Reducing the Risks Associated with Complex Conditions

Evidence-based, cost-effective care coordination for complex medical conditions simultaneously improves outcomes and reduces costs. Look to OptumHealth for health care solutions tailored to the Medicare and Medicaid populations, including:

• Case management programs built specifically to support the needs of Medicare and Medicaid members facing transplants, with comprehensive pre- and post-care planning and support
• Customized Medicaid care management for high-risk pregnancies, designed to reduce NICU utilization and improve outcomes
• High-risk care management, including local care coordination and advocacy, for beneficiaries with co-morbid medical and behavioral conditions
• Specialized behavioral health care management and network development, including collaborative local development of community alternatives to higher levels of care and a complete Medicare SNP program
• Access to our Centers of Excellence networks for transplants, cancer, kidney failure and other complex conditions, enabling members to receive care from some of the nation’s most respected medical facilities at significantly discounted rates