Skilled Nursing Facility Program

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Collaborative care for skilled nursing facility (SNF) residents

We bring specialized health plan benefits, 24/7 clinical support and over 30 years of experience to SNFs like yours. Our established Model of Care helps partners augment labor shortages, rising costs and operational hurdles:

Over 1,900 skilled nursing facilities with active care model¹We deliver patient-centric care led by nurse practitioners or physician assistants, often supported by registered nurses, in more than 1,900 contracted facilities.
29 states served²
We serve 29 states plus the District of Columbia.
More than 55,000 members nationwide¹
We enhance the quality of care for more than 55,000 Institutional Special Needs Plan (I-SNP) members.

Driving that expert care is the ease of communication and collaboration between the Optum care team, residents and families, which is invaluable.

Senior leader, nursing center

Key benefits

Our clinical team offers the right care at the right time — and the right place.

Coordinate care

Elevate clinical quality and improve member outcomes.

Individualize care plans

Provide advance care planning and personalized care plans based on each member’s health conditions and unique goals.

Deliver preventive and follow-up care

Monitor, assess and identify health concerns before they become more serious.

Identify changes in condition earlier

Allow residents to be treated in place to help prevent unsafe and avoidable hospitalizations.

Provide skilled care

Deliver skilled care without 3-day qualifying hospitalization.

Improve experience and enhance communication

Help ensure residents, families and facility staff are all informed and aligned to each resident’s goals of care.

Complete active medication reviews

Reduce unnecessary and high-risk medications to prevent medication-related adverse outcomes, such as falls and fractures.

Access 24/7 clinical support

Get reliable access to clinical support on weekends and holidays.

Explore a partnership with us

Our track record reflects our effectiveness:

85% retention rate of our clinical team means a consistent, dedicated presence in your community¹
91% of residents and their family members are satisfied with the services and care provided by Optum³
4/10 hospitalizations avoided⁴
51% fewer emergency visits⁴
38% fewer hospitalizations⁴
45% fewer re-admissions⁴

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Complementary solutions

HouseCalls

We conduct annual in-home clinical assessments, including health history, medication review, physical exams, and necessary labs and screenings as needed to address health risks.

Learn more

naviHealth Post-Acute Care Solutions

We help members transition from acute care to the next appropriate site of care, enhancing clinical outcomes and members’ experience.

Learn more

Senior Living Community Program

We offer clinical collaboration designed to stabilize and support assisted living, memory care and independent living communities.

Learn more

2024 Optum ISNP data.
2025 Optum ISNP data.
2024 Member Satisfaction Survey, Optum Consumer Experience Research Program.
McGarry BE, Grabowski DC. Managed care for long-stay nursing home residents: An evaluation of Institutional Special Needs Plans. American Journal of Managed Care. 2019;25(9):400–405.