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.
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Case study
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John Hoffman, VP of Product at Optum, discusses how the future of payment integrity is built on preventing errors before payments are made.