ preferences and individual market considerations, this model maximizes the effectiveness of our solution for each client’s situation.
Funding Models that Guarantee Results
Our offerings incorporate a risk-based funding model, in which Evernorth assumes financial responsibility for the total delegated medical spend (or membership), guaranteeing our clients savings from day one of management.

Evernorth Home-Based Care

Evernorth Home-Based Care leverages larger enterprise assets, including a physician-led care management organization that works side-by-side with patients in an in-home setting to deliver direct care across the managed population. In-Home Primary Care serves as a convenient care experience that also connects patients to our suite of capabilities based on their individual health needs.

  • A New Approach to (Re) Admission Avoidance - Our vision is not only to reduce hospital readmissions but provide proactive care limiting initial hospital admissions.
  • Population Health First - We identify and flag healthy to chronic members, guiding and engaging with them to create a positive care experience.
  • Integrated Movement and Coordination - We drive movement to home-centered primary care and care delivery while coordinating all aspects of the experience: care coordination, digital telehealth, and better management of chronically and critically ill patients. 
  • Seamless Member Experience - Evernorth Home-Based Care can serve as a convener/coordinator of disparate offerings, leading to a more integrated and cohesive member experience.
Patient getting vitals checked by health care worker at home

With more than 1.5 million members under management, our PAC solution can shape the facility episodes that lead to home (skilled nursing facilities, long- term acute care facilities, and inpatient rehabilitation facilities) by applying PAC tools.

Evernorth Home-Based Care redefines the scope of Post-Acute Care, by incorporating in-home, virtual, and telephonic services. In addition, our program can provide a unique, comprehensive approach to DME management.

  • Transition of Care
  • Facility Recovery
  • Recovery at Home
  • DME Management
  • Sleep Management

 

Healthcare helping patient in home with acute condition

As a strategic approach to home health, DME, and home infusion management, Evernorth has integrated existing regional networks to create national Home/DME/Sleep/Infusion Networks, serving over 11 million members. This will enable a variety of capabilities to deliver more effective care in an in-home setting.

  • DME
  • Skilled Care
  • Sleep Therapy
  • Infusion Therapy
Healthcare worker talking to home centered care patient
Cross Icon
Cross Icon
Take the first step to elevate health
Evernorth Home-Based Care empowers you, your employees, and their families to take control — and take health to new heights.
Contact Us
Cross Icon
Cross Icon
More to explore