Partners

Health Plans

naviHealth helps reduce unnecessary medical spending and readmissions while addressing social determinants of health and gaps in care

Partners

Health Plans

naviHealth helps reduce unnecessary medical spending and readmissions while addressing social determinants of health and gaps in care

Reduce unnecessary post-acute medical expenses

Improve functional outcomes

Fewer readmissions from post-acute facilities

Identify and resolve social determinants of health

Positive star impact

How naviHealth Can Help Your Organization
Through our patient-centered care model, network strategy and full-risk arrangements, we significantly reduce costs specific to unnecessary post-acute care and readmissions — while improving the member experience.
Quality and Cost Improvement
  • Cost Reduction: impact on post-acute site of care, length of stay, duration of therapy and functional outcomes
  • Gap Identification and Closure: analytics and in-person assessments to identify gaps in care
  • Quality and STAR Measures: identify and address individual STAR gaps and collaborate to address specific STAR measures to optimize plan rating
Competitive Growth
  • Positioning for Future Bids: create clear differentiators and document outcomes for bids
  • Assessing Member Risk and Cost: enhanced analytics capabilities combined with post-acute care and in-home member assessments
  • Program Development: preferred post-acute care networks, cost and quality programs
Patient Care Management
  • Social Determinants of Health: identify and resolve social determinants of health using propensity indicators
  • Community-Based: connect members at home with community services and resources
Member Experience
  • Personal Member Engagement: engaging members one-on-one upon admission, through any post-acute care transition and for up to 30 days after returning home
  • Focus on Member Satisfaction: intense focus on a seamless member experience, support member engagement in self-care and individualized goals
  • Collaboration: strengthen the alignment of technology platforms

A Non-Profit Health Plan’s Innovative Approach to Managing Post-Acute Care

Since partnering with naviHealth, Security has seen significant improvement in members’ functional recoveries in post-acute care as well as a four-percentage point reduction in readmission rates and material reductions in post-acute medical expense.

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testimonials

Lives Fulfilled

Days before the member was scheduled to discharge home, a naviHealth care coordinator came to check on him. The pair talked about the expected discharge date and what the member could expect when he arrived home. During their conversation, it became apparent that the member was nervous about the stairs he would need to navigate in his home. The care coordinator was able to help extend his stay and put more of a focus on stair mobility, ensuring the member properly progressed before going home.

Jerry

LPN, Partner SNF

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