As patients move out of an acute care setting (e.g., an ICU) into a post-acute setting (skilled nursing facility, rehabilitation facility, or even home), there is a challenging handoff that must occur to ensure their safe transition and ongoing recovery. Caregivers must be able to take all of the patient’s information and complex medical situation and build a care plan that will allow them to regain their health and hopefully avoid future problems. This handoff is one of the areas of healthcare that can represent a chokepoint. Clay Richards is CEO of NaviHealth, a Cardinal Health company that helps healthcare organizations create and manage those care transitions. They help “manage patients, improve clinical and financial outcomes, and share risk with payors and providers.” Richards joined us on The Future of Health to explain the problem of care transitions and NaviHealth’s solution.