CareSurance Risk Management

CareSurance™ is much more than just a competitively-priced insurance policy. Because CFC recognizes the benefits of a well-managed nursing home the risk management provided with CareSurance™ is second to none. However, the benefits of CareSurance™ risk management are much more than just a list of intangibles. For the vast majority of nursing homes the increased reimbursements from the government as a direct result of CareSurance™ risk management will be more than double the cost of the risk management. In simple terms, clients make money from CareSurance™ risk management.

Below is some of what the CareSurance™ risk management program involves:

1. An online Data Integrity Audit (DIA) of the nursing home’s Minimum Data Set (MDS) return for the government. This enables:
   • More accurate, and almost always increased, Medicare and Medicaid reimbursements.
   • Quicker reimbursements, and therefore improved cash flow, because the MDS is more accurate which minimizes delays.
   • Easier regulatory compliance.
   • Residents’ quality of care to improve.
2. Risk Management Event Reporter is another web-based tool that helps the client’s risk manager accurately monitor and document incidents that could eventuate as claims.
3. Staffing to Acuity Ratio Analysis ensures that the client’s management can accurately assess required staffing levels both from an efficiency and regulatory standpoint.
4. Customer Satisfaction Measurement obtains feedback from customers to enable nursing homes to improve their service levels.
5. Claims management and defense capabilities will provide analysis to vigorously defend or promptly settle claims as appropriate.
6. Our risk management partner will be on hand at all times to provide risk management guidance or to visit the client to host risk management seminars.
7. Site visits will be undertaken by a specialist consultant when a severe problem is identified within a nursing home and recommendations and training applied as required.

The result of the CareSurance™ risk management program should be a vastly improved all-round nursing home, with the spin-off benefits of an improved reputation and increased profitability. And with premiums for CareSurance™ directly related to the quality of the nursing home this will mean the client saves money on their future insurance costs.