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Collaborative care for better outcomes

Optum partners with health plans to bring specialized health care benefits, clinical support and over 25 years of experience to residents in skilled nursing facilities (SNFs), assisted living communities (ALCs) and memory care units.

 

One of those benefits is our patient-centric model of care, led by clinicians (typically a nurse practitioner or physician assistant, often supported by an registered nurse) to coordinate and enhance the quality of care for Medicare Advantage Special Needs Plan (SNP) members.

 

 

1,800+ SNFS and ALCS

where the care model is active1

26 states

served plus the District of Columbia1

70,000+ members

nationwide1

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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
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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
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Explore our solutions

   

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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.
Learn more
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The Optum ISNP Care Model for SNFs

Break the high-cost cycle by increasing care and benefits to Institutional Special Needs Plan (ISNP) members.
Learn more

Let's talk about a partnership in care.

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  1. 2019 Plan Year, reporting as of December 2019