The Optum Care Model
We are helping health care leaders improve quality and maintain census stability by bridging care for senior living residents.
Right care. Right place. Right time.
Our care model helps prevent unnecessary ER visits and hospitalizations.
Financial benefits:
- Census stability
- Reduces hospital readmissions
- Supports HEDIS and Star metric improvement
- Ensures appropriate CMS payment
- Provides education and in-service for staff
Delivery of care
Our clinical team collaborates with the PCP, staff and other providers
Clinical Benefits:
- Principal point of contact
- No 3-day qualifying hospitalization
- Reduces hospital and ER visits
- Support available 24/7
- Advance care planning focus
Helping find peace of mind
Our team provides personal, one-on-one support to each member, resulting in family satisfaction and peace of mind.
- Serves as the primary contact for family and care team
- Develops relationships through face-to-face visits
- Provides ongoing family education and engagement
- Creates a personalized care plan and performs assessment
- Attends to unique needs and concerns
Explore our solutions
PCPs and the Optum ISNP Care Model in SNFs
Close gaps in care and reduce fragmentation by participating in a cross-functional, team-based care experience.
The Optum ISNP Care Model for SNFs
Break the high-cost cycle by increasing care and benefits to Institutional Special Needs Plan (ISNP) members.
- 2019 Plan Year, reporting as of December 2019
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