For Health Plans

The impending enrollment of dual eligible beneficiaries into managed care plans will bring unprecedented performance-based challenges – including new requirements for measuring and managing a myriad of performance metrics and overall outcomes compliance requirements – to participating health plans. More+

Post Acute Network Solutions contracts with select Medicare-Medicaid Alignment Initiative (MMAI) Health Plans to provide care coordination services for higher risk members who are eligible for long-term services and support (LTSS) or home and community-based (HCBS) waiver services. Post Acute Network Solution’s Networkconnect offers partnering health plans and their dual-eligible beneficiaries an in-person CareCoach, delegated utilization management and coordination with an integrated care team.

In addition Post Acute Network Solutions, in partnership with naviHealth, offers the LiveSafe and HomeSafe assessment tools, which provide data-driven outcome optimization of LTSS and HCBS services based on demonstrated best practices of over one million patients.

Post Acute Network Solutions
offers health plans:

  • Improved quality of life for its members
  • Increased membership and improved retention.
  • Comprehensive assessments that ensure members are coded correctly for HCCs and MRAs and help track HEDIS measures.
  • Improved medical loss ratios due to proactive, innovative clinical models that reduce unnecessary hospitalizations and/or duplication of care.