Insights & Solutions

Driving Better Outcomes, One Person At A Time.

Why It Matters

Health care in the U.S. is fragmented, with many payment models failing to prioritize and incentivize value, quality and health outcomes. What’s more, health information is not being used to its fullest potential.

UnitedHealth Group believes efforts to advance quality outcomes in health care should incorporate physician-designation programs based on quality, take advantage of real-time information and intelligence to deliver evidence-based actions for providers and consumers, and leverage advanced technology and digital solutions.

We empower providers to better serve consumers and improve outcomes for individuals.

We make the greatest progress when we work in true partnership with care providers and always keep the patient experience at the center of everything we do.

Dr. Lewis Sandy Executive Vice President of Clinical Advancement, UnitedHealth Group

Driving Better Outcomes

Accelerating Value-Based Care.

Rewarding excellence in health care delivery based on patient outcomes is a proven strategy to not only improve quality and enhance the patient experience, but also to reduce health care costs for those we serve. We collaborate with health care providers by offering them technology, data and financial rewards for delivering excellent patient results at lower costs. 

Spotlight
NexusACO
Launched in 2017, UnitedHealthcare’s NexusACO organizes health care provider networks to improve affordability and quality, incentivizing members to choose the highest-performing care providers. The result is better care coordination and better health outcomes for patients, all of which drives 8% to 10% savings in medical costs.
www.huntcapture.comDoctors reviewing Patient information

Driving Better Outcomes

Empowering Physicians With Technology To Improve Health Outcomes.

Investments to modernize health care infrastructure, increase the use of data and information, and deploy proven technology solutions are necessary to improve health outcomes. To effectively coordinate patient care with providers from other facilities and health systems, clinicians need integrated access to relevant clinical information about their patients from other health IT systems. Efforts to advance interoperability must also ensure the responsible use of health care data and the protection of consumer privacy.

medicare

Driving Better Outcomes

Modernizing Care For Seniors.

Medicare represents more than 20% of all health care spending in the U.S. and spending on the program is expected to nearly double over the next decade. Solutions for modernizing Medicare include expanding proven private-sector best practices to improve outcomes, reduce costs, and enhance the health care experience for seniors, by:

  • Promoting high-value providers and care delivery.
  • Advancing care coordination.
  • Leveraging data analytics and technology.
  • Enhancing the consumer experience and promoting choice.

Spotlight

HouseCalls

As seniors age, their physical health and mental health needs change over time. In some cases, physical limitations and other impediments make it difficult for them to obtain needed health services and reduce their ability to engage with neighbors and community resources. Seniors may also face economic issues that can create food and housing instability.

The HouseCalls program brings one-on-one health care directly to seniors’ homes, helping identify patients’ clinical, behavioral and community needs, closing gaps in care, and identifying chronic conditions, as well as complications of chronic conditions.

HouseCalls annual visits, conducted by Optum’s Advanced Practice Clinicians, include a complete health history overview, a physical exam, the identification of health risks and gaps in care, and the development of an individualized plan of care for enrollees in Medicare Advantage special needs plans. Patients are also assessed for needed assistance, including food, medication, and housing affordability, transportation issues, and employment assistance.