Optum Patient Care Management
See the whole patient, empower patients and care teams, and drive care management program scalability and performance to improve outcomes. Optum® Patient Care Management helps organizations manage patient care proactively and intelligently across the health care ecosystem, creating sustainable care networks to enable true patient-centered care at each stage of the patient journey. By creating smart workflows, auto-triggering tasks and generating precision interventions and patient-tailored care plans, the Optum Patient Care Management helps care managers focus on the highest priority issues for the greatest impact on care quality and cost. Aggregating and normalizing your diverse clinical and claims data with a growing set of sociodemographic, behavioral and patient-reported data, Optum can give you a 360-degree view of each patient for whom you are coordinating care.
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Optum AI Marketplace
Optum AI Marketplace is a curated ecosystem of AI-powered solutions designed to transform healthcare by providing payers, providers, and partners with tools to deliver better outcomes efficiently. It offers a diverse range of products and services across categories such as patient & member engagement, eligibility & claims, care operations & management, payment & reimbursement, and analytics & insights. Notable offerings include the prior authorization inquiry API, which enables payers to check a patient's prior authorization status in real-time, and SmartPay Plus, an e-cashiering payment platform that simplifies patient payments and streamlines the collection process. Additionally, Optum Advisory Technology Services provides expert support for digital transformation initiatives, offering system selection, procurement, implementation, and AI tools. It also features partnerships with trusted resellers, such as ServiceNow, to offer cutting-edge healthcare solutions.
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ThoroughCare
ThoroughCare is a comprehensive care coordination software platform designed to enhance care delivery across various healthcare services, including chronic care management, remote patient monitoring, behavioral health integration, transitional care management, annual wellness visits, and advance care planning. The platform enables providers to meet all service requirements, leverage evidence-based standards, and capture new revenue while closing gaps in care. ThoroughCare supports a comprehensive care management approach by tracking quality and performance, aggregating data across clinical sites to monitor engagement and performance, patient risk stratification reports, claims details, missed revenue, encounters, and call metrics. ThoroughCare Analytics informs decision-makers by visualizing operational, financial, and patient-related data. The platform integrates with electronic health records (EHRs), health information exchanges (HIEs), remote monitoring devices, etc.
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Care Director
Achieving the care coordination goals at lower cost is critical in ensuring patient satisfaction and loyalty. But these goals are complex. Your organization needs population health software that provides a shareable care plan that extends across all healthcare settings—without forcing users to leave their workflow. You need to be able to reach out to patients with automated tools, freeing up your care coordinators for more strategic tasks. It’s time for Care Director. With Care Director, your team can more efficiently coordinate outpatient care, stratify patients into at-risk and healthy populations and receive care recommendations based on actionable, clinical intelligence, resulting in more timely interventions and improved population health. Care Director enables providers to access a holistic care plan within their native workflows, so they can get information and communicate back to care navigators with minimal clicks.
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