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“A Conversation About LTACs”
(Long Term Acute Care Hospitals)

Healthcare
Medical
Pharmaceutical
Directory

.COM

www.HealthcareMedicalPharmaceuticalDirectory.com
“A Conversation About LTACs”
Long Term Acute Care Hospitals
www.healthcaremedicalpharmaceuticaldirectory.com
Healthcare
Medical
Pharmaceutical
Directory

.COM

www.HealthcareMedicalPharmaceuticalDirectory.com
What are Long Term Acute Care Hospitals?
• Long Term Acute Care Hospitals (LTACs) are healthcare facilities for
patients who…
– Need an extended period of time to recover following their initial
hospitalization
– Require a high degree of advanced care provided by doctors,
nurses and other clinicians not provided by rehabilitative or skilled
care facilities
Healthcare
Medical
Pharmaceutical
Directory

.COM
Why are LTACs necessary?
• Patients are being treated for more advanced conditions and
undergoing more complex treatments so…
– Their recovery time is longer depending upon their age,
comorbidities and leading procedure(s)
– Specialized care is required between their initial hospitalization
and when they are sent home or to rehabilitation
– Payers see LTACs as more economical than acute
care hospitals for delivering care to extended
recovery patients

Healthcare
Medical
Pharmaceutical
Directory

.COM
What care may an LTAC provide?
•
•
•
•
•
•
•
•
•
•

Daily physician evaluation
Dialysis
Initial rehabilitation
Nursing care
Nutritional therapy
Ongoing diagnostic/laboratory testing/monitoring
Pain management
Post-surgical care/support
Respiratory therapy
Wound care

Healthcare
Medical
Pharmaceutical
Directory

.COM
How long do patients stay in LTACs?
• There is no minimum or maximum length of stay

• It varies depending on the patient and their care needs
• A reasonable range is 18 to 35 days
• Comparatively, average stay at an acute care hospital is 3 to 7 days

Healthcare
Medical
Pharmaceutical
Directory

.COM
Can’t recovery be in an acute care hospital?
• LTACs are primarily focused on continuing the recovery of patients,
acute care facilities have a focus on immediate care needs such as…
– Emergency units
– Intensive care units (ICUs)
– Imaging, X-Ray, Radiology
– Laboratory
– Pathology
– Surgical suites
– Trauma centers

Healthcare
Medical
Pharmaceutical
Directory

.COM
How many LTACs are there?
• There are over 400 LTACs in the United States
– Many are independent operating facilities (freestanding)
– Some function as units of acute hospitals (“a hospital within a hospital”)
• While an LTAC may be located within the structure/property of an acute care
hospital facility, their staff, care support and reimbursement is entirely separate
from the operations of the acute care facility

• A moratorium on LTAC construction was put in place by the U.S.
government in 2007
Healthcare
– The moratorium ended at the end of 2012, a new run of
LTAC construction may ensue as the economy improves

Medical
Pharmaceutical
Directory

.COM
Who are some of the larger LTACs?
•
•
•
•
•
•
•
•
•
•

Acuity Healthcare
AMG Integrated Healthcare Management
Cornerstone Healthcare Group
Dubuis Health System
HealthSouth
Kindred
Many of these companies operate assisted living,
long term care and rehabilitation facilities.
LHC Group
LifeCare
Select Medical
Healthcare
Vibra

Medical
Pharmaceutical
Directory

.COM
How is their reimbursement managed?
• To be considered as official LTACs, they go through a certification
process –and so do some of their staff, such as physicians
• For LTAC Medicare patients, there are specific LTAC DRGs codes
categorized as “LTC-DRGs”
– These codes accommodate the extended stays of typical LTAC patients
– Most LTACs accept standard commercial insurance/managed care plan
payment from patients as well

• For LTAC physicians
– They bill under Part B for Medicare patients
– Commercial insurance/managed care plan

Healthcare
Medical
Pharmaceutical
Directory

.COM
What is the outlook for LTACs?
• Healthcare professionals including doctors, nurses, pharmacists and therapists
will continue to be in high demand within the segment

• LTACs will continue to grow in number as the economy improves, baby boomers
age and technology improves
• Their identity and function will be more familiar to consumers and patients as
they further penetrate more marketplaces
• The specialized position they have within the continuum of care will increase the
scrutiny of their reimbursement practices
• Pharmaceutical and medical device manufacturers/marketers
will seek more opportunities in this healthcare segment

Healthcare
Medical
Pharmaceutical
Directory

.COM
For ongoing clinical and healthcare business industry resources, please go to:

www.HealthcareMedicalPharmaceuticalDirectory.com
Review Our Latest Clinical And Healthcare Business Presentations
•A United Strategy For Social Media Marketing In Healthcare Brand Management
•Comparative Effectiveness Research: A New Current In Pharmaceutical Brand Management
•Global Healthcare Issues-Managing Drug Shortages
•Healthcare Brand Management: A Conversation About Accountable Care
•Healthcare Brand Management: Market Access Concepts
•Health Economics Outcomes Research: Managed Care Applications In Pharmaceutical Brand Management
•New Global Healthcare: Another Chapter In Healthcare Marketing Brand Management
•Pharmaceutical Brand Management: Achieving Managed Care Pull-Through Performance

Healthcare
Medical
Pharmaceutical
Directory

.COM
For ongoing business and clinical healthcare industry resources, please go to:

www.HealthcareMedicalPharmaceuticalDirectory.com
Fifteen Metropolitan Healthcare Segments Are Profiled:

•
•
•
•
•
•
•
•
•
•
•
•
•
•
•

Advertising/Marketing
Assisted Living
Behavioral
Benefits
CROs
Dialysis
Government
GPOs
Health Systems
Insurance
Nursing Facilities
PBMs
Pharmacies
Surgical Centers
Trade

Healthcare
Medical
Pharmaceutical
Directory

.COM

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A Conversation About Long Term Acute Care Hospitals (LTACs) - What Are They And Why Are They A High Growth Segment Of Healthcare? - John Baresky, #baresky

  • 1. Please take this moment to convert the display to “Full Screen” “A Conversation About LTACs” (Long Term Acute Care Hospitals) Healthcare Medical Pharmaceutical Directory .COM www.HealthcareMedicalPharmaceuticalDirectory.com
  • 2. “A Conversation About LTACs” Long Term Acute Care Hospitals www.healthcaremedicalpharmaceuticaldirectory.com Healthcare Medical Pharmaceutical Directory .COM www.HealthcareMedicalPharmaceuticalDirectory.com
  • 3. What are Long Term Acute Care Hospitals? • Long Term Acute Care Hospitals (LTACs) are healthcare facilities for patients who… – Need an extended period of time to recover following their initial hospitalization – Require a high degree of advanced care provided by doctors, nurses and other clinicians not provided by rehabilitative or skilled care facilities Healthcare Medical Pharmaceutical Directory .COM
  • 4. Why are LTACs necessary? • Patients are being treated for more advanced conditions and undergoing more complex treatments so… – Their recovery time is longer depending upon their age, comorbidities and leading procedure(s) – Specialized care is required between their initial hospitalization and when they are sent home or to rehabilitation – Payers see LTACs as more economical than acute care hospitals for delivering care to extended recovery patients Healthcare Medical Pharmaceutical Directory .COM
  • 5. What care may an LTAC provide? • • • • • • • • • • Daily physician evaluation Dialysis Initial rehabilitation Nursing care Nutritional therapy Ongoing diagnostic/laboratory testing/monitoring Pain management Post-surgical care/support Respiratory therapy Wound care Healthcare Medical Pharmaceutical Directory .COM
  • 6. How long do patients stay in LTACs? • There is no minimum or maximum length of stay • It varies depending on the patient and their care needs • A reasonable range is 18 to 35 days • Comparatively, average stay at an acute care hospital is 3 to 7 days Healthcare Medical Pharmaceutical Directory .COM
  • 7. Can’t recovery be in an acute care hospital? • LTACs are primarily focused on continuing the recovery of patients, acute care facilities have a focus on immediate care needs such as… – Emergency units – Intensive care units (ICUs) – Imaging, X-Ray, Radiology – Laboratory – Pathology – Surgical suites – Trauma centers Healthcare Medical Pharmaceutical Directory .COM
  • 8. How many LTACs are there? • There are over 400 LTACs in the United States – Many are independent operating facilities (freestanding) – Some function as units of acute hospitals (“a hospital within a hospital”) • While an LTAC may be located within the structure/property of an acute care hospital facility, their staff, care support and reimbursement is entirely separate from the operations of the acute care facility • A moratorium on LTAC construction was put in place by the U.S. government in 2007 Healthcare – The moratorium ended at the end of 2012, a new run of LTAC construction may ensue as the economy improves Medical Pharmaceutical Directory .COM
  • 9. Who are some of the larger LTACs? • • • • • • • • • • Acuity Healthcare AMG Integrated Healthcare Management Cornerstone Healthcare Group Dubuis Health System HealthSouth Kindred Many of these companies operate assisted living, long term care and rehabilitation facilities. LHC Group LifeCare Select Medical Healthcare Vibra Medical Pharmaceutical Directory .COM
  • 10. How is their reimbursement managed? • To be considered as official LTACs, they go through a certification process –and so do some of their staff, such as physicians • For LTAC Medicare patients, there are specific LTAC DRGs codes categorized as “LTC-DRGs” – These codes accommodate the extended stays of typical LTAC patients – Most LTACs accept standard commercial insurance/managed care plan payment from patients as well • For LTAC physicians – They bill under Part B for Medicare patients – Commercial insurance/managed care plan Healthcare Medical Pharmaceutical Directory .COM
  • 11. What is the outlook for LTACs? • Healthcare professionals including doctors, nurses, pharmacists and therapists will continue to be in high demand within the segment • LTACs will continue to grow in number as the economy improves, baby boomers age and technology improves • Their identity and function will be more familiar to consumers and patients as they further penetrate more marketplaces • The specialized position they have within the continuum of care will increase the scrutiny of their reimbursement practices • Pharmaceutical and medical device manufacturers/marketers will seek more opportunities in this healthcare segment Healthcare Medical Pharmaceutical Directory .COM
  • 12. For ongoing clinical and healthcare business industry resources, please go to: www.HealthcareMedicalPharmaceuticalDirectory.com Review Our Latest Clinical And Healthcare Business Presentations •A United Strategy For Social Media Marketing In Healthcare Brand Management •Comparative Effectiveness Research: A New Current In Pharmaceutical Brand Management •Global Healthcare Issues-Managing Drug Shortages •Healthcare Brand Management: A Conversation About Accountable Care •Healthcare Brand Management: Market Access Concepts •Health Economics Outcomes Research: Managed Care Applications In Pharmaceutical Brand Management •New Global Healthcare: Another Chapter In Healthcare Marketing Brand Management •Pharmaceutical Brand Management: Achieving Managed Care Pull-Through Performance Healthcare Medical Pharmaceutical Directory .COM
  • 13. For ongoing business and clinical healthcare industry resources, please go to: www.HealthcareMedicalPharmaceuticalDirectory.com Fifteen Metropolitan Healthcare Segments Are Profiled: • • • • • • • • • • • • • • • Advertising/Marketing Assisted Living Behavioral Benefits CROs Dialysis Government GPOs Health Systems Insurance Nursing Facilities PBMs Pharmacies Surgical Centers Trade Healthcare Medical Pharmaceutical Directory .COM