Today, nearly half of the 13 million people who are dually eligible for Medicare and Medicaid are not in good health. The home is becoming an optimal setting for delivering value-based care, especially for patients who are most in need and have limited access to care.
Optum at Home’s model is designed to adapt, providing early intervention for those at risk and more frequent, hands-on care for high-risk patients. For our most complex, high-risk individuals, our team of nurse practitioners and physicians provides in-home support to ensure patients can remain where they feel comfortable — at home, receiving the compassionate care they deserve.
Watch how our talented team members come together to make it all happen and read Antonio’s story below:
Antonio’s story
Managing multiple chronic illnesses can be overwhelming, especially for older patients trying to keep up with medications, doctor’s appointments and daily health routines. Within this decade, 20% of Americans will be age 65 or older. Many, like Antonio, cope with complex health needs and often prefer to stay in their own homes, where they feel most at ease.
Providing coordinated care in these familiar settings can significantly enhance their satisfaction and overall health outcomes. The Optum at Home care model can help as we support more than 1 million members and connect more than 8,000 health care professionals across the U.S.
Patient-centered, quality care
Antonio was assigned to an individualized care team, including a dedicated care navigator, Daphne. Daphne checked in with Antonio regularly, ensuring he attended appointments, received vaccinations and accessed necessary community health resources. Daphne worked closely with Antonio’s nurse case manager, who visited Antonio each month and oversaw his progress.
Fast forward two and a half years, and Antonio’s transformation is remarkable. He is now 100% compliant with his medications, follows a healthy diet and monitors his blood sugar regularly. His latest A1C reading was an impressive 5.4, a major improvement from where he was before.
“They treat you like family,” Antonio says. “If you don’t understand something, they won’t stop until you do. You can’t get any better than that.”
The bottom line
When patients are given an individualized care team that works closely with them, we see an increase in quality care.
Hospital and ER utilization: 5% lower rate of hospital admissions and reduced emergency room usage.
Closing gaps in care: Optum at Home helps people get important checkups, screenings or treatments they might have missed – whether they forgot, didn’t know they needed it or couldn’t get to a clinic.
Member satisfaction: Average Net Promotor Score (NPS*) of 81.
* Average NPS scores range between 34 and 58 with 81 indicating a high level of member satisfaction.
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