Papa reaches members during this critical transition period to fill gaps in social support, encourage discharge plan adherence, and optimize utilization of plan benefits—ultimately reducing avoidable readmissions.
Post-Discharge Support
Reduce avoidable readmissions
Avoidable hospital readmissions drive up medical costs and hurt CMS Star Ratings. While some hospital readmissions are necessary, a significant portion are preventable—and they’re largely driven by a lack of social support.
Fill gaps in in-home support1
40%
of readmission patients report a challenge at home contributed to their hospital readmission
Provide help in a time of need2
40%
of Papa members report difficulty finding reliable social support in a time of need
Reduce readmissions3
14%
reduction in all-cause readmissions among Papa members compared to a match cohort
Papa’s Post-Discharge Approach
Upon hospital discharge, members are introduced to Papa to support them through their transition and recovery process. This includes:
Providing valuable social support to ensure members can recover at home and adhere to discharge plans
- Provide companionship and emotional support to ease recovery
- Assist in the home and with other health-related social needs that arise
- Provide transportation to and from appointments, prescription and medical supply pickups, and grocery shopping
Boots on the ground to identify and prevent crisis-driven care
- Motivate and help members follow through on follow-up appointments and care
- Identify and report potential health deterioration
- Act as eyes and ears in the home and provide regular updates on the member’s status and needs
How it works
Member referral/notification
Health plan provides Papa with post-discharge membership through standard reporting/care management referral process.
Papa engagement
Papa team outreaches members within 48 hours to schedule in-home support and address identified needs. Members have access to Papa benefit hours over the post-discharge period.
Meet member needs
Papa Pals support members in the home, with transportation, prescription pickup, access to care, or other health-related social needs. If Papa Pals identify a member need they cannot address, that information is escalated to the health plan for their care team to address.
Report outcomes
Papa reports on activities delivered and health plans report back on claims-based outcome data to measure results.
Interested in Papa for your members?
Do you work for a health plan and are interested in offering Papa to your members?
Want to learn more about how our Star Enhancement impact program can work for you? Let’s chat!
*Papa presently does not provide services directly to individual consumers. Please be aware that responses to this form submission are intended solely for inquiries from health plan organizations. Any other inquiries will not receive a response.
