NEARIS capabilities

for health and social insurance payers

Payers. Funds for medical and social insurance.

  • The need to control the ever-increasing financial costs of caring for the elderly in need of physical and cognitive support
  • The need to constantly support the work of its main partners - medical service providers, to make it more innovative, efficient, high-quality, and, at the same time, less costly
  • Implement a gradual transition to a proven more efficient and less costly model of organizing and financing medical services - value based model
  • Today, there are special care reimbursement plans Medicare and Medicaid adapted to varying degrees for the care of the elderly:

The need to continuously optimize costs while raising the standards of care to keep their business competitive and profitable.

Have an effective system of accounting and quality control of work. To enable staff to earn more money with the help of really controlled and more in terms of volume and skill work.

Optimization and simplification of work with payers (health and social insurance funds).

Institutional Special Needs Plan (I-SNP) – for individuals who live in a care facility like a nursing home

Institutional Equivalent Special Needs Plan (IE-SNP) – for elderly who are receiving or will need Nursing Facility or Skilled Nursing Facility level of care but reside at home.

Programs of All-Inclusive Care for the Elderly (PACE)

we offer:

The idea of value-based care for the elderly is that everyone wins: the payer, the номе care provider, the patient himself and his familiy

1

All of the above subsystems allow older people to maintain physical activity, functional independence and safety in order to stay at home for the maximum possible time and not move to the more expensive environment of a nursing home or other professional care facility, which significantly saves costs of health and social insurance funds

2

Allows you to significantly reduce the number of unnecessary hospitalizations, visits to hospital emergency departments and the time spent by older people in inpatient medical institutions, which also significantly reduces the costs of payers

3

The use of the above-mentioned subsystems in combination can significantly (at least twice) reduce the number of falls of the elderly, which is a real problem for payers, as well as care providers and the elderly patients themselves.

4

The NEARIS ecosystem, its robotic, electronic and software intelligent modules are tuned for use in value-based home care, which can significantly streamline, simplify the work of payers, reduce the bureaucratic component and add efficiency to its work.

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