Skip to main content

Solution suite

Skilled Nursing Facility (SNF) Programs

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

Reduce costly transfers with expanded clinical care

Our clinical model provides care delivery and coordination programs for long-term SNF residents, meeting CMS Model of Care requirements for ISNPs.

Delivery of care

Our clinical team delivers care in collaboration with the primary care provider, the facility staff and other providers.

Right care, right place, right time

Our model is designed to care for members in place and avoid unnecessary hospitalizations.

24/7 availability

Our model includes after-hours and weekend phone support for member clinical issues.

Making a difference

Reduce transfers and save money by caring for members in place. A recent study of our model showed2: 

  • 38% fewer hospitalizations
  • 51% fewer ED visits
  • 45% fewer re-admissions
  • 112% higher rate of SNF use
I can’t imagine running a building without the Optum product.

Administrator, Westbury Health and Rehab Center – Conyers, GA

Lorie Scroggs

One-on-one relationships

92% of family members are satisfied with care.3

Our clinicians build one-on-one relationships with members and their family/caregivers, earning the program high marks in satisfaction surveys.  

  • Perform assessments and create personalized care plans
  • Keep all family members/caregivers informed and involved in care
  • Lead discussions on disease trajectory and care goals

Related healthcare insights

View all

Article

Advancing health equity: How Optum Rx is overcoming challenges

Thought leaders discuss the intentional vigilance needed to overcome obstacles impeding better access to healthcare for all.

Video

Enhance system security with cloud-native imaging solutions

Learn about the in-depth security capabilities of cloud-native imaging.

Article

What’s changing the PBM industry?

Learn from Optum Rx thought leaders how access, affordability and transparency have become imperatives for pharmacy benefit management.

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.

PCPs and the Optum ISNP Care Model in SNFs

Close gaps in care and reduce fragmentation by participating in a cross-functional, team-based care experience.
  1. 2019 plan year, reporting as of December 2019
  2. 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.
  3. 2018 Member Satisfaction Survey, Optum Consumer Experience Research Program.