Features and benefits
Optum partners with health plans to bring specialized benefits and clinical support to residents in long-term care — coordinating primary care, skilled care and specialty services for members of participating Institutional Special Needs Plans (ISNPs).
The Optum care model places an advanced practice clinician (APC), typically a nurse practitioner or physician’s assistant, at the center of the multidisciplinary care team.
The APC collaborates with the member, primary care physician (PCP), family and other stakeholders to develop a care plan that delivers proactive, preventive care on site.
Momentum toward the Quadruple Aim
Providing the right care in the right place at the right time
Achieving 51% fewer ED visits and 38% fewer hospitalizations1
Reducing fragmentation with high-touch communication and care
Providing 24/7 coverage for members including weekends and holidays
Ensuring manageable caseloads so Optum APCs can be patient-focused
Demonstrating 92% satisfaction among patients and their families2
Flexible collaboration
At Optum, partnerships are fundamental to success, so we offer flexibility in collaborative practice models depending on the PCP preferences.
In the news
Skilled Nursing News
How Saber’s I-SNP Partnership with Optum Gave the Operator a Head Start on COVID-19
READ MORE
[FierceHealthcare] Optum CMO discusses positive ISNP study
[Annals of Long-Term-Care] Podcast discusses Optum ISNP care model
[Community Circle] Clinical VP shares insights on serving vulnerable seniors in SNFs
[Skilled Nursing News] Recap of webinar on COVID-19 in nursing homes
[McKnight's] Nursing home care: Time for a culture shift
FOOTNOTES
- McGarry BE, Grabowski DC. Managed care for long-stay nursing home residents: An evaluation of institutional special needs plans. American Journal of Managed Care. 2019;25(9):400–405.
- 2018 Member Satisfaction Survey, Optum Consumer Experience Research Program.