Hoping to improve care quality and outcomes for an estimated 100,000 post-acute patients in the heavily populated Mid-Atlantic and Pennsylvania markets, Cigna-HealthSpring and naviHealth are joining forces, according to releases from both organizations.
The collaboration will utilize naviHealth’s technology (which facilitates better evidenced-based decision making), and acute inpatient case management processes for Cigna-HealthSpring members receiving skilled nursing facility (SNF) services. Navihealth is a post acute care benefit management company; Cigna-HealthSpring is a Cigna health plan company providing care for seniors.
Expected benefits of the partnership for Cigna-HealthSpring and its members include:
- Improved patient satisfaction with personalized care plans; and
- Improved clinical outcomes through more informed and efficient care delivery,
- Increased cost savings for both Cigna-HealthSpring and its members.
Prior to working with NaviHealth, Cigna’s case management staff had no frame of reference on which to base estimated lengths of stay or how to determine a patient’s potential for functional progress. With the collaboration, naviHealth’s nurses and licensed therapists will engage and assess Cigna-HealthSpring members while hospitalized and educate them and their caregivers on their options for post-acute care and rehabilitation. Post-discharge, naviHealth will work with patients and their care teams in SNFs to continually update care plans and monitor patients’ progression against their personalized goals.
Post-acute spending is rapidly outpacing other areas in healthcare, naviHealth officials say, and breaking from traditional care approaches is necessary.
Source: Cigna, September 30, 2013
2013 Healthcare Benchmarks: Case Management provides actionable information from 118 healthcare organizations on the prominence, placement and responsibilities of case managers as well as case management-driven outcomes in healthcare utilization, cost and compliance.