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.
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
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
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.
Explore related solutions
Get to know our perspectives
To improve post-acute care, the healthcare system needs to see it from a new perspective. Learn how we see this important specialty and the improved outcomes, spending, and satisfaction that we think are possible within it.
Creating a more connected post-acute care experience
January 23, 2024
Discover how a large health plan reduced costs without compromising care using our post-acute facility benefits management solution.
A post-acute journey to better health
January 19, 2024
Innovative, member-focused health plans are reshaping the road to recovery for their members post-hospitalization.
Social drivers of health program
January 23, 2024
Discover how the SDOH program can easily help health plan members avoid unnecessary hospital readmissions and ER visits.
Health provider partnership profile
January 23, 2024
Learn how our partnership with Interim HealthCare has benefitted health plans and members, and how we optimize the quality and affordability of post-acute care.
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.
