Innovative Approach to Managing Post-Acute Care

This case study outlines the innovative approach taken by Security Health Plan of Wisconsin in managing post-acute care. The document details the challenges faced by the organization, including high utilization rates of skilled nursing facilities (SNFs) and variable health outcomes for patients. It describes how Security Health Plan partnered with naviHealth to implement a new post-acute care management program aimed at improving patient outcomes while controlling costs. The initiative involved a series of meetings, termed 'The Roadshow,' to educate stakeholders about the changes. The implementation of the naviHealth nH Predict tool allowed for personalized post-acute care reports based on historical patient outcomes. The results of this partnership included significant improvements in members' functional recoveries, reductions in readmission rates, and decreased SNF utilization. The case study emphasizes the importance of aligning quality care with cost management in the healthcare system.