UnitedHealthcare Expands Navigate4Me to Bring Personalized, Holistic Care to More People
December 10 2018 - 9:30AM
Business Wire
Navigate4Me part of UnitedHealthcare’s efforts
to build the next generation of care management to better serve
seniors and other beneficiaries
UnitedHealthcare announced that it will significantly expand its
Navigate4Me program to bring the benefits of personalized, holistic
care to more people enrolled in its Medicare Advantage plans.
Navigate4Me offers concierge services from health navigators who
support and guide people through the complexities of a fragmented
health care system. UnitedHealthcare launched the program in fall
2017 for people enrolled in its Medicare Advantage plans who are
facing complex health issues such as diabetes, congestive heart
failure or multiple chronic conditions. People who have experienced
a sudden health event such as joint replacement surgery or a new
cancer diagnosis are often also eligible for the program.
Results have been positive, with a 14 percent reduction in
hospitalizations and a 9 percent reduction in emergency room visits
for people with congestive heart failure. Navigate4Me has a 95
percent satisfaction rate among plan participants who have received
navigator support.
UnitedHealthcare grew its team of navigators from a dozen at
launch to more than 800 today, supporting approximately 215,000
people. The company plans to double enrollment in 2019 by expanding
the population eligible for the program to more than 1 million.
Navigate4Me will be newly available to four groups of people:
those who are under 65 and qualify for Medicare due to a
disability; those who receive post-acute care following a
hospitalization and meet other eligibility criteria; those who are
newly diagnosed with Alzheimer’s disease; and those who are at risk
for social isolation.i The company plans to add more than 500
navigators to its team to support these additional people.
“We created Navigate4Me to ease the burden of navigating the
health care system for our members, taking that burden on as their
health partner so they don’t have to carry it alone,” said Brian
Thompson, CEO of UnitedHealthcare Medicare & Retirement. “By
treating the people we serve with compassion when they’re at their
most vulnerable, we’re able to build more trusting relationships
with them, which in turn enables us to better support them through
their health journey.”
Navigate4Me goes beyond disease management to enable holistic,
whole-person care. UnitedHealthcare designed the program to address
not just clinical needs but also a host of other factors that
affect well-being and health outcomes, including fear and stress
associated with managing a major health event and a lack of support
between doctor visits or during care transitions, such as being
discharged to home or a skilled nursing facility following a
hospitalization.
Nurses or highly trained customer service advocates serve as
health navigators who help alleviate the burden of managing a
serious health issue. Navigators provide support with both clinical
and administrative needs associated with people’s health issues,
ranging from answering health questions and resolving claims or
billing issues to helping them follow a personalized care plan,
coordinating care and helping to address social determinants of
health, such as connecting people with reliable transportation or
housing assistance.
For people facing some of the most complex health issues, their
health navigator serves as their single point of contact, becoming
a familiar and consistent partner throughout their entire health
care journey.
Modernizing Care for Today’s Seniors
and Other BeneficiariesNavigate4Me is part of
UnitedHealthcare’s efforts to modernize the way it cares for the
people enrolled in its Medicare Advantage plans as the baby boomer
generation continues aging into Medicare.
Nearly 40 percent of the people enrolled in UnitedHealthcare’s
Medicare Advantage plans have four or more chronic conditions, and
nearly the same percentage live alone. These individuals are
especially vulnerable when dealing with serious health issues and
trying to navigate a complicated health care system.
By providing the support of dedicated health navigators,
UnitedHealthcare aims to personalize the health experience for
these individuals and improve their health and quality of life.
More people have chosen UnitedHealthcare to provide their
Medicare coverage than any other company.ii UnitedHealthcare serves
nearly 12.5 million people enrolled in Medicare, including more
than 4.9 million people in Medicare Advantage plans, more than 4.7
million people in stand-alone Part D prescription drug plans, and
more than 4.5 million people in Medicare supplement plans.
About
UnitedHealthcareUnitedHealthcare is dedicated to helping
people live healthier lives and making the health system work
better for everyone by simplifying the health care experience,
meeting consumer health and wellness needs, and sustaining trusted
relationships with care providers. In the United States,
UnitedHealthcare offers the full spectrum of health benefit
programs for individuals, employers, and Medicare and Medicaid
beneficiaries, and contracts directly with more than 1.2 million
physicians and care professionals, and 6,500 hospitals and other
care facilities nationwide. The company also provides health
benefits and delivers care to people through owned and operated
health care facilities in South America. UnitedHealthcare is one of
the businesses of UnitedHealth Group (NYSE: UNH), a diversified
health care company. For more information, visit UnitedHealthcare
at www.uhc.com or follow @UHC on Twitter.
Plans are insured through UnitedHealthcare Insurance Company or
one of its affiliated companies, a Medicare Advantage organization
with a Medicare contract. Enrollment in the plan depends on the
plan’s contract renewal with Medicare.
Y0066_181119_033959_M
i Other eligibility criteria apply.ii CMS enrollment data and
UnitedHealthcare internal data, 2018 Statistics in this release can
be attributed to 2018 UnitedHealthcare internal data.
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Sarah BearceUnitedHealthcare312-485-3280Sarah_Bearce@uhc.com
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