DIABETES

OptumHealth’s Diabetes Program helps our members understand diabetes, its implications, and how to take informed action to best manage their condition.

The program provides a comprehensive solution for the management of diabetes, focusing on helping members understand how to optimize their health while maximizing the value of every dollar they spend on their care.

Diabetes program interventions include:

• Comprehensive assessments by specialized Disease Management nurses to identify gaps in care and assist in creating individualized action plans. Plans include both short- and long-term goals to better manage diseases and reduce risks.
• Proactive outbound and responsive inbound nurse calls throughout the clinical intervention to help members achieve treatment goals.
• Help scheduling physician appointments and accessing appropriate care, including psychosocial services and community resources.
• Condition-appropriate medication management, drug-to-drug interaction information and adherence to medication regimens and physician treatment plans.
• Management of risk factors and co-morbidities including hypertension and depression.
• Educational opportunities to learn about:
  • Chronic conditions, self-management techniques, warning signs and use of evidence-based medicine to control and manage the progression of members’ diseases
  • Cost-saving opportunities through use of mail-order pharmacy, lowest tier medications and pill splitting where applicable
  • Programs that promote healthy lifestyle choices

The Diabetes program has delivered the following results:

• 9.1% reduction in admissions
• 6.8% reduction in days
• 4.3% reduction in emergency room visits
• 95% satisfaction rate