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Clinical Support Program

Costs related to the treatment of back pain exceeded $48 billion in 2005, and both treatment type and effectiveness vary widely. Through our Clinical Support Program, OptumHealth works with practitioners to reduce costs and improve outcomes through the adoption of treatment supported by evidence-based medicine.

The cornerstone of OptumHealth’s Clinical Support Program is ongoing communication with participating practitioners. We emphasize accountability, directing practitioners toward evidence-based care in an environment of continuous learning and improvement. The program can be applied to individual provider networks, or integrated with OptumHealth’s family of physical medicine networks.

OptumHealth’s Clinical Support Program Provides:

  1. National coverage comprising more than 70,000 practitioners
  2. Rigorous credentialing criteria and regular performance reviews
  3. A tiered structure that identifies practitioners who meet specific quality and affordability metrics

The Clinical Support Program Drives Care Management Strategies

Our Clinical Support Program helps practitioners deliver evidence-based medicine for affordable, effective patient care.

  • Practitioners complete and submit a standardized health care record for each patient.
  • OptumHealth’s clinical team reviews data for each network provider.
  • Support clinicians contact network providers when necessary to assist with treatment needs.
  • Comprehensive data collection and information-sharing allows practitioners to compare treatments and outcomes with their peers.
  • To help reduce clinical variance, OptumHealth’s clinical team shares treatment procedures and guidelines with practitioners.