Improving Health and Health Care Systems
Medicare Advantage and Medicaid Managed Care each present distinct challenges to health plans—challenges OptumHealth has the experience and customized solutions to help you address. Look to us for Medicare- and Medicaid-specific solutions designed to improve population health and individual outcomes while reducing costs.
You’ll find specialized networks—including one of the largest behavioral health networks in the country—supported by the latest technological innovations and an emphasis on community partnerships. We’ll work with you to:
- Improve the quality of care across the system, including adherence to evidence-based practices and improved HEDIS measures
- Expand access to the full range of community services that support recovery, wellness and the efficient use of resources
- Simplify the health care experience for members and caregivers
- Reduce administrative burdens for providers
Over one million Medicare lives covered. Medicaid experience—urban and rural, TANF to dual eligibles. Proven savings and documented outcomes. We’ve got you covered.
Fundamentals of System Change
From initial consultation to program delivery, we improve population health and Medicaid systems of care by focusing on five core fundamentals:
Focus: Use data and advanced analytics to identify the interventions that will have the most impact, and start there
Simplify: Build systems that streamline provider practices and support beneficiaries directly by delivering the right information at the right time in the right place
Integrate: Address the whole person—including medical, behavioral and psychological needs—and create programs that build lasting connections among providers and service systems
Learn: Support the effective use of evidence-based guidelines, using continual analysis to evaluate and improve individual and system outcomes
Make It Stick: Combine analytics, health management programming and beneficiary and provider communication to transform the system of care itself