Horizon Homecare™ Insight is a home health software support tool designed to help home health care agency managers and executives understand important cost and utilization trends as related to the Prospective Payment System and the Medicare patient population. The solution provides average and actual cost, margin, and utilization information from a variety of perspectives including physician, diagnosis, Home Health Resource Group (HHRG), case mix weight, and case manager.

Benefits

• Presents data from Horizon Homecare home health care software to help the agency examine overall financial performance (for example, unbilled claims, cost and margin trends)
• Helps the agency evaluate the efficiency of existing processes— for example, preventing therapy down codes and avoiding costly Low Utilization Payment Adjustments (LUPAs) episodes
• Improves financial analysis by providing information about profitability by diagnosis, case management, case mix and primary physician
• Helps the agency review trends in supply costs by case management, organization, primary physician and HHRG for more efficient supply management

Features

• Provides case mix information at any point in time for a current home health care agency profile
• Collects adverse event statistics based on any criteria from Horizon Homecare home health care software for more accurate monitoring and improved quality of care
• Allows analysis of outcomes for telehealth patients
• Determines the status for each of the 41 quality indicators from the Centers for Medicare & Medicaid Services (CMS)
• Measures the financial impact of clinical outcome improvement initiatives
• Provides the ability to analyze the effectiveness of selected pathways or guidelines to enhance quality improvement efforts