Modernize durable medical equipment with a member-centric experience
The Durable Medical Equipment (DME) workflow can be significantly improved by adopting modern practices and leveraging technology. By transitioning away from paper-based and fax-driven processes, we can enhance transparency, streamline operations, and provide real-time insights to all stakeholders. This transformation will lead to faster service delivery, more coordinated care and improved member experiences.
Considering that the number of Americans aged 65 and older is projected to nearly double – from 52 million in 2018 to 95 million by 2060 – now is the opportune moment to reevaluate your DME benefits management strategy.
Optum has collaborated with CareCentrix, a leader in healthcare at home, to offer a comprehensive DME benefits management solution that strengthens member satisfaction outcomes and lowers costs.
To revolutionize health care experiences, enhancing service quality becomes paramount
Get the right equipment
With an EHR integrated digital DME ordering platform, our system showcases vetted, in-network suppliers, ranked based on accessibility, service quality, and cost-effectiveness during service selection.
For the right patient need
Evidence-based criteria is integrated into the ordering platform with streamlined utilization management (UM) processes providing transparency on order decisions at the point of care.
At the right time
Streamlined digital processes to enhance patient communication, order tracking, and reliable on-time delivery minimizing delays, incorrect and incomplete orders.
To drive consistent cost savings
Reduced waste by enforcing coverage through upstream claims editing and pricing using negotiated, competitive rates.
Sources
- U.S. Census Bureau. The graying of America. 2018.
- CCX/Optum joint analysis of savings potential based on current market data. Potential estimated savings (%) will vary by health plan and actual potential savings will be updated after a specific health plan data run.
- PH data analysis; 2023.