The right level of care for the right person
At-home care allows people to stay in their homes rather than enter inpatient settings. But precision is critical. Providing and reimbursing the most appropriate level of care helps allocate finite resources to those who will benefit from them the most.
Partnering to assess opportunities
One state partnered with Optum to assess the home-based nursing care they cover, revealing opportunities:
- $80 million in annual savings
- Reduced nursing visits by 37%
- Increased medication administration visits by 15%
All with minimal to no disruption for constituents and less cost to taxpayers.
Related healthcare insights
Article
Discover the unique challenges and responsibilities of introducing AI into pharmacy benefit solutions.
Case study
AI transforms state health programs by automating detection, strengthening oversight and driving impact. Get key insights from experts.
Case study
See how a leading health plan reduced costs, improved outcomes and strengthened provider relationships with a modern post-acute care model.