GRAND RAPIDS, Mich.--(BUSINESS WIRE)--Priority Health and naviHealth today announced the launch of a new program to further improve clinical and therapy services provided to members after a hospital visit. The new agreement will utilize Priority Health’s nurses and naviHealth’s decision support technology and field-based care managers to work with members and their caregivers to proactively set goals for rehabilitation after a hospital visit; creating highly personalized and effective care.
“Most patients leave the hospital without a clear plan or guide for what’s next, leading to large variations in the care they receive, costs and outcomes,” said Jay LaBine, M.D., chief medical officer for Priority Health. “Priority Health is focused on improving the health and lives of the people we serve. This new program with naviHealth will support the incredible work our team already delivers by creating resources for our members and their families to ensure they have a clear understanding of what to expect after a hospital visit and have access to personalized care to achieve the best possible health outcomes.”
Members of Priority Health already experience significantly lower rates of unnecessary hospitalizations compared to those enrolled in health plans in Michigan and nationally. A study by Johns Hopkins University and the Alliance of Community Health Plans revealed that members of Priority Health’s Medicare Advantage plans are three times less likely to be readmitted to the hospital than those enrolled in traditional Medicare due to Priority Health’s established patient support programs.
Rehabilitation services account for a significant portion of health care costs in the United States. According to a congressional advisory panel, last year $62 billion, one out of every six dollars Medicare spent in the traditional fee-for-service program, went to nursing and therapy for patients in rehabilitation facilities, nursing homes, and long-term care hospitals. Medicare per capita spending on these services has grown by 5 percent a year or faster in 34 of the nation’s 50 largest hospital markets in recent years, according to Kaiser Health News.
The program begins in the hospital setting with Priority Health and naviHealth working closely with the discharge staff to connect with Priority Health members and their families before they leave. Priority Health nurses and naviHealth Care Managers then work with members and their care teams to continually update their care plan and monitor progress toward achieving their goals.
“We are pleased to be able to work with an innovative market leader such as Priority Health to deliver personalized care plans and a high touch patient engagement model to benefit their members,” said Clay Richards, naviHealth chief executive officer and president. “We continue to see costs rise for the care delivered after a hospital visit and it is clear that change is needed. We are confident that our unmatched decision support and analytics platform will allow us to deliver this type of solution to Priority Health, and ultimately result in better patient outcomes at a lower cost.”
About Priority Health:
Priority Health is an award-winning, Michigan-based non-profit health plan nationally recognized for improving the health and lives of the people it serves. It continues to lead the industry in engaging members in their health, delivering effective health and disease management programs and working with physicians to improve health care outcomes and performance. Priority Health is one of only 20 health plans nationwide with wellness programs accredited by the National Committee for Quality Assurance, an organization which also rated it among the best health plans in the nation. Priority Health was also named the benchmark plan, by the State of Michigan, for all individual and group plans to model.
Priority Health offers a broad portfolio of health benefit options for employer groups and individuals, including Medicare and Medicaid plans. Its network of health care providers features 95 percent of practicing physicians available in Michigan and more than 900,000 nationwide. Visit priorityhealth.com to learn more.
naviHealth partners with health plans, health systems, accountable care organizations and post-acute providers to manage the entire continuum of post-acute care. The Company utilizes evidence-based protocols and technology-enabled services to optimize care and align all stakeholders. naviHealth has more than a decade of experience managing post-acute care and currently serves approximately 1.5 million Medicare lives.