JSON twin: https://www.healthaidb.com/software/navihealth.json
naviHealth
https://navihealth.com/about/our-purpose/
naviHealth (part of Optum Home & Community) provides data-driven post-acute care management and care-transition services to optimize site-of-care decisions and improve outcomes for older adults.
A post-acute care management platform and operating service that combines advanced analytics, clinical decision support, and dedicated care coordinators to manage transitions from acute care to home, skilled nursing, rehab, and other post-acute settings; offered to health plans, health systems and provider partners across the United States.
yes
2012
US-hosted (Optum / UnitedHealth Group regional hosting)
P1102
2025-09-07
commercial (proprietary)
Contact vendor / sales for pricing and engagement model; enterprise contracts and service agreements.
enterprise_quote
2012
product
1.0
{
"company_name": "naviHealth",
"company_url": "https://navihealth.com",
"company_offices": [
"United States",
"United Kingdom",
"India",
"Brazil",
"Ireland"
],
"company_founding": "2012",
"product_url": "https://navihealth.com/about/our-purpose/",
"categories": [
"post-acute care",
"care transitions",
"care coordination",
"population health",
"clinical decision support",
"provider network management",
"remote/in-home care"
],
"market_segment": [
"enterprise"
],
"links": [
"https://navihealth.com/about/our-purpose/",
"https://access.navihealth.com/",
"https://business.optum.com/en/access/home-and-community/post-acute-care.html",
"https://elion.health/products/navihealth",
"https://www.linkedin.com/company/navihealth-inc-",
"https://www.crunchbase.com/organization/navihealth",
"https://www.statnews.com/2023/10/23/unitedhealth-optum-navihealth-rebranding-algorithm/"
],
"summary": "naviHealth (part of Optum Home & Community) provides data-driven post-acute care management and care-transition services to optimize site-of-care decisions and improve outcomes for older adults.",
"description": "A post-acute care management platform and operating service that combines advanced analytics, clinical decision support, and dedicated care coordinators to manage transitions from acute care to home, skilled nursing, rehab, and other post-acute settings; offered to health plans, health systems and provider partners across the United States.",
"target_users": [
"health plans / payers",
"health systems / hospitals",
"care coordinators / case managers",
"post-acute providers (SNF, home health, rehab)",
"clinicians (physicians, nurses, therapists)",
"population health teams",
"administrators"
],
"specialties": [
"post-acute care",
"care transitions",
"geriatrics",
"post-operative rehabilitation",
"home health",
"skilled nursing facility management",
"long-term care management",
"utilization management"
],
"regions_available": [
"United States"
],
"languages_supported": [
"English"
],
"pricing_model": "enterprise_quote",
"pricing_details": "Contact vendor / sales for pricing and engagement model; enterprise contracts and service agreements.",
"license": "commercial (proprietary)",
"deployment_model": [
"SaaS"
],
"os_platforms": [
"Web",
"iOS",
"Android"
],
"features": [
"Post-acute care management",
"Discharge planning and transitions of care",
"Care coordination and care team workflows",
"Utilization review and authorization management",
"Referral management and network placement",
"Patient/member outreach and engagement (telephonic and digital)",
"Risk stratification and clinical decision support",
"Outcomes tracking and quality measurement",
"Advanced analytics and reporting",
"Clinical and functional assessment repository",
"Provider network management and directory",
"Social determinants of health (SDOH) data capture"
],
"optional_modules": [
"Advanced analytics / predictive modeling",
"Provider network optimization",
"Home health coordination module",
"Skilled nursing facility (SNF) program management"
],
"integrations": [
"Epic",
"Cerner",
"Meditech",
"Allscripts",
"Payer systems / claims feeds",
"Health information exchanges (HIEs)"
],
"data_standards": [
"FHIR",
"HL7 v2",
"CDA/CCD"
],
"api_available": "yes",
"system_requirements": "",
"compliance": [
"HIPAA",
"HITECH",
"SOC 2"
],
"certifications": [
"SOC 2"
],
"security_features": [
"Encryption at rest and in transit",
"Role-based access control (RBAC)",
"Single sign-on (SSO) / SAML",
"Audit logging",
"Multi-factor authentication (MFA/2FA)"
],
"privacy_features": [
"Business Associate Agreement (BAA) available",
"Consent management",
"Data minimization practices"
],
"data_residency": "US-hosted (Optum / UnitedHealth Group regional hosting)",
"customers": [
"Health Alliance (Health Alliance Plan)",
"Security Health Plan",
"Humana (referenced partner in analyses)",
"Cardinal Health (investor/owner history)",
"UnitedHealth/Optum (acquirer and parent)",
"Various Medicare Advantage health plans",
"Hospitals and health systems (unnamed partners in press)"
],
"user_reviews": [
"\"Navi is really hard to get into, and it's a pay cut when you do... It's easy, but very mundane.\"",
"\"After MONTHS of applying... I finally landed an interview with NaviHealth for a pre-service coordinator position.\"",
"\"I review a maximum of 8 patients a day. An initial review typically takes 20-30 mins.\"",
"\"Management is poor... managers hands are tied and some managers have no prior experience with this type of job.\"",
"\"Their algorithm has been accused of wrongfully denying care for elderly patients (reported concerns in press and online).\""
],
"ratings": [
"Glassdoor: 3.6/5 (employee reviews)",
"Comparably: Product Quality 1.8/5 (user-reported)"
],
"support_channels": [
"email",
"phone",
"support portal/ticketing",
"sales contact form",
"account sign-in/online support"
],
"training_options": [
"documentation",
"webinars",
"live_online training",
"onsite training",
"case studies/resources"
],
"release_year": "2012",
"integration_partners": [
"Cardinal Health",
"UnitedHealth/Optum",
"Pyxl (branding/tech partner referenced)",
"Health plans (multiple Medicare Advantage partners)",
"Skilled nursing facilities network (17,000+ facilities referenced)",
"Hospitals and health systems (implementation partners)",
"BlueCross BlueShield venture partners (investor/partner relationships)"
],
"id": "P1102",
"slug": "navihealth",
"type": "product",
"version": "1.0",
"last_updated": "2025-09-07",
"links_json": {
"self": "https://www.healthaidb.com/software/navihealth.json"
}
}