NaviHealth/Cigna-HealthSpring Partner to Improve Post-Acute Care, Costs

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

http://store.hin.com/2013-Healthcare-Benchmarks-Case-Management-_p_4631.html

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.

This entry was posted in Accountable Care Organizations, Care Coordination, Case Managers, Case Managers and the Patient Experience, Skilled Nursing Facilities and tagged , , , , . Bookmark the permalink.
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