Primary Care Physicians and the Optum ISNP Care Model in SNFs
Close gaps in care and reduce fragmentation by participating in a cross-functional, team-based care experience.
Optum partners with health plans to bring specialized benefits and clinical support to residents in long-term care — coordinating primary care, skilled care and specialty services for members of participating Institutional Special Needs Plans (ISNPs).
The Optum care model places an advanced practice clinician (APC), typically a nurse practitioner or physician’s assistant, at the center of the multidisciplinary care team.
The APC collaborates with the member, primary care physician (PCP), family and other stakeholders to develop a care plan that delivers proactive, preventive care on site.
Collaboration to drive long-term care forward
"I have nurse practitioners within my practice group, but they can't maintain a small caseload. The money isn't there. With the Optum care model, I have the Optum nurse practitioner and that takes the pressure off my staff and me."
– Randolph Clark, MD
Flexible collaboration
At Optum, partnerships are fundamental to success, so we offer flexibility in collaborative practice models depending on the PCP preferences.
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- McGarry BE, Grabowski DC. Managed care for long-stay nursing home residents: An evaluation of institutional special needs plans. American Journal of Managed Care. 2019;25(9):400–405.
- 2018 Member Satisfaction Survey, Optum Consumer Experience Research Program.