Optum offers products for complex medical conditions such as:
Bariatric
Cancer
Chronic Kidney Disease
Congenital Heart Disease
Orthopedics
Transplantation
VAD
Women's Health Services
- Fertility
- Neonatology
- Pregnancy

 

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CHDRS: Value for Patients and Clients


Comprehensive Contracts

With the cost of treating a complex case averaging $290,000, the impact of CHD patient management can be high. CHD Resource Services establishes comprehensive contracts surrounding surgeries for CHD health care that provide an average savings of 40% per episode. Contract rates begin at the admission for a procedure and generally end shortly after discharge, including a follow-up visit.


Contracted Case Rates for Each Surgery

Prior to joining Optum, clients were typically subjected to generic medical/surgical contracts and pay 80 to 100% of billed charges. CHD Resource Services provides a contracted case rate for each surgical category, based on procedures categories that reflect risk, mortality and cost. Case rates often include all CHD surgical procedures with allowable inpatient days and outlier per diems.