Case Study: Post Acute Hospital Care
Results at a Glance
- Significant reduction in hospital readmission rates for a Medicare/Medicaid population.
- Improved patient and caregiver experience during post-acute recovery.
- Demonstrated success for a large managed care medical group.
The Challenge
Hospital readmission rates have improved in recent years due to incentives, penalties, and better care coordination. But even with progress, many patients still face unnecessary readmissions — driving up costs and creating stress for patients and caregivers.
Our Approach
Guardiant designed a system specifically for post-acute care, focused on consistent patient engagement and whole-person support. The program included:
- Coordinated follow-up after hospital discharge.
- Ongoing outreach to check on recovery progress.
- Support for caregivers to ensure continuity of care.
The Impact
This approach delivered measurable results:
- Overall readmission rates dropped significantly below state and Medicare benchmarks.
- Patients received more proactive, personalized care.
- Caregivers reported a smoother, more supportive recovery process.
Why It Matters
Reducing readmissions is not rocket science, but it requires a model that is consistent, scalable, and designed to meet the full needs patients face after hospitalization. Guardiant’s post-acute care program proves that with the right system, outcomes and experiences can both improve.
This program offered under Guardiant has shown significant improvement in overall readmission rates for a medicare/medicaid population under the care of a large managed care medical group
What is it that made such an impact? Its not rocket science but you need a system and model designed to consistently engage the whole person needs that patients face after an acute hospitalization.