Health plan solutions

Improve outcomes and reduce costs with health plan solutions for post-acute care.

For health plans navigating the fundamental shift from fee-for-service to value-based care, health plan solutions to manage post-acute care are critical to an organization’s success.

The quality of care that patients receive after discharge from an acute care setting has a significant impact on the overall cost of providing care. When post-acute care is effective, health plans can expect to see improved patient outcomes, lower readmission rates, shorter lengths of stay and lower costs per episode of care..

For health plans, effective post-acute care coordination requires health plan solutions for clinical integration and patient outcomes software to ensure patients are discharged to the appropriate next care setting, while ranking and tracking the performance of post-acute care providers to ensure high-quality post-acute care networks.

That’s where naviHealth can help.

Health plan solutions for care transitions from naviHealth.

As a Cardinal Health Company, naviHealth has been a pioneer in post-acute management and care transitions for more than 18 years. Our services help to manage patients across the continuum, improve clinical outcomes and optimize financial results while sharing risk with payers and providers. For health plans, we manage post-acute-care management on a delegated, full-risk basis.

Our health plan solutions include in-market care coordinators, proprietary clinical decision support tools and provider network analytics to ensure that patients are discharged to the appropriate post-acute setting to ensure better outcomes and to safely transition back to their community without re-admitting.

Health plan solutions from naviHealth include:

  • Scalable health management technology and patient case management software that predict patients’ post-acute-care needs and create personalized post-acute-care plans. Our health plan solutions also help to form and monitor high-quality post-acute provider networks, evaluating and trending the performance of the post-acute-care network for quality, operations and effectiveness.
  • Clinical support services that embed clinicians in participating facilities to guide members through their post-acute recovery. Our skilled clinicians help to communicate with members, caregivers and post-acute clinicians to ensure that patients can successfully transition back to the community.
  • Advisory solutions that include consulting in forming high-quality post-acute provider networks.

An Experienced Partner

We’ve spent more than 18 years pioneering ways to improve every aspect of care transitions for health plans, providers and patients. From discharge planning efficiencies to managing risk for payors and providers, naviHealth is equipped to provide you with a tailored suite of capabilities.

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Benefits of naviHealth’s health plan solutions.

With health plan solutions from naviHealth, organizations are better equipped:

  • Reduce readmissions – naviHealth clients experience greater than 10% reduction in readmissions from post-acute facilities.
  • Minimize costs – our clients on average experience a reduction in post-acute medical expense of 15% or more.
  • Improve outcomes and member satisfaction by more carefully coordinating post-acute care.

Learn more about health plan solutions and naviHealth, and about naviHealth solutions for patient data management.

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