OptumHealth has simple solutions for:     Employers  |   Payers  |   Public Sector

Disease and Care Management

Managing costs and improving outcomes are the goals that drive us. By supporting effective resource use, identifying members in need of support before their conditions become acute, and using information to empower members and their providers, we make those goals realities.

Solutions:


Cancer, Kidney, and Bariatric Resources
Managing complex medical conditions is a time-consuming, costly and highly specialized process. Our comprehensive suite of Complex Medical Conditions programs provides high-quality, cost-effective services to meet the unique challenges of cancer, renal disease, and bariatric surgery.
Case Management
Our Case Management improves clinical outcomes for at-risk members while reducing overall costs and improving member satisfaction. Case Management improves care-seeking behaviors; ensures coordination for co-morbid behaviors and other conditions; and drives up-front, early interventions.
Disease Management
Our Disease Management programs help members manage high-risk pregnancies or cope productively with chronic conditions including asthma, diabetes, chronic obstructive pulmonary disease (COPD), congestive heart failure (CHF), coronary artery disease, back pain and obesity.
NurseLineSM
Our NurseLine is a market leader in Symptom Support and health care information. Through a single point of contact, 24 hours a day, 365 days a year, we help direct members to appropriate care resources to drive improved outcomes.
Therapy Network Management
Providing access to chiropractic and physical and occupational therapy, as well as complementary and alternative medicine networks, our Therapy Network Management program helps decrease the costs of musculoskeletal treatment while improving member outcomes.
Transplant Resource Services
Transplants represent extraordinary risk to public sector payers and health plans. Transplant Resource Services (TRS) from OptumHealth provides unparalleled clinical and economic value to organizations managing the catastrophic care of transplants.
Treatment Decision Support
Treatment Decision Support provides coaching to members facing one of nine targeted procedure areas that are often subject to inconsistent treatment practices and patient outcomes. Members benefit from high-quality physician referrals and decreased surgical rates, all at a lower cost of care.
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