News

The Future of Healthcare with CEO of naviHealth Clay Richards

naviHealth CEO Clay Richards had the opportunity to sit down with Christina Warner of Thrive Global.

Cerner and naviHealth Expand Relationship, Plan to Launch Offering for Bundled Payments for Care Improvement Advanced (BPCI Advanced)

Healthcare providers that want to participate in Medicare’s Bundled Payments for Care Improvement Advanced program (BPCI Advanced) can soon look to Cerner, a global leader in health care technology, and naviHealth, an industry leader in post-acute care management, which plan to create a new offering for the program.

naviHealth Named the “Third Largest Healthcare IT Company in Nashville” by the Nashville Business Journal

We were recently named the "third largest healthcare IT company in Nashville" by the Nashville Business Journal.

naviHealth in The Tennessean’s ‘Heavy Hitter’ List of Startups

Honored to be named one of Nashville's "most successful startups" founded between 2010-2015 in The Tennessean.

More Than 15 Percent of Providers Depart BPCI Advanced

One in seven providers in the largest Medicare bundled payment model left after five months, new data reveal. But that may be good news for the program.

BPCI Advanced Participation Dips 16% in First Five Months

Considering the zero-risk withdrawal option, the number of participants leaving the program was "modest," says Gina Bruno, VP of Clinical Strategy at naviHealth.

Eight Questions to Ask Before Purchasing a New Technology

Health plans have limited budgets for technology innovations, therefore they must be sure to ask the right questions before bringing a new technology on board. naviHealth Founder and Chief Medical Advisor, Ken Botsford, shares his thoughts in this Managed Healthcare Executive piece.

naviHealth Bolsters Investment in Network Solution with New Executive Hire

Provider contracting expert David Adams to implement and strengthen partner relationships

4 Ways Clinicians Can Influence the Shift to Homecare in 2019

Cheri Bankston, Senior Director of Clinical Advisory Services at naviHealth, discusses a clinician's ability to advocate for better patient care and speak up about the benefits of homecare over other post-acute facilities.

Top Challenges Healthcare Execs Face in 2019

“Most payers and providers have been operating under a fee-for-service model, so changing to value-based care can be intimidating, complicated, and expensive,” says Jay LaBine, MD, chief medical officer, naviHealth, a post-acute care management company that manages risk.

Medical Bundles Get Another Look

Dr. Jay LaBine, naviHealth Chief Medical Officer, and Dr. Gary Greensweig, DO, vice president and chief physician executive for physician integration at Dignity Health, discuss medical bundles with Rich Daly of HFMA.

Crucial connections

The shift from volume to value in health care reimbursements is well underway. naviHealth Chief Medical Officer Jay LaBine discusses the company's role in BPCI Advanced and beyond with the Nashville Post.

naviHealth Names President; Adds CMO, Top Legal Exec

The leaders of Brentwood-based naviHealth have added the title of president to their COO's business card and beefed up their leadership team with the hiring of chief medical and legal officers.

naviHealth Expands Leadership Team

To continue to support clients in their strategic shift toward more efficient value-based programs, naviHealth has promoted its long-time Chief Operating Officer, Carter Paine, to President and COO, and added Dr. Jay LaBine as Chief Medical Officer and Denise Ceule as Chief Legal Officer.

LHC Executive Briefing Featuring Clay Richards

naviHealth CEO Clay Richards recently hosted the LHC Executive Briefing in Nashville, where he gave an overview of naviHealth's business model, his role as CEO and advice he has for the emerging leaders in the industry.

CMS Announces 1,300 Participants for New BPCI Advanced Initiative

"With the increased in BPCI Advanced participation, we expect the impact to be even greater," said Clay Richards, naviHealth CEO.

Mayo, Geisinger Among 1,300 Providers Signing Up for BPCI-A

Clay Richards, naviHealth CEO, highlights providers' success improving patient care and lowering costs under the BPCI program - a reason for interest in the new bundled payment model, BPCI Advanced.

More than 1,500 Provider Organizations Join New Bundle Program

The latest Medicare bundled payment model, BPCI Advanced, gained 50 percent more provider organizations than its predecessor. Harrison Frist, National President of Operations at naviHealth, comments on the new model with Rich Daly of HFMA.

17 Things Amazing Bosses Do Every Day

Clay Richards, CEO of naviHealth, looks for ways to have his colleagues make meaningful impact outside of the office.

Hospitals and Physician Groups Take on Risk in BPCI Advanced Model

"We've been in [the BPCI] program now five years. We've seen tremendous uptick in interest," said Harrison Frist, National President of Operations at naviHealth.

How naviHealth is Harnessing Data to Improve Patient Outcomes

In a recent MedCity News article, Colleen O'Rourke, SVP Network & Clinical Solutions, and Meagan Brasher, Director, Product Management, give a deep dive on nH Predict, one of our decision support tools.

Where Providers Are Finding Value-Based Profit

Clay Richards, naviHealth CEO, and Julie Bietsch, vice president of population health management at Dignity Health, comment on the Dignity Health-naviHealth partnership in the October 2018 issue of HFMA Magazine.

Six Skills You Need to Have

naviHealth Chief Medical Officer Ken Botsford, MD, shares his thoughts on what healthcare executives must have to succeed in the industry.

Clinicians Can Lead the Shift to Value-Based Care

Heather O'Sullivan, Chief Clinical Officer at naviHealth, and Mary Beth Kingston, Chief Nursing Officer at Advocate Aurora Health, discuss how clinicians can lead the shift from fee-for-service to value-based care.

4 Ways SNFs Can Redesign Care and Prepare for PDPM

Colleen O'Rourke, Senior Vice President of Network and Clinical Solutions at naviHealth, and Amy Leibensberger, Senior Director of Outcomes Integrity at naviHealth, discuss four ways SNFs can redesign care and prepare for PDPM, the new SNF payment model.

naviHealth to Hire Up to 500 After Cardinal Health Sells Stake

It's time to grow! Over the next 18 months, we will add nearly 500 colleagues to our team.

Medicare Offers $1B Increase, Policy Changes for Post-Acute Providers

naviHealth CEO Clay Richards discusses the new SNF payment model, the Patient-Driven Payment Model (PDPM), with Rich Daly of HFMA.

CMS Tweaks BPCI-A Time Frames

Clay Richards, CEO, encourages providers to avoid "knee-jerk reactions" in response to CMS' decision to let hospitals withdraw retroactively from BPCI Advanced.

CMS will let providers withdraw retroactively from BPCI-A

naviHealth CEO Clay Richards comments on CMS' decision to let BPCI Advanced participants withdraw from all or some episode initiators and clinical episodes in March 2019.

Cardinal Health and Clayton, Dubilier & Rice Announce Partnership to Accelerate Growth of naviHealth

Investment Accelerates naviHealth's Growing Market Position in Post-Acute Care Management

2 Keys to BPCI Advanced Success — Data and Analytics

In a May 23rd webinar sponsored by naviHealth and hosted by Becker's Hospital Review, naviHealth leaders Gina Bruno and Tom Divinnie, discussed how healthcare organizations can harness the power of data and analytics to successfully manage their BPCI Advanced program.

Three Common Business Challenges a Right DevOps Structure Can Help Solve

Patrick Funck, CIO at naviHealth, discusses how DevOps can help solve a variety of business challenges with CIO Review.

Cracking the Code

Clay Richards, CEO, and Gina Bruno, Vice President, Clinical Strategy at naviHealth, discuss the core details of BPCI Advanced with Repertoire Magazine.

New Skilled Nursing Payment Plan Shows CMS Listened to Providers

Colleen O'Rourke, Senior Vice President, Network & Clinical Solutions at naviHealth, comments on the recent SNF payment proposal with Skilled Nursing News.

How ACOs Can Optimize Post-Acute Care to Succeed in Value-Based Care: 5 Qs with naviHealth’s Senior Medical Director

Dr. Jomy Mathew, senior medical director at naviHealth, discusses how ACOs can optimize PAC to succeed in value-based care in a Q&A with Becker's Hospital Review.

naviHealth in Becker’s Hospital Review “Top 150 Places to Work in Health Care” | 2018 List

naviHealth was recently listed in Becker's Hospital Review "Top 150 Places to Work in Health Care | 2018" list.

How Dignity Health, naviHealth Partner to Tackle Bundled Payments

At the Becker's Hospital Review 9th Annual Meeting, Harrison Frist, SVP and President of Provider Solutions at naviHealth, and Diwen Chen, Executive Director, Payment Innovation & Accountable Care at Dignity Health, discussed how partnerships help provide support amid the developing bundled payment landscape.

Embrace Technology, but Use Caution

Technology in the hospital room is great, but it will never replace the value of human touch, says Cheri Bankston, senior director of clinical advisory services at naviHealth.

Is the Trump Administration Undermining Value-based Care?

naviHealth's CEO, Clay Richards, comments on value-based care and bundled payments with MedCity News.

In Focus: Increasing Collaboration Among Physicians, Hospitals and Post-acute Providers to Reduce Variation and Spending

naviHealth's Chief Operating Officer, Carter Paine, comments on naviHealth's approach to managing care transitions on behalf of health systems and plans interested in improving post-acute care.

naviHealth Re-accredited by NCQA for Utilization Management

naviHealth has once again achieved the National Committee for Quality Assurance (NCQA) accreditation for Utilization Management (UM), affirming naviHealth's commitment to improving health care delivery and providing quality care and services to patients.

Home Health Opportunities With New Bundled Payments Model

While it's not considered an 'episode initiator,' homecare has a seat at the table in BPCI Advanced, said Cheri Bankston, our senior director of clinical services.

CCMC Post-Conference Special Edition Featuring Kim Hodge

Last month, Kim Hodge, Director of Clinical Performance, West Coast BPCI, addressed a standing room on the "Skills, Technologies, and Attributes Managers Need to Succeed in Value-based Care." Read more about her presentation in the CCMC Care Management February/March Edition here.

CMS Announces New Voluntary Bundled Payment Model that Qualifies as Advanced APM

"Under BPCI Advanced, acute hospitals, health systems and other providers have the opportunity to improve patient care while laying a foundation for value-based reimbursement," said our CEO, Clay Richards.

Trump Admin’s New Bundle Bid Shows Value-Based Care’s Staying Power

naviHealth's Chief Operating Officer, Carter Paine, comments on BPCI Advanced with Healthcare Dive.

Advisers See Good and Bad in New Voluntary Bundle

Hospital participation in a new voluntary bundled payment program is expected to exceed that of any previous models. Our CEO, Clay Richards, explains why this might be.

Providers Pleased at Most of What’s in New Voluntary Bundled Payment Model

Reaction to the Centers for Medicare and Medicaid Services' new voluntary bundled payment models is in a word, positive. Clay Richards, our president and CEO, discusses BPCI Advanced with Healthcare Finance News.

CMS Woos Providers With More Gains, Less Risk in Bundled Payments

The new BPCI structure means that, more than ever, CFOs should look at bundling as a revenue opportunity, says Clay Richards, CEO of naviHealth.

Six Things To Know About CMS’ New Bundled Payment Model

"At its core, BPCI Advanced strives to coordinate providers across the continuum to reduce costs and improve quality of care for Medicare beneficiaries," says Clay Richards, our president & CEO.

CMS Rolls Out New Bundled Payment Model

BPCI Advanced, which will start in October, is different in several important respects from the older model, according to Carter Paine, chief operating officer at naviHealth.

What Course Will Value-Based Care Take in 2018?

Bundled payments have been a "great way to create alignment among physicians, hospitals, post-acute providers, and ancillary providers around a care plan," says Clay Richards, CEO, in a discussion on value-based care in the year ahead.

Refer Difficult-to-place Patients to a Discharge Planning Specialist

The changes in healthcare reimbursement and the increase in patients with complex needs and inadequate or no funding have created a huge workload for case managers and social workers, says Cheri Bankston, Senior Director of Clinical Services.

How PAC Facilities Can Maximize Advanced BPCI Participation

Cheri Bankston, Senior Director of Clinical Advisory Services, explains how PAC facilities can maximize advanced BPCI participation.

BPCI on ‘Pause,’ But Not for Long

Carter Paine, Chief Operating Officer, discusses the next iteration of Bundled Payments for Care Improvement (BPCI).

Five Questions on Discharge Planning

Heather O’Sullivan, Chief Clinical Officer, answers five questions on discharge planning.

naviHealth Partners with MVP Health Care to Manage Post-Acute Care

naviHealth, a Cardinal Health company, will now manage the full continuum of post-acute care (PAC) for approximately 60,000 members enrolled in the MVP Health Care Medicare Advantage program. This new partnership aims to improve health outcomes and patient satisfaction for MVP Health Care members while eliminating unnecessary medical expenses.

Post-Acute Strategy Led to Shorter SNFs, Fewer Readmits

Carter Paine, Chief Operating Officer, discusses post-acute strategy and the efforts put forth to better manage outcomes in SNFs.

The Ever-Stronger Case for Bundled Payments

While there is never a quick fix or single solution, the mounting evidence is conclusive: bundled payments promise to alleviate challenges and provide solutions to hurdles the healthcare system faces every day. Clay Richards, CEO discusses the ever-stronger case for bundled payments.

The Rapidly Evolving Role of Nurse Executives

“Nurse leaders are optimally positioned to ensure that we look at the entire episode of care and all parts of the care continuum,” Heather O'Sullivan, Chief Clinical Officer, shares her thoughts on the rapidly evolving role of nurse executives.

New Medicare Bundled Payment Model on Schedule | naviHealth

Federal officials say new mandatory models still will launch in July. Brian Fuller, Vice President of Value-Based Care, shares his thoughts.

Tackling ‘Patient Choice Paradox’ to Improve Patient Outcomes | naviHealth

Brian Fuller, Vice President of Value-Based Care tackles the issue hospitals and other healthcare facilities face: once a patient is ready to be discharged, what are next appropriate steps?

How to Pick and Get the Most Out of a Readmissions Risk and Needs Assessment Tool

Cheri Bankston, director of clinical advisory services, explains how to get the most out of your readmissions risk assessment tool to McKnight's Long Term Care.

Variant Post-Acute Care Needs Measuring to be Managed

Carter Paine, Chief Operating Officer, speaks with Managed Care Magazine about measuring variant post-acute care.

Value-Based Payment in Healthcare in 2017 – Who will lead? |naviHealth

Value-based payment is likely to survive under the Trump administration, though who leads these initiatives and how they are structured may change.

Post-Acute Lessons

We began the year defining what we mean by the term “post-acute care.”

Get to Know Emily Tyson, VP of Product | naviHealth

Emily Tyson grew up in Alabama before attending Washington and Lee University, a liberal arts school in Lexington, Virginia. Get to know Emily, now VP, Product at naviHealth.

Rule Change Could Push Hospitals To Tell Patients About Nursing Home Quality

Hospitals have long been reluctant to share with patients their assessments of which nursing homes are best because of a Medicare requirement that patients' choices can't be restricted.

4 Strategies to Improve Transition Care Management | naviHealth

The mission to improve Grand Rapids, Mich.-based Spectrum Health's care transitions started with a dog.

MACRA drives physicians toward value-based care

When Congress passed the Medicare Access and CHIP Reauthorization Act last year, it came at a time when physicians and other stakeholders were feeling intense fatigue over the numerous efforts to reform the U.S. health care system.

Care Coordinators: What You Need to Know | naviHealth

Two industry developments are raising care coordinators' profile in clinical settings, and will likely encourage health care organizations to bring even more on board.