Key Takeaways
- 3% reduction in hospital readmissions. Reported versus the prior-year period.
- 2,500 skilled nursing facilities integrated. Connecting post-acute clinical information across 21 states.
- Expanding across 300+ home health locations. Extending visibility from skilled nursing into the home.
- Connected visibility across the post-acute journey. Supporting care teams as members transition from SNF to home health.
Connecting the Post-Acute Journey
Transitions from skilled nursing to home can create critical gaps in care when clinical information is fragmented across systems and providers. For health plans and care teams, limited visibility into a member's status after discharge can make it harder to identify emerging risks and coordinate timely follow-up care.
OneHome, part of Humana's CenterWell organization, uses Anna® Clinical Intelligence across its post-acute care management workflows to help connect information across the member journey, from skilled nursing through home health.
Clinical Intelligence in Action
Integrated into OneHome's workflows, Anna® helps care teams monitor member status across post-acute settings, identify changes in condition, and bring relevant clinical information forward when teams need it.
This connected approach supports more informed transitions between skilled nursing and home health while helping care teams identify potential risks earlier in the recovery journey.
Measurable Results
As featured in Modern Healthcare, facilities using the platform reported an approximately 3% decrease in hospital readmissions in the first quarter of 2026 compared with the same period the previous year.
Today, Anna® connects approximately 2,500 skilled nursing facilities across 21 states, with expansion underway across more than 300 CenterWell Home Health locations.
Download the case study to learn more about the challenge, solution, and results.