Medrina
Supporting Better Outcomes across Post-Acute Care

Amish Patel, Founder and CEO

In post-acute care, patient recovery depends on more than the quality of clinical decisions made at the bedside. It also relies on coordinated clinical support, timely communication and informed decision-making across care teams, making sure patient recovery and facility performance are closely interconnected.

Medrina has built a post-acute care model that recognizes patient recovery and facility success as inseparable. It is one of the nation's largest physiatry groups, serving more than 1,500 skilled nursing facilities and other post-acute care providers. It supports millions of patient visits annually through a nationwide network of physiatrists, nurse practitioners and physician assistants who work as an extension of each facility's care team.

Rather than simply evaluating patients, rounding and leaving, they work closely with physicians, nursing teams, therapists, social workers and caregivers to coordinate care throughout a patient's stay. They participate in care planning, support facility staff in addressing patient needs and help ensure everyone works toward the same recovery goals.

To support its nationwide network, Medrina has built a ‘cocoon of services’ around each provider. Virtual support, AI-powered clinical tools, educational resources and data-driven insights help reduce documentation, billing, administrative tasks and outcome-reporting burdens. Clinicians can focus on patient care while hospitals and partner facilities benefit from consistent clinical practices and measurable outcomes.

"Everything we build around our providers ultimately makes a much bigger difference for the patient," says Amish Patel, founder and CEO.

Improving Outcomes Through Coordinated Care

Medrina’s physiatrists even keep an eye on conditions that fall outside their primary area of responsibility. They monitor changes that may indicate broader health concerns and communicate those observations with nursing teams and internal medicine physicians, providing an additional layer of clinical oversight.

They also help families understand why a loved one cannot return home yet. The clinical reasons for continued rehabilitation are explained, which gives families greater confidence in the care plan.

In markets where internal medicine coverage is limited, Medrina fills those gaps by providing its own physicians for internal medicine and wound care, among other specialties, depending on facility needs as well as local hospital needs. When multiple Medrina providers work together within a facility, shared electronic health records and coordinated workflows strengthen communication and improve care coordination and outcomes.

Establishing Value through Measurable Outcomes

Medrina relies on data to guide clinical decisions. The organization tracks readmissions, length of stay, pain scores and functional outcomes to evaluate care quality and identify opportunities for improvement. In recent pilot programs with hospital systems, Medrina showed improved performance across these key quality measures. Hospital partners were able to compare and verify the results, strengthening the case for broader collaboration.

Beyond using these insights internally, Medrina helps partner facilities present performance data to hospitals, insurance providers, Medicare and other payers. The same data is shared with referring hospital systems to demonstrate care quality and strengthen relationships.

Technology continues to support its clinical care. Ocular AI converts lengthy, unstructured hospital records into concise clinical summaries. Med IQ uses AI-driven risk stratification to assess comorbidities, prior hospitalizations, supplemental oxygen needs and home environments, to help providers identify patients who require closer monitoring and extra care.

Building Continuity through Culture

For partner facilities, continuity of care depends on provider continuity. To preserve both, Medrina manages recruitment internally, prioritizing cultural fit. Residency dinners and conversations with Medrina’s team give candidates an honest understanding of the day-to-day practice and the organization's culture. Before any provider signs, Medrina has peer-to-peer conversations so candidates receive firsthand perspectives from clinicians who have nothing to gain by convincing them to join. Nobody is paid to "close" a provider.

This recruitment style and provider support have helped Medrina maintain provider retention above 90 percent year after year.

Looking ahead, Medrina is boosting its value-based care strategy with the launch of its own accountable care organization (ACO) in 2027. It will move from limited upside risk to full risk-sharing, aligning high-quality patient outcomes with value-based reimbursement.