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Solution suite

Skilled Nursing Facility (SNF) Programs

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

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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

White paper

Closing gaps in pain management

More than half of nursing home residents suffer from chronic pain. Read the white paper to learn how we can make a difference in their lives.

Case study

Optimize member engagement through collaboration

A health plan increased in-home assessment rates for their Medicare Advantage members by working with Optum to increase member engagement.

Guide

Improve members' health with Optum HouseCalls

Medicare Advantage members receiving in-home assessments saw fewer emergency department visits and inpatient hospital stays across 4 conditions.

Let’s talk about a partnership in care

Get in touch with our sales team today

Fill out this form and we’ll get back to you shortly.

Already a customer? Find your support portal.

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

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.
Learn more
  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.