Pilot program with naviHealth supports Medicare Advantage members after hospital discharge

Blue Cross Blue Shield of Michigan and Blue Care Network have started working with naviHealth, an independent company, to pilot the company’s Patient Navigation Program. This pilot program provides non‑clinical support to Medicare Plus Blue^SM and BCN Advantage^SM members to assist with their discharge needs after an acute hospital stay through their transition to home.

It will be offered to select members admitted to select hospitals in the Detroit area in an effort to reduce readmissions. The pilot, which started in April, will run through July, at which time an evaluation will be completed to determine whether the program should continue after the pilot stage.

Members have no out‑of‑pocket costs when using this program, which is a component of our existing clinical partnership with naviHealth.

NaviHealth’s patient navigation team won’t provide medical care or make clinical recommendations and doesn’t replace any existing case management program the member may be participating in.

Patient navigators support members by:

• Engaging them during their hospital stay and supporting them through phone calls for 30 days from post discharge to home
• Identifying social barriers that may affect medical outcomes and connecting members with appropriate resources
• Helping to coordinate physician appointments
• Connecting them with appropriate Blue Cross and BCN clinical programs and resources