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Post-acute Care Solutions for Effective Care Transitions

We help transition members to the right site of care following acute patient stays and coordinate care transitions with member families and clinical teams.


We work with you to provide quality patient care

Members deserve to get the right care at the right time. As part of Optum® Home and Community offerings, naviHealth Post-acute Care Solutions partners with you to make sure members get to live more fulfilling lives.

We work with health plans, hospitals, health systems, post-acute providers, skilled nursing facilities, physician groups and Accountable Care Organizations (ACOs). Together we:

  • Drive better post-care outcomes
  • Simplify and improve care transitions to meet clinical and non-clinical member needs
  • Close gaps resulting from social determinants of health (SDOH) and health-related social needs

We support your effective care resource management

Our post-acute care management solutions help you:

  • Ensure proper placement – We deploy in-market clinical care coordinators to work closely with patients.
  • Engage members – We coordinate care transitions to align resources. We also connect members to benefits provided by health plans as well as community programs. 
  • Identify gaps in care – We partner with both clinical and community resources to help close any gaps in care for the member. This helps lower readmission risks, increase patient satisfaction and improve Support, Transform, Achieve and Results (STAR) measures. 
  • Plan for safe discharge – Early discharge planning is key. We start by working with local, in-market providers to make sure they get the right clinical information and fully understand a member’s demographics, functional levels and other unique needs.
Supporting the member’s care journey Supporting the member’s care journey

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