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features and benefits

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A life changing journey 

Optum® Bariatric Resource Services provides member support through the entire continuum of care.

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Obesity is a serious health concern 

Obesity is a growing concern and a serious health problem in the United States. It may be affecting your members and result in higher costs for you.

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41%

of working-age Americans age 40-5, classified as obese1

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21%

national medical spend because of obesity2

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42%

more medical costs for people who are obese3

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80%

Percentage of people with diabetes who are overweight or obese4

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Obesity related conditions include some of the leading causes of preventable death5

  • Type 2 diabetes 
  • Certain cancers
  • Heart disease
  • Stroke
  • Sleep apnea
  • Hypertension

 

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Consider carving out benefits for complex medical conditions like bariatric surgery with the Optum Bariatric Resource Services (BRS).

Optum BRS will enable you to reduce medical expenses associated with bariatric surgery. It also provides support for your members, their family members, and caregivers, increasing potential for success.

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A multi-disciplinary approach

Optum Centers of Excellence (COE) and clinical nurse case management help lower total cost of care and support better outcomes. 

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Centers of Excellence (COE)

  • Clinically superior compared to most non-COEs performing bariatric surgeries
  • Evaluated annually to ensure highest quality and best value:
    • Annual volume of surgeries
    • Number and experience of surgeons
    • Complications and mortality rate
    • Certifications
    • Length of program existence 
    • Multidisciplinary team
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Clinical nurse case management

  • Pre- and post-surgical telephonic clinical case management by dedicated BRS nursing staff
  • Provide education on the benefits of choosing a COE facility 
  • Provide post-surgical follow up to ensure behavior/lifestyle modification and reduce complications
  • Specialized bariatric experience
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Lower mortality rate in BRS COEs compared to non-COE providers6

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Lower inpatient hospital remission rate in BRS COEs compared to non-COE providers7

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Lower re-operation rate in BRS COEs compared to non-COE providers8

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Lower average allowed in-patient cost per surgical episode at a BRS COE9

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surgical avoidance rate drives additional savings10

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member satisfaction with BRS clinical case managers' support; 86 percent of members indicated better health outcomes with the program11

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Footnotes

1, 4Obesity Rates by Age Group, stateofobesity.org/obesity-by-age. Accessed July 2018.
2United States Centers for Disease Control and Prevention (CDC). cdc.gov/obesity/data/adult.html.  Accessed June 2018 
3Finkelstein EA, Trogdon JG, Cohen JW, Dietz W. Annual Medical Spending Attributable to Obesity: Payer-and Service-Specific Estimates. Health Affairs. 2009;28(5):w822-831. stateofobesity.org/healthcare-costs-obesity.  Accessed July 2018. 
5Metabolic and Bariatric Surgery: asmbs.org/resources/metabolic-and-bariatric-surgery. Accessed June 2018. 
6, 7, 8Tauer J. 2016 Center of Excellence qualification analysis results, analyzed 2017. 
9Haig K. 2015 Optum claims book of business analysis, analyzed 2015.
10Wenzel J. 2017 Optum case book of business analysis, analyzed 2018. 
112017 Q4 Optum Consumer Net Promoter Score survey results.