E Interventions

E Interventions are patient recovery interventions which:

• receive no reimbursement from traditional health insurance
• likely will improve patient outcomes and reduce overall cost

Medicare Part E are patient services that don’t qualify for Medicare Part A (hospital), Part B (physician), Part C (Medicare Advantage) or Part D (medicines) reimbursement. Most health plans are based on Medicare fee schedules, so it is unlikely they will provide reimbursement either. 'E Clinical Interventions' may be delivered exactly the same way as clinical interventions that get reimbursed (like home health), yet they come with stipulations that may not suit the patient's situation. It could mean a patient that only needs 2 nights in a hospital, would need to stay a 3rd night to qualify for Medicare (or other health plan) reimbursement for home health services. It could be telemedicine that is only reimbursed if the patient is in qualified physician office communicating to physician in a qualified physician office, thus no reimbursement for telemedicine into the home.

Care Coordination

• Patient Navigator
• Administrative support - book appointments, find services
• Patient reminders

Caregiver Support

• Education
• Respite Care
• Family Caregiver certification

Community Hub

• Community Health Worker
• Legal Assistance
• Meals on Wheels
• Programs - Smoking Cessation Programs, Alcohol Anonymous
• Homelessness - temporary housing or shelters
• Jobless
• Food pantries, housing and utilities subsidies

Education

• Online education video
• One on one education
• Programs
• How to use technology
• Health Apps

Financial Counseling

• Disability or Medicaid Applications
• Medicine discount programs
• Debt, financial constraints

Medication Support

• In-home Medicine reconciliation
• Pharmacist support
• Medication Adherence - reminders,electronic pill boxes
• Medicine home delivery

Nutrition Support

• Registered dietitians
• Education and cooking instructions and classes
• Assess/triage eating disorders and other barriers (i.e., financial, access to fresh food) preventing healthy nutrition

E Home Health Services

These are home health services that are delivered and reimbursed by Medicare and other health plans. They are "e home health' in the Hospital, Outpatient Facility, Skilled Nursing Facility, Home Health and Physician Offices.

• Occupational Therapy
• Physical Therapy
• Speech-language Pathology
• Skilled Nursing

E Professional Services

• Physician Consults
• Psychology or Psychiatric Consults
• Nurse Practitioner Consults

Education & Goal Support

• Health Coaching
• Health Apps
• Health Education Services

Home Services

• Cleaning Services
• Delivery Services
• Home Maintenence
• Renovations & Repairs

Pharmacy Services

• Medication Reconciliation

Remote Monitoring

• Phone Calls
• Interactive Voice Response System
• Personal Emergency Response System (PERS)