PCPs & the ISNP Care Model in SNFs

Flexible collaboration to drive long-term care forward

Optum partners with health plans to bring specialized benefits and clinical support to residents in long-term care — coordinating primary care, skilled care and specialty services for members of participating Institutional Special Needs Plans (ISNPs).

The Optum care model places an advanced practice clinician (APC), typically a nurse practitioner or physician’s assistant, at the center of the multidisciplinary care team. The APC collaborates with the member, primary care physician (PCP), family and other stakeholders to develop a care plan that delivers proactive, preventive care on site.

I have nurse practitioners within my practice group, but they can't maintain a small caseload. The money isn't there. With the Optum care model, I have the Optum nurse practitioner and that takes the pressure off my staff and me.

Randolph Clark, MD

Key benefits

We help you drive momentum toward the quadruple aim.

Providing the right care

We provide care in the right place at the right time.

Achieving 51% fewer ED visits

We’ve also achieved 38% fewer hospitalizations¹.

Reducing fragmentation

High-touch communication and care are vital.

Providing 24/7 coverage

We offer around-the-clock coverage for members including weekends and holidays.

Ensuring manageable caseloads

We make sure Optum APCs can be patient-focused.

Demonstrating 92% satisfaction

We ensure patients and their families are satisfied².

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Let’s talk about a partnership in care

Complementary solutions

Community Care for Seniors

We bring an extra layer of ongoing clinical care to members who reside in an assisted living or skilled nursing facility.

Learn more

Skilled Nursing Facility Programs

Break the high-cost cycle by increasing care and benefits to Institutional Special Needs Plan (ISNP) members.