Medical Benefits Management: Post-Acute Care

 

myNEXUS is now Carelon Post Acute Solutions.
Providers: Find important information for you here.

Create a new model of post-acute care

We ensure your health plan members receive quality, seamless care when and where they need it most, such as the home or a post-acute care facility.

We do this by working with your health plan’s providers or our own local network to align care with the latest evidence and your care management plans.

The impact of our post-acute expertise at scale

23

states covered

5.8M

members managed

300+

multidisciplinary clinicians on staff

We look at the whole post-acute story

When we think of post-acute care, we see the possibilities of a better end-to-end experience for all.

We see brighter outcomes for your members and deeper savings for your business. We see more care gaps addressed from frictionless coordination, quality care, and a human touch, as well as unlocked connection with your care management ecosystem, specialty programs, and end-of-life planning. Turning these possibilities into your reality requires a strategic partner with a unique approach to this growing specialty.

Clinically sound

Led by our team of over 300 clinicians, we align care with evidence-based guidelines to address your members’ needs, from routine to specialty care.

Collaborative

We emphasize strong, positive relationships with providers and partner with you to achieve a better member experience.

Digitally driven

Through our automated platform, your members receive evidence-based care without delay, while your business and providers have complete, up-to-the-minute transparency.

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Solutions that reimagine post-acute care

We help you address your members’ whole-person health needs through comprehensive services that span the post-acute continuum.

  

Home-Based Care

Improve the quality and affordability of your members’ home care by grounding it in evidence and fostering deep provider collaboration

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Facility-Based Care

Ensure the right level of care and length of stay for your members in skilled nursing facilities, inpatient rehab facilities, and long-term acute care hospitals

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Durable Medical Equipment

From oxygen equipment and prosthetics to orthotics and wound dressing, our solution allows you to sustain the full spectrum of DMEPOS management.

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Ask us about medical benefits management for post-acute care

Health plan leaders, contact us to learn more about the possibilities and impact of medical benefits management for post-acute care.

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.