Risk Identification and Capture

[CLASSICAL PIANO MUSIC]  [Close-up of Dr. Marie against a gray background.] On-screen text: Dr. Marie McCormack. Division Chief of Primary Care, Renown Medical Group. DR. MARIE: We were looking for a program to help us do risk identification and capture.  [A white background with blue text slides in from the left.] On-screen text: Renown Medical Group is a leading healthcare network in Nevada. [The screen transitions back to Dr. Marie against a gray background.] DR. MARIE: In 2022, we selected Optum to help us.  [Close-up of Dr. Amy against the gray background.] On-screen text: Dr. Amy Frankowski. Medical Director, Prospective Risk Adjustment. Optum. DR. AMY: We have got to work closely together, as we became partners, in trying to improve their risk adjustment space and their success in value-based care.  [The feet of the two women as they walk along on a carpet. Then, they talk as they keep walking and then sit at a table one in front of the other.] DR. MARIE: When we started with Optum and we were putting the program together, Doctor Frankowski came and helped us to research everything. It was wonderful because she's an internist, and you could tell from the start that she cared about my providers.  [The two keep talking at the table.] DR. AMY: The brick program is the risk identification and capture program. It is both a technology and a consultative service…  [Close-up of Dr. Amy against the gray background.] DR. AMY: …to bring technology and insights into their workflow.  [A woman wraps a blood pressure machine around the arm of a female patient on a couch and pumps the sphygmomanometer.] DR. MARIE: It helps my providers to take better care of their patients, because they're more precise in the way they look at the patient and what's going on with them.  [Close-up of Dr. Marie against a gray background.] DR. MARIE: And then by their precision and documentation, it also helps the resources to flow into the Medicare Advantage plan.  [Close-up of Dr. Amy against the gray background.] DR. AMY: Important motivators for me…  [In a medical exam room, a man in white coat auscultates a female patient with a stethoscope. Then hands in blue rubber gloves pump a sphygmomanometer.] DR. AMY: …have always been making the right thing to do the easy thing to do for patients and providers.  [Dr. Amy at a table reads a paper document and uses her finger to scroll down the page.] DR. AMY: We were able to bring in where could they focus more to succeed? If that's patient outreach or chart review…  [Middle close-up of Dr. Amy against a gray background.] DR. AMY: …or using artificial intelligence, using their nurse coders?  [In a medical exam room, a man in dark blue scrubs measures the blood pressure of an older man with white hair, in a light blue jumper. Then a man in white coat auscultates a male patient, who is sitting on an exam bed.] DR. AMY: That's an area that we automated for them, and that takes burden off the providers helping to prep that visit.  [Dr. Marie on her phone, typing and then on a call. Then, close-up of her against the gray background.] DR. MARIE: With Optum and our ability to do pre-encounter research, we sometimes find conditions that the patient doesn't even remember they have.  [An elderly patient in a hospital gown talks to a woman in white coat, who is holding a stethoscope.] DR. AMY: They've been very successful with engaging specialists.  [Middle close-up of Dr. Amy against a gray background.] DR. AMY: We want to make sure that every visit counts.  [In a medical exam room, a woman in white coat and a stethoscope around her neck walks towards a man and the two start speaking.] DR. MARIE: Since we added in the specialist to the primary care group, almost every patient that has our insurance product does get seen…  [Middle close-up of Dr. Marie against a gray background.] DR. MARIE: …and so we've improved our risk adjustment factors by 26%.  On-screen text: *Results may vary by client and past performance is not a guarantee of future results. Everything that we need to do for our patients has improved, which means that my patients get better care, and that's the bottom line for every primary care physician.  [The “O” of the Optum logo zooms in into the center of the screen on a light blue background and then slides to the left to form the Optum logo.] On-screen text: Optum.  [MUSIC PEAKS AND FADES OUT]