Care Coordination and Management
Optum’s Care Coordination and Management solution helps managed care organizations improve both their members’ health and their bottom lines. We apply expert clinical consulting coupled with market-leading health care analytics to identify population-specific disease and care trends as well as pinpoint at-risk individuals with defined conditions and gaps in care. Some customers use our analytics directly; others rely on OptumInsight experts to help them design and implement customized provider- and member-specific intervention programs to improve health outcomes, reduce medical costs, and increase compliance with evidence-based guidelines.
OptumInsight helps organizations:
- Understand individual and population health status and trends
- Design effective, operational care intervention strategies
- Identify and stratify individuals according to both their current and predicated future health status
- Communicate the longitudinal care history of individuals to disease and case managers, providers, and managed care organization analysts
- Detect evidence-based medicine gaps in care and communicate them to the care team
- Direct interaction with providers and members to deliver appropriate care
- Enhance clinical quality, HEDIS®, and Stars measures
