For Health Systems

A post-discharge platform that pays for itself.

Navara gives hospital systems a structured 90-day patient management platform operated entirely by TriunityCX. There is no cost to the hospital, no new software for clinical staff to learn, and no additional operational burden placed on your team.

What Navara delivers to your hospital

✓

Readmission reduction

Structured 90-day patient engagement that intervenes before patients deteriorate and return

✓

HRRP penalty avoidance

Directly reduces the excess readmissions that trigger CMS financial penalties

✓

Monthly executive reporting

Automated PDF report delivered to hospital leadership on the first of every month

✓

No clinical workflow disruption

TriunityCX manages all patient engagement — your clinical staff continue their existing responsibilities

The Financial Reality

Readmission penalties are a direct hit to your bottom line.

The Hospital Readmissions Reduction Program penalizes facilities for excess readmissions in heart failure, COPD, pneumonia, and other high-burden conditions by reducing Medicare base operating payments.

$217K

Average annual HRRP penalty

Per penalized hospital, applied as a direct reduction to Medicare base operating payments regardless of overall care quality

75%

Of hospitals penalized by FY 2027

CMS changes incorporating Medicare Advantage data will expand HRRP exposure to three out of four hospitals nationally

$1T

In Medicaid cuts over 10 years

Recent federal legislation introduces an estimated $1 trillion in Medicaid reductions over the next decade, placing more than 300 rural hospitals at immediate risk of closure

In this environment, where hospitals face simultaneous pressure from HRRP penalties, Medicaid revenue reduction, and mounting uncompensated care from newly uninsured patients, a platform that reduces readmissions and generates a measurable financial return at no cost is one of the few operational tools available to community hospitals working to remain solvent.

$0 cost to you

How Navara Works

TriunityCX does the work. Your hospital gets the results.

Patient Discharge Enrollment

At patient discharge, a TriunityCX case manager is assigned to the patient and the 90-day protocol begins. The hospital's only requirement is patient consent at discharge and a completed enrollment form. Clinical staff continue their normal responsibilities without any change to their workflow.

Structured 90-Day Engagement

Case managers contact the patient at Day 3, Day 14, Day 30, Day 60, and Day 90 post-discharge. Each contact collects direct patient-reported data on medication adherence, social determinant barriers, self-efficacy, follow-up appointment status, and symptom changes. The platform classifies each patient as Immediate, Priority, or On Track based on their current signal profile.

Real-Time Risk Classification

Patients flagged as Immediate or Priority receive escalated outreach and targeted barrier resolution support. Case managers intervene before patients deteriorate and return to the emergency room, reducing the readmission events that generate HRRP penalties and direct readmission costs.

Monthly Executive Reporting

On the first of every month, hospital leadership receives an automated PDF report covering program performance, financial impact in readmission penalty avoidance and direct cost reduction, forward risk assessment for the current active cohort, and recommended priorities for the coming period. Hospital leadership receives this report without any action required from their team.

What your hospital receives

📋

Case Manager Dashboard

Real-time patient queue with alert classifications, protocol guidance, and escalation flags

📊

Administrator Dashboard

Population-level metrics, SDOH barrier distribution, Sample Cliff retention, and cohort analytics

📄

Monthly Executive Report

Automated PDF delivered to your CFO, CMO, and CNO showing financial impact and forward risk

🔗

EHR Integration

FHIR R4 connectivity with Epic in development through the App Orchard Vendor Services program

Patient Consent and Data Governance

All patient participation in the Navara protocol requires verbal consent obtained at discharge. Patient data collected through the protocol is de-identified in accordance with HIPAA Safe Harbor standards before any use beyond direct case management. Hospital partners execute a Business Associate Agreement and a Data Use Agreement governing all data sharing prior to platform launch. TriunityCX does not share identifiable patient data with pharmaceutical partners under any circumstances. All data governance documentation is provided to hospital legal and compliance teams during onboarding.

Who Navara Is For

Built for community and regional hospital systems.

Navara is designed for hospitals that want better post-discharge outcomes without the operational complexity of building a platform themselves.

⚠️

Hospitals penalized under HRRP

If your facility is currently penalized or at risk of penalty in heart failure, COPD, pneumonia, hip and knee replacement, or CABG, Navara directly targets the post-discharge window where those readmissions originate.

🏘️

Hospitals serving high SDOH populations

Facilities serving patient populations with above-average social determinant burden where medication cost, transportation, and housing barriers drive adherence failure and readmission risk benefit most from structured case management engagement.

👥

Hospitals without post-discharge capacity

If your hospital lacks the internal case management capacity to operate a structured 90-day post-discharge follow-up platform, TriunityCX provides that capacity at no cost, eliminating the need to hire, train, or manage additional staff.

💰

Hospitals under financial pressure

With Medicaid cuts accelerating and HRRP penalties growing, community hospitals facing margin compression need platforms that generate a financial return without requiring capital investment. Navara requires neither budget approval nor implementation cost.

EHR Integration

Built to work inside your existing clinical environment.

FHIR R4 integration with Epic in active development.

Navara is being developed with FHIR R4 integration capability for Epic, with an active application in Epic's App Orchard Vendor Services platform. This integration pulls a point-in-time clinical snapshot from the patient's EHR record at the moment of discharge enrollment — discharge diagnosis, active medication list, discharge disposition, and scheduled follow-up appointments.

This is not retrospective data analysis. It is a clinical baseline read at the start of the post-discharge window that gives TriunityCX case managers the context they need to make the first patient contact meaningful within 72 hours of discharge. Everything that follows is prospective, collected directly from the patient through structured engagement.

Epic App Orchard Application Active

FHIR R4 Standard

Built on the interoperability standard required under the 21st Century Cures Act

Read-Only Data Access

Navara reads clinical context at enrollment and never writes back to the EHR record

No IT Requirements

Integration is handled entirely by TriunityCX with no requirement on hospital IT staff

Standalone Operation

Navara operates fully without EHR integration using discharge enrollment information

Cerner Compatible

Oracle Health FHIR APIs use the same standard, enabling future multi-EHR connectivity

Get Started

If your hospital is managing readmission penalties, Navara was built for you.

TriunityCX is actively signing hospital partners nationally. The platform requires no budget approval, no implementation fee, and no change to your clinical workflows. The first conversation takes 30 minutes.