About Optum
Optum is a health services company dedicated to making the health system work better for everyone serving 125+ million individuals. Our solutions and services are used at nearly every point in the health care system, from provider selection to diagnosis and treatment, and from network management, administration and payments to the innovation of better medications, therapies and procedures. Our clients and partners include those who promote wellness, treat patients, pay for care, conduct research and develop, manage and deliver medications. With them, Optum is helping to improve the delivery, quality and cost effectiveness of health care.
We work with our health plan clients, and their providers, toward improved patient care outcomes for their Medicare Advantage, Medicaid Managed Care Plan and Affordable Care Act (ACA) members. Optum provides tools and support to our clients in the early detection, ongoing assessment and accurate reporting of chronic conditions, including:
- Quality programs (HEDIS®/Five-Star Quality Ratings)
- Coding and clinical materials
- Educational classes for providers, coders, practice administrators and physician office staff
- Customized reports that:
- Identify patients with suspected chronic conditions
- Identify patients who have not recently visited your practice
- Demonstrate how your practice compares to local and national prevalence rates for chronic conditions
- And other complementary tools
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