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naviHealth Post-Acute Care Solutions

We guide members transitioning from acute care to other settings, leading to positive clinical outcomes and an enhanced overall experience.

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We support your effective care resource management

We help vulnerable older adults safely and confidently achieve their best health in the most suitable setting by:

  • Partnering with health plans
  • Teaming up with post-acute care providers 
  • Working hand in hand with members

We work with you to provide quality patient care

We help vulnerable seniors safely and confidently make their way to their best health in the setting that’s right for them. 

These efforts lead to care that makes a difference: 

  • 95% of engaged patients report increased patient satisfaction with their health plans1
  • 4.3 combined average Star Ratings for our health plan partners2

Our difference

We tailor care management and reviews for older adults through personalized planning and seamless support.

Unified care support

We help members, their families and provider teams explore options and provide thoughtful assistance through each person's care journey.

Insight-driven care planning

Our extensive data and advanced analytics help clinicians offer care planning aligned with each member’s goals, needs and circumstances.

Comprehensive care management

As part of Optum Home & Community, we provide partners with complete care resources and unparalleled expertise in population health and long-term care management.

Key stats

  • 2,400 registered nurses, speech-language pathologists, and occupational and physical therapists
  • 260+ clinical and functional measures, combined with historical data from similar patients, provide powerful insights into comorbidities and SDOH
  • We provide services in 50 states
  • 17k skilled nursing facilities working with or within to jointly serve and support members
  • More than +85% of the discharge continuity of care plans we provide include referrals to health plan-sponsored services

Learn how our post-acute care solutions can help your organization

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.

Product information and resources

  • PDF

     

    White paper

    Care transitions flyer

    With unmatched reach, naviHealth Post-Acute Care Solutions seamlessly connects patients and providers — ensuring smoother transitions and better outcomes at every step of the care journey.

    Download

  • PDF

     

    Case study

    Coordinator Kayla's story

    A member’s care journey doesn’t end at the hospital. Kayla Perno, a Home & Community Care Transitions coordinator since Jan 2023, illustrates this through one of her member interactions.

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  • PDF

     

    Case study

    Ben's story infographic

    At Home & Community Care Transitions, we support our patients through their journey to recovery. View Ben’s story to see how our care coordinators provide guidance through his recovery journey.

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Explore more home and community 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.
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Senior Living Community Program

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

We offer clinical collaboration designed to stabilize your business, support your staff and care for your residents.
Learn more
  1. https://pubmed.ncbi.nlm.nih.gov/23321765/, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6021124/, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6450306/
  2. Optum Home and Community Care Transitions book of business 2023.