Full Press Release Details
Coordinated Personal Home Care
A pre-acute solution to the post-acute problemSM
Avondale Partners Healthcare Conference Boston, MA
Forward-Looking Statements
information contains, or may be deemed to contain, forward-looking statements. By their nature, forward-looking statements involve risks and uncertainties because they relate to events and depend on circumstances that may or may not occur in the
future. The future results of Addus may vary from the results expressed in, or implied by, the following forward-looking statements, possibly to a material degree, and historical results may not be an indication of future performance. For a
discussion of some of the important factors that could cause Addus results to differ from those expressed in, or implied by,the following forward-looking statements, please refer to Addus most recent Annual Report on Form 10-K, and its
Quarterly Reports on Form 10-Q, each of which is available at www.SEC.gov, particularly the Sections entitled Risk Factors . Addus undertakes no obligation to update or revise any forward-looking statements, except as may be required by
It is the primary mission of Addus
HealthCare to improve the health and well being of our consumers through the provision of quality, cost-effective home and community based services.
We will accomplish our goals by fostering an environment in which our employees enthusiastically support and advance our mission.
Reward for accomplishing our mission includes pride in our organization, contribution to the community and a reasonable
Comprehensive provider of home and community based services, which are primarily social in nature, focused primarily on
the Dual Eligible population: Personal Care Adult Day Service Private Duty
30,500+ consumers (many dual
2013 Revenues of $265.9 million
Diversified payor base (200+ payors)
133 Locations Across 22 States
Focusing on the Dual Eligible
Concentration of Health Care
Spending in the U.S. Population, 2007
Top 1% Top 5% Top 10% Top 15% Top 20% Top 50% Bottom 50%
($44,482)($15,806)($8,716)($5,798)($4,064)($786)(<$786)
Percentof Population, Ranked by Health Care Spending
Percent of Total Healthcare spending
Addus serves the top 5% who utilize 50% of healthcare resources and expenditures! The alternative is nursing homes at 4X the cost!
Source: Kaiser Family Foundation calculations using data from U.S. Department of Health and Human Services, Agency for
Healthcare Research and Quality, Medical Expenditure Panel Survey (MEPS), 2007
Historic Payors - $50 Billion Market & Growing
State Agencies . . . County Agencies . . . Area Agencies on Aging
1990 1995 2000 2002 2004 2006 2008 2009
Insitutional Care Expenditures(Billions)
Home & Community Based Services Expenditures
Reasonably Effective . . . Inefficient
The Shift to Dual Eligible Programs
Programs are moving to Managed Care Integration of Medicaid and Medicare Benefit Plans
beneficiaries comprise 20% of the Medicare population and 15% of the Medicaid population, 2008
Total Medicare beneficiaries, 2008: 46 million
Total Medicaid beneficiaries, 2008: 60 million
SOURCE: Kaiser Family Foundation analysis of the Medicare Current Beneficiary Survey 2008, and Kaiser Commission on
Medicaid and the Uninsured and Urban institute estimates based on data from FY2008 MSIS and CMS Form-64.
Billion in Combined Spending & Growing!
Who are the New Payors?
The Challenge Shifting from an Acute to a Pre-Acute Model
Transportation Home Health $ Rehab Facility
Personal Companion $
Emergency Home Hospital
Family and Response Case Physicians Intensive Care Nursing Home
Community (PERS) $$$ $$$$$ $ $$ Management $ Ambulance/ER
Healthy Friendly Psychiatric
Living - Eat Visiting $$$$Inpatient$
an Apple Tele Health $ Hospice$$
Diagnostics$ Facilities
Reassurance Adult Day $$$Hospital$
Meals at Personal Care $ Behavioral
Sources: Kaiser Commission on Medicaid and
Uninsured, April 2011
States Shifting to Managed Care
managing and coordinating care for the costly dual eligible population!
MCO Plans/Programs already implemented
2013 Implementation Plans
2014 Implementation Plans
No Implementation Plans
Source: Kaiser Commission on Medicaid and the Uninsured, May 2012
Addus Dual AdvantageTM - The New Paradigm
Long-term care risk makes it essential that health plan dual eligible members live safely and healthfully at home as long
Expectations for Providers are Changing
20,000 + small individual
Limited geographic distribution
No outcomes requirements /
Payments based on hours worked
Prefer larger organized providers
Sophisticated Technology & Access to Data
Electronic Visit Record
Addus Dual AdvantageTM
Aid A Powerful Resource
No one knows more about the member . . .
No one is in a better position to positively effect health outcomes . . .
. . . Than the Addus Home Care Aide
Technology to Connect the Member to the Health Care Team
Real time reporting to the MCO
Condition Real time reports through the device, triggering an alert to appropriate personnel.
Additional Information
Pictures and short videos.
Customized to primary diagnosis.
Early Identification equals Early Intervention
Redesign the Care System Objectives
transactional activities from Agency to Central Contact Center
- Free Agency staff to focus on the member . .
. Visit the consumer on an acuity basis
- Use technology to Connect the Aide / Member to the Health System /
Video of Addus Services
To view a video about
Addus service visit:
Home Care Programs Improve Outcomes
admissions fell, in spite of rising populations; substantial savings
HCBS Strategies Study
Illinois Residents Age 75+
Total Population vs. Nursing Home Residents