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Skilled nursing facility (SNF) residents 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, providing care delivery and coordination programs for long-term skilled nursing facility (SNF) residents, serves 1,800+ SNFs and over 70,0001 members nationwide. Our model also meets CMS Model of Care requirements for ISNPs.

Our program is led by an experienced team of advanced practice clinicians (APCs) who coordinate and enhance the quality of care for members of participating ISNP plans.


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 at 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 content

When a Skilled Nursing Facility (SNF) Becomes a Health Plan

This white paper addresses the challenges of launching a provider-owned ISNP.

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.

Together, we care for long-term care residents.

The UHC Nursing Home Plan, a Medicare Advantage ISNP for your residents, covers benefits and features beyond Medicare and Medicaid.

Let's talk about a partnership in care.

  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.