provision of a web-based system and online portal for users in the health care field, namely, health care providers, health care systems, payers and hospitals, to communicate with each other online in order to manage the transition of patients to post-acute or acute care settings; provision of a web-based system and online portal that allows users in the health care field, namely, health care providers, health care systems, payers and hospitals, to communicate with each other online to facili...