When a member is discharged from the hospital, the expectation is that they’ll return to good health at home quickly and easily. But a staggering 23% of adults on Medicaid and 20% of Medicare patients are readmitted to the hospital due largely to gaps in care that exist between hospital and home. And more than 75% of those Medicare readmissions are preventable.

We’ve created a bridge in care to reduce hospital readmissions.

Univita’s Bridges program is built on over 17 years of experience in managing and coordinating care for members with complex cases and chronic illnesses. Univita has uncovered the secret to managing transition care – using a home-based approach, so the right care elements are in the right place at the right time, and connected in the right ways. This comprehensive approach has been shown to reduce hospital readmission rates by up to 30% while also reducing overall health care costs.

How we reduce costs and improve patient outcomes.

Univita uses evidence-based protocols to identify candidates for enrollment, optimize discharge plans, provide critical post-discharge follow-up and equip patients and families with tools to improve self-care.

Our intervention model focuses on four facets of care and is coordinated by a clinically-trained Univita care coach who oversees an interdisciplinary team of physicians, nurse practitioners, registered nurses, therapists, pharmacists and social workers. With the help of this team, the Univita care coach develops a comprehensive understanding of a member’s situation and coordinates the clinical and non-clinical support needed to optimally care for the member.

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