Alivia Care Inc., a brand new operator within the senior care house, has plans to enter the house well being market.
Launched on the finish of September, Alivia presently gives hospice and palliative care all through the Jacksonville, Florida, space. The corporate’s historical past is tied to Neighborhood Hospice & Palliative Care, which now gives care as Alivia’s subsidiary, serving 8,000 hospice sufferers and 9,000 palliative care sufferers yearly.
Neighborhood Hospice & Palliative Care’s CEO, Susan Ponder Stansel, has joined Alivia as its president and CEO.
Apart from Alivia’s hospice and palliative care service traces, the corporate will present residence well being care, private-duty nursing and private care providers shifting ahead. Alivia will moreover provide PACE packages and superior care administration sooner or later.
PACE — or Applications of All-Inclusive Look after the Aged — is a complete care mannequin that always makes use of a mixture of in-home care and center-based care to maintain older people out of institutional settings.
“The purpose was to create a care continuum as an entire, whereas listening to the person merchandise and provides them the eye that they should make it possible for our high quality and community retains up with our purpose to be progressive,” Ponder Stansel just lately instructed Residence Well being Care New.
In making a kind of one-stop-shop for getting old providers, Alivia has its eye on the way forward for how care shall be delivered, in response to Ponder Stansel. More and more, well being system companions and payers wish to group up with suppliers able to caring for sufferers on a longitudinal foundation.
“A part of it was to make it possible for we’re not simply on the finish of the waterfall, ready for the fish to return over,” Ponder Stansel stated, referring to Alivia’s roots in end-of-life care.
So far as residence well being care, Alivia’s curiosity was piqued when the corporate noticed how extra hospitals had been starting to maneuver towards risk-based funds.
“We actually need to be within the residence well being enterprise, in addition to have the house well being capacities to permit us to do extra of that superior sickness care, as a result of we do see … much more curiosity in them shifting to that risk-based fee,” Ponder Stansel stated.
One of many largest challenges Alivia has skilled within the residence well being house is figuring the place its market alternatives are in an already saturated panorama.
From 2018 to 2019, the variety of residence well being businesses dropped by about 3.6%, a lower of 427 particular person suppliers, according to the Medicare Payment Advisory Commission (MedPAC) 2020 data book. Since 2015, the house well being subsector has contracted by greater than 8%, with almost 1,000 businesses exiting the market.
In gentle of this, Alivia has opted for acquisitions of present entities over beginning de novo places, Ponder Stansel stated.
“We figured that for us, the higher approach can be to go forward and purchase an present e book of enterprise,” she stated. “We weren’t beginning chilly.”
Wanting forward, Alivia can be paying shut consideration to how the Affected person-Pushed Groupings Mannequin (PDGM) and different fee adjustments will shake out for the corporate’s residence well being enterprise.
“It’s not simply PDGM. There’s the pre-claim authorization,” Ponder Stansel stated. “There’s a number of stress on residence well being care businesses. They’ve kind of a ‘loss of life by 1000 cuts.’ For what we need to do with residence well being, PDGM is definitely a very good change as a result of it incentivizes you to take these higher-acuity sufferers and never be so therapy-heavy, and that basically that aligns with our serious-illness technique very nicely.”
Additional reporting by Jim Parker, editor of Hospice Information.