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Command Center
for Post-Acute
Care Networks

Building trust through objective data that drives operational effectiveness and improved patient outcomes

We partner with hospitals, ACOs, payers, and home infusion pharmacies to build curated, high-performing post-acute networks—delivering measurable financial, operational, and clinical outcomes through Command Center governance.

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NxtCare
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The Challenge

Post-Acute Care Is Fragmented and Unmanaged

The Problem

  • Limited visibility into post-acute outcomes and provider performance metrics
  • Broad, unmanaged networks create variance in care quality and costs
  • Excess length of stay and avoidable SNF admissions impact clinical and financial outcomes
  • Fragmented communication between acute and post-acute settings
  • Absence of real-time oversight for referral acceptance and patient placement

The Solution

NxtCare extends your acute care operational control into the post-acute continuum. Through proprietary analytics and governance infrastructure, we transform broad networks into curated, tiered high-performing networks.

  • Real-time visibility into all post-acute referrals and outcomes
  • Curated networks of verified, high-performing providers
  • Command Center oversight with live dashboards and alerts
  • Governance-based performance management and accountability
Explore Command Suite

Our Partners

Who We Serve

NxtCare partners with organizations across the care continuum to build, activate, and manage high-performing post-acute networks

Hospitals & Health Systems

Extend command center oversight into post-acute care with real-time visibility and governance

Accountable Care Organizations

Optimize total cost of care and achieve shared savings through network performance management

Payers & Medicare Advantage

Build and manage preferred provider networks with performance-based accountability

Home Health Agencies

Join elite networks with quality-based selection, predictable referral flow, and reduced sales costs

Skilled Nursing Facilities

Participate in high-performance networks with capacity-aligned referrals and market advantages

Home Infusion Pharmacies

Build curated networks for complex specialty therapies and expand 340B program savings into home settings—delivering high-quality infusion care to vulnerable patient populations

Our Process

How NxtCare Works

A proven four-phase methodology that systematically transforms post-acute care delivery

1

Analyze & Identify

Discharge data analysis identifying performance gaps, cost drivers, and optimization opportunities.

2

Build & Contract

Strategic curation and contracting with tiered providers based on quality outcomes and capabilities.

3

Activate & Connect

Command Center infrastructure deployment with live post-acute provider EMR feeds and dashboards.

4

Govern & Optimize

Performance monitoring with accountability frameworks and continuous optimization.

Command Suite

Progressive Solutions for Post-Acute Excellence

Select your optimal level of visibility, control, and governance. Our tiered approach creates a clear pathway to progressive value realization.

E

Command Essential

Foundational visibility for organizations beginning their post-acute transformation. Historical analytics, discharge tracking, and performance benchmarking to identify network opportunities.

Clarity • Foundation Analytics

  • Claims-based analytics with discharge tracking
  • Operational dashboards (quality, performance, clinical metrics)
  • Multi-layer reporting suite (System, Hospital, Provider, Diagnostic, Payer, Referral)
  • Referral geo-mapping and visualization
  • Performance benchmarking (weekly/monthly/quarterly)
  • Market analysis and provider selection tools
  • Network build services
  • Historical trend analysis and reporting
  • Provider performance baseline metrics
  • Discharge pattern analysis and cost insights
  • Patient care match and acceptance workflow tools
Clarity
L

Command Live

Real-time operational infrastructure for organizations ready to manage their own networks. Live EMR integration, operational dashboards, and decision triggers—NxtCare anchors, your team operates.

Control • Real-Time Operations

  • All Command Essential features plus real-time capabilities
  • Direct EMR integration with live data streams
  • Live operational dashboards (quality, performance, clinical)
  • Provider performance analytics with clinical trending
  • Capacity trending and forecasting
  • Real-time admission/discharge reconciliation
  • Decision triggers (denials, planning, confirmations)
  • Payer to provider admission reconciliation
Control
P

Command Pro

Comprehensive turnkey governance where NxtCare owns network selection, activation, and ongoing accountability. Full-service management delivering maximum ROI through complete oversight.

Governance • Turnkey Enterprise

  • All Command Live features plus full governance
  • NxtCare-managed turnkey network governance
  • Ongoing hospital discharge workflow analysis
  • Root Cause Analysis triggers and structured action plans
  • ACO and value-based metric reconciliation
  • Shared savings participation models
  • Disease state module-specific management (CMS TEAM, SNF utilization, episodic and chronic disease programs)
Governance

For Health Systems, ACOs, Payers & Home Infusion Pharmacies

Transform Post-Acute Performance

Extend command center oversight into the post-acute continuum with real-time visibility, operational control, and measurable outcomes

Reduce Hospital LOS

  • Optimized Placement: Real-time matching to appropriate post-acute settings
  • Discharge Efficiency: Discharge logistics aligned with provider capabilities to reduce delays and bottlenecks
  • Capacity Visibility: Live geographic and staffing availability across network providers
  • Performance Tracking: Monitor discharge-to-admission timing continuously

Lower Total Cost of Care

  • SNF Avoidance: Education protocols that align patients to clinically appropriate home health settings
  • Readmission Reduction: Provider performance monitoring and accountability
  • Network Optimization: Quality-based selection of high-performing, cost-effective providers
  • Shared Savings: Value-based arrangements with aligned incentives

Launch Population Health Modules

  • SNF Avoidance Programs: Target appropriate patients for home health vs. SNF placement
  • CMS TEAM Performance: Complete episode visibility and cost performance tracking
  • Readmission Prevention: Real-time monitoring and intervention protocols
  • Complex Care Management: High-risk patient tracking and care coordination
  • Chronic Disease Programs: CHF, COPD, diabetes management with post-acute integration
  • Transitions of Care: Medication reconciliation and follow-up adherence monitoring

Site-of-Care Spotlight

Move Infusion Into the Home

Clinic and hospital-based infusion carries avoidable cost for payers and avoidable burden for patients. NxtCare builds and manages curated networks of infusion-capable home health providers, moving therapy safely into the home with Command Center oversight.

For Patients

Therapy at home instead of hours in a clinic chair. Greater comfort, less travel, lower infection exposure, and care that fits their lives.

For Payers

A materially lower-cost site of care for infusion therapy, delivered through a vetted, performance-managed network instead of unmanaged referrals.

For ACOs

Total cost of care reduction on one of the most expensive service lines, with the data to prove it in shared savings arrangements.

For Home Infusion Pharmacies

A reliable, credentialed nursing network to extend specialty therapies into the home, expanding reach without building field operations from scratch — including new 340B-eligible volume through our health system partnerships.

Discuss a Site-of-Care Strategy
⚡ Powered by Direct Post-Acute EHR Integration for Real-Time Clinical Visibility

For Post-Acute Care Providers

Join Quality-Focused Networks

Partner with leading health systems through operational excellence, patient choice compliance, and transparent performance

Home Health Agencies

Streamlined referral workflows and operational integration for efficient care delivery

Skilled Nursing Facilities

Quality outcome visibility and capacity-aligned admission workflows

✓

Operational Excellence

Patient choice compliant, capacity-aligned referrals focused on care delivery—not sales

✓

Financial Predictability

Improved cash flow through operational efficiency, reduced sales costs, and stabilized patient volume

✓

Market Advantage

Strategic positioning, payor leverage, peer insights, and value-based care readiness

✓

Direct EHR Integration

Seamless bi-directional connectivity with automated workflows and real-time data exchange

✓

Performance Transparency

Objective data visibility builds trust and demonstrates clinical excellence

✓

Participation Commitment

Your commitment is participation and data integrity—maintaining accurate, timely clinical information

Ready to Join Leading Post-Acute Networks?

NxtCare reaches out to top performers identified by our health system partners. Your commitment is participation and maintaining data integrity to support quality-focused networks built on operational excellence and patient choice compliance.

Express Interest

About Us

Meet Our Leadership

Combining operational expertise with advanced analytics to transform post-acute care delivery

Bob Mikulak - Founder

Bob Mikulak

Founder

Bob is a healthcare leader with over 20 years of experience improving patient outcomes. He is passionate about combining technology with operations to improve patient care. Bob understands the challenges faced by hospitals and post-acute care providers. He believes every day presents an opportunity to make a difference in people's lives.

Chris Oltmans - Population Health

Chris Oltmans

Population Health

Chris is a passionate healthcare leader with 20 years of experience in direct patient care, healthcare management, healthcare staffing and specializes in optimizing care transitions. Driving enhanced outcomes at the lowest cost with the highest patient satisfaction is what drives him daily. Chris is a Doctor of Physical Therapy with a degree from Creighton University.

David Lersch - Operations

David Lersch

Operations

David ensures the smooth execution of our solutions, drawing on more than 15 years of experience across the continuum of care, discharge management, patient portal operations, and transitional care logistics. He brings a deep understanding of the complexities of healthcare transitions and the operational discipline needed to navigate them.

Tony Rost - Information and Technology

Tony Rost

Information and Technology

Tony brings a unique blend of clinical, operational, and technical expertise to NxtCare. His background spans home health logistics, virtual care delivery, and post-acute care transformation across multi-state healthcare environments. At NxtCare, Tony leads the technology strategy and platform development to strengthen post-acute networks and support smarter care transitions. Tony earned his Doctor of Physical Therapy degree from the University of Nebraska Medical Center.

Jonathan Rickles - Systems and Networks

Jonathan Rickles

Systems and Networks

Jonathan is a healthcare operations leader with more than 15 years of experience scaling high-growth organizations. He combines innovative technology with provider and client operations to streamline workflows and improve care delivery. With deep expertise in post-acute care coordination, he believes high-performing networks pair intelligent technology with trusted relationships to expand access and deliver exceptional outcomes.

Our Commitment

With over twenty years of experience in home health and skilled nursing facility operations, our seasoned team has a profound understanding of patient care complexities. Our extensive experience within the post-acute care networks of leading university hospitals has equipped us with invaluable data-driven insights. These insights are the foundation of our proven solutions, which consistently yield strong financial and clinical results, ensuring a quantifiable return on investment supported by claims-based and real-time data.

Ready to Transform Your Post-Acute Network?

Partner with NxtCare to extend command center oversight into the post-acute continuum and drive measurable financial, operational, and clinical outcomes.

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