Facility-Based Post-Acute Solution
Ensure your members receive the right care, for the right amount of time, in the right facility
Our facility-based post-acute solution ensures that members receive high-quality, medically necessary care with appropriate lengths-of-stay in settings such as skilled nursing facilities (SNFs), inpatient rehabilitation facilities (IRFs), and long-term acute care hospitals (LTACHs). By integrating efficient technology with clinical guidelines, we connect care providers and streamline transitions throughout the post-acute journey.
Lines of business
• Commercial
• Medicare
We know care works better when it’s connected, no matter where your members are recovering. When they’re in post-acute facilities, our efficient technology connects their care providers to our clinical guidelines and integrates with your care management system.
Create a better care experience
The quality of care your members receive can vary from one facility to the next, putting their health at risk and increasing their length of stay. Our solution helps ground care in evidence, ensuring higher-quality, more consistent post-acute care regardless of the setting.
Make transitions safer
We help reduce risks that can occur among your members during care transitions. Our approach supports quality care and reduced readmissions while managing costs.
Create a better path toward home
For most members, the goal is to return home where they’re most comfortable. We support that goal by helping ensure quality care, carefully monitoring progress, and managing length of stay. Once their condition improves, we help safely optimize their transition home.
Inside our Facility-Based Post-Acute Solution
Members who recover from a hospital stay in post-acute facilities deserve a better experience. Our clinical expertise and technology platform combine to optimize and connect their care.
Clinical appropriateness review
Length-of-stay management
Transition-of-care coordination
Advanced analytics and reporting
Clinical appropriateness review
Clinical setting optimization
Length-of-stay planning
Transition-of-care coordination
Advanced analytics and reporting
How our solution works
Request
Your providers submit requests to us online for post-acute care.
Review
Our automated platform reviews the requests in real time, assessing service management, discharge plans, and health plan case management referral opportunities.
Determine
Requests that meet clinical criteria are immediately approved. Our clinical reviewers, including physicians, nurses, social workers, and therapists, consult with your providers about any requests that don’t meet our clinical guidelines.
Facility transition
After approving or optimizing the request, we coordinate your member’s transition to the facility.
Care and monitoring
We stay in communication with your provider as they care for your members and monitor progress and evaluating requests for additional days when needed.
Discharge planning
When it’s safe for your member to return home, we manage that transition too. Our home-based care team is available to manage any additional clinical or social needs to ensure optimal care and recovery.
Synchronize
Request data is shared with your system(s) for claims, care management, and reporting purposes. Facility-based post-acute care doesn’t have to mean fragmented or inefficient. At Carelon, we integrate data, clinical expertise, and operational precision to deliver care that’s not only appropriate—but aligned to value-based outcomes.
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Ask us about our Facility-Based Post-Acute Solution
Health plan leaders, contact us to learn more about the possibilities and impact of our Facility-Based Post-Acute Solution.
Are you a health plan member?
If you’re a health plan member and have a question about your health plan, please call the member services number on the back of your health plan ID card.
Provider inquiries
For questions about a request or portal support: Call 1-844-411-9622 or contact our support team .
For questions about the provider network: Call 1-833-585-6262 or email our network team.
