Post Acute Transition of Care

Reducing readmission risks and supporting recovery for members after a recent acute event or hospitalization.

Full Care Coordination

We communicate changes and follow-up on scheduled appointments within the first 30 days after discharge to support providers and help ensure members achieve a successful recovery.

Medication Reconciliation

We address one of the leading challenges to successful recovery by performing a full medication reconciliation for each member.

Unparalleled Member Insights

Our presence in the home allows us to identify potential issues and environmental risks and intervene early to avoid complications.

Effective Cost Management

We help prevent unnecessary hospital admissions and utilization to reduce cost of care.


Reduction in hospital readmission rate for Post Acute Transition members

Based on results from the Matrix Post Acute Transition of Care program in 2016


Of members successfully complete their 30-day Post Acute Transition program without complications

Based on results from Matrix Post Acute Transition of Care program in 2016


Satisfaction rate of members who have enrolled or completed a Post Acute Transition program

Based on results from 2016 Member Experience Survey

  • "The Matrix provider alerted me that my medication would run out 10 days before my appointment with my vascular specialist! Thank goodness they did, since it would have caused me a lot of problems."

    Health Plan Member
  • "During my Matrix visit, the provider though it would be better if I completed my treatment in a rehabilitation facility. My doctor and health plan both agreed, and within 48 hours I was transferred until the end of a successful treatment!"

    Health Plan Member
  • "I had several concerns that I shared during my Matrix visit. She explained what she could, and she also called my ophthalmologist and retina specialist to give me a more thorough answer. I’m so impressed at the lengths she went!"

    Health Plan Member

Learn how Matrix helps your members to a complication-free recovery and reduce hospital readmission risks

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