United Healthcare 2011 Annual Report Download - page 7

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OptumHealth is organized into five major operating groups: Care Solutions, Behavioral Solutions, Financial Services,
Collaborative Care, and Logistics Health, Inc.
Care Solutions. Care Solutions serves more than 41 million individuals through personalized health management (e.g.,
wellness, chronic and complex conditions), decision support (e.g., insurance choices, treatment and health care provider
options) and access to networks of care provider specialists linked to medical conditions with high variation of quality and cost
(e.g., physical health, cancer and transplants). This comprehensive solution set empowers consumers and enables their
collaboration with specialty care providers that is critical to decisions that drive hospitalization and surgery.
Behavioral Solutions. Behavioral Solutions serves more than 52 million individuals through global well-being solutions (e.g.,
employee assistance programs) and behavioral health management solutions (e.g., mental health, substance abuse) that address
the emotional health needs of consumers, spanning the stress and anxiety of daily living, to depression associated with chronic
illness, to clinically diagnosed mental illness. Programs combine predictive modeling, evidence-based clinical outcomes
management, consumer support and peer support, with access to a leading network of behavioral health care providers.
Behavioral Solutions customers have access to a national network of more than 112,000 clinicians and counselors and 3,300
facilities in approximately 6,600 locations nationwide.
Financial Services. Dedicated solely to the health care market, OptumHealth Financial Services helps organizations and
individuals optimize their health care finances. As a leading provider of consumer health care accounts (e.g., health savings
accounts, flexible spending accounts), OptumHealth Financial Services enables people to use those tax-favored accounts to
save money today and build health savings for the future. Organizations rely upon OptumHealth Financial Services to manage
and improve their cash flows through turnkey electronic payment solutions (e.g., remittance advices, funds transfers) health
care-related lending and credit (e.g., financing of care provider medical equipment) and financial risk protection for third party
payers and self-funded employers (e.g., comprehensive stop-loss insurance coverage).
Financial Services is comprised of OptumHealth Bank, which is a member of the Federal Deposit Insurance Corporation
(FDIC), a TPA and a transaction processing service for the health care industry. As of December 31, 2011, Financial Services
had $1.5 billion in customer assets under management and during 2011 processed $54 billion in medical payments to
physicians and other health care providers.
Collaborative Care. Working closely with various health care providers in local markets and communities, Collaborative Care
believes that the market is moving to a collaborative network model aligned around total population health management and
outcomes-based reimbursement. In close coordination with local integrated care delivery systems, it deploys a core set of
technology, risk management, analytical and clinical capabilities and tools to assist physicians in delivering high-quality care
across the populations they serve. OptumHealth's coordinated post-acute care services augment primary care physicians to
deliver services outside of hospitals to vulnerable, chronically ill populations. In affiliation with a broad variety of payers,
Collaborative Care also delivers care to approximately 700,000 people through a spectrum of models ranging from medical
clinics to contracts with individual practice association networks.
Logistics Health, Inc. Acquired in 2011, Logistics Health, Inc. (LHI) focuses on mobile care delivery, logistically arranging for
convenient access to care at the time and place most needed. LHI designs and implements occupational health, medical and
dental readiness services, treatments and immunization programs and disability exams for the U.S. Military, Veterans
Administration and Department of Health and Human Services, as well as numerous commercial companies. Services are
delivered in provider clinics or through temporary on-site resources.
OptumInsight
OptumInsight is a health information, technology, services and consulting company providing software and information
products, advisory consulting services, and business process outsourcing to participants in the health care industry. Hospitals,
physicians, commercial health plans, government agencies, life sciences companies and other organizations that comprise the
health care system work with OptumInsight to reduce costs, meet compliance mandates, improve clinical performance and
adapt to the changing health system landscape. As of December 31, 2011, OptumInsight's customer base included more than
6,000 hospital facilities, nearly 250,000 health care professionals or groups, nearly 300 commercial insurance companies and
health plans, approximately 400 global life sciences companies, over 300 federal and state government agencies, including all
50 states, and approximately 150 United Kingdom government payers, as well as other UnitedHealth Group businesses.
OptumInsight’s products and services are sold primarily through a direct sales force. OptumInsight’s products are also
supported and distributed through an array of alliance and business partnerships with other technology vendors, who integrate
and interface its products with their applications.
OptumInsight's technology products and services solutions are offered through four integrated market groups. These market
groups are Provider (e.g., physician practices and hospitals), Payer, Government and Life Sciences.
Provider. The Provider market group combines a comprehensive range of technology and information products, advisory