Optum Forum 2017 officially kicked off its fourth year on Monday afternoon at the Gaylord National Harbor Convention Center in Washington, D.C. with an insightful health care policy panel and the presentation of the first ”Inspiration in Health Care” awards given to companies tackling the biggest issues in health care today.
The Health Care and Modernization panel with former Senators Bill Frist (R-TN) and John Breaux (D-LA) was moderated by Cory Alexander, Executive Vice President of External Affairs, UnitedHealth Group and touched on the current state of health care reform and how both sides need to work together in order to succeed. Questions from the audience ranged from risk adjustment strategies to better investment in primary care.
The general session then wrapped up with the presentation of the Optum “Inspiration in Health Care” awards recognizing clients who achieved success in tackling the biggest challenges in health care and exemplify “How Well Gets Done.” Executive Vice President Tami Reller and President and Chief Operating Officer Dirk McMahon presented awards to the following partners:
Delta Air Lines
Delta has invested in a culture of wellness to manage employee health. Delta merges corporate goals with a comprehensive health and well-being strategy for 85,000 employees in 287 locations. Delta has seen measurable results – health assessment completion increased to 60 percent, biometric screening reached 39 percent, and there was a 10 percent reduction in ER visits.
Dignity Health uses Optum data and analytics for revenue cycle management and medical record documentation. Dignity also partners with OptumRx on pharmacy care services for Dignity employees. Optum Physician Advisory Services also redesigned Dignity’s case referral guidelines and workflow processes. The model drives second-level review standardization across 40 hospitals – cases requiring review are routed for status recommendations by Optum physician advisors.
Optum has partnered with Merck to utilize data, analytics and pharmacy care services for a Learning Laboratory focused on simulating the performance of reimbursement models in which payment for prescription drugs is aligned more closely with patient health outcomes.
The two companies are exploring the potential of outcome-based risk sharing agreements for broad adoption among payers, PBMs and pharmaceutical companies.
Michigan Department of Health and Human Services
The Michigan Department of Health and Human Services used Optum data, analytics and pharmacy care services for CareConnect360, a Medicaid care management tool for case workers to understand, analyze and monitor care received by foster children.
Soon, more than 1,800 foster care workers and supervisors from partner agencies will have access to the tool, allowing them to review a child’s medical history before a home visit and proactively engage foster parents about their child’s needs.