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Case study

Realising value-based healthcare delivery through post-acute home-based care partnership

Nick Gordon and Lisa Musgrave
Management in Healthcare: A Peer-Reviewed Journal, 10 (1), 57-67 (2025)
https://doi.org/10.69554/BLSS6168

Abstract

The US healthcare system is overwhelmed with staffing shortages, rising costs of care and the overutilisation of emergency rooms and hospitals. Value-based care initiatives work to address these issues, but hospitals, health systems and payers cannot solve these problems alone. Partnerships with post-acute home-based care providers offer specialised, person-centred care aligning with patient and family preferences for receiving care at home. This paper shares details and results from a partnership between Ascension, one of the nation’s leading non-profit and Catholic health systems, and 136 hospitals serving communities in 18 states and the District of Columbia, and Compassus, a leading national provider of integrated home-based care services including home health, hospice, palliative care and infusion. This case study touches on how successful partnership can mitigate various challenges in the healthcare landscape while supporting home-based care, which is projected to experience the most robust growth in post-acute care over the next five years. Readers will learn how Ascension and Compassus designed a mutually beneficial partnership by aligning organisational goals and shared care and quality objectives. The partnership’s success is illustrated through two market examples aimed at improving patient outcomes and satisfaction. The paper also provides recommendations for future collaboration and opportunity, including predictions for how pending legislation could affect the success of similar partnerships and considerations for organisations looking to develop their own value-based care partnership solutions. This article is also included in The Business & Management Collection which can be accessed at https:// hstalks.com/business/.

Keywords: home-based care; post-acute care; avoidable readmissions; value-based partnership; patient-centred care; length-of-stay reduction

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Author's Biography

Nick Gordon is senior vice president of strategic execution at Compassus. Gordon shapes and implements strategic plans while advancing initiatives with thoughtful precision, focusing on Compassus’ joint venture strategy with health systems. Previously, Gordon was a Principal in Boston Consulting Group’s Atlanta office, where he led project teams across multiple consumer-facing industries, including healthcare, aviation and retail. Early in his career, he led the operations of a successful start-up company and helped build CARE for AIDS, Inc., a non-governmental organisation that operated HIV care centres throughout East Africa. Gordon joined Compassus in 2020, working to ensure Compassus’ operations align with its industry-leading integrated home-based care strategy. Gordon earned an undergraduate degree in mechanical engineering from Vanderbilt University and an MBA from Vanderbilt’s Owen Graduate School of Management in Nashville, Tennessee.

Lisa Musgrave is senior vice president of Ascension’s post-acute continuing care and at-home services. She leads Ascension Living, one of the nation’s leading non-profit and Catholic senior living organisations, which offers independent living, assisted living, memory support, skilled nursing, short-term rehabilitation and adult day care; supports Ascension at Home, a home health division managed by Compassus; has oversight for Ascension’s Program for All-Inclusive Care for the Elderly (PACE) services; inpatient and outpatient rehabilitation services and long-term acute care hospitals (LTACHs). Prior to her work with Ascension, Musgrave served in post-acute and home-based care leadership roles with several leading health systems including AdventHealth, Memorial Hermann and Intermountain Healthcare. She is passionate about developing new models of care, bringing care to the home and simplifying the healthcare journey. Musgrave holds an MHA from Ohio University, a BS in nursing from William Jewell College and is an End-of-Life Nursing Education Consortium Trainer (ELNEC).

Citation

Gordon, Nick and Musgrave, Lisa (2025, September 1). Realising value-based healthcare delivery through post-acute home-based care partnership. In the Management in Healthcare: A Peer-Reviewed Journal, Volume 10, Issue 1. https://doi.org/10.69554/BLSS6168.

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cover image, Management in Healthcare: A Peer-Reviewed Journal
Management in Healthcare: A Peer-Reviewed Journal
Volume 10 / Issue 1
© Henry Stewart
Publications LLP

The Business & Management Collection

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