We Are Leaders in Quality Program Support Consultation

From initial registration to final submission, the team at Optumus has been through it all – providing a level of comfort to your organization, and relieving the confusion and frustration associated with incentive program participation.

Each and every step of today’s most popular healthcare initiatives present challenges to a dynamic healthcare organization. Let us guide you through the clerical, technical and the clinical. Our consultants use their first-hand experience and subject matter expertise to provide a customized plan that focuses on efficiency.

Merit Based Incentive Payment System (MIPS)

MIPS is a performance-based payment system with four categories of Quality, Advancing Care Information, Improvement Activities, and Cost. These give clinicians options to select the factors that are most aligned with their healthcare practices.

Our team has assisted in the participation in merit based incentive programs since their inception through today, cultivating a unique understanding of these programs and their goals. As the programs have changed over time, we have built upon past experiences to develop a robust support package that will not only relieve the stress that participation brings but which allows us to act as a single resource for the entire process – from participation design, to implementation of new solutions, to end of period reporting.

Our team is so rooted in incentive programs that all of our content and project management professionals have program participation in the back of their mind. What this allows for is a unique experience for our clients. We do not need to be “asked” about program participation, we are always designing our workflows to be efficient for you while allowing you to maximize your performance payments as an ancillary benefit.

Patient Centered Medical Home (PCMH)

The main components of PCMHs are:

  • Team-based Care
  • Quality Improvement
  • Care Coordination
  • Care Management
  • Patient-centered Access
  • Population Health Management

Optumus has assisted many healthcare organizations achieve level III PCMH recognition. We have a 100% success rate with no organizations failing to hit their goals.

As a client resource, we have a fundamental understanding of the goal of PCMH: to affect meaningful, long-lasting practice improvement through process and workflow redesign, marrying technology-based tools with policies and workflows.

With this goal in mind, we stand by ready to assist your organization with any level of assistance you desire – from total management of the project to participation in the process by providing your organization with updated clinical content, workflow and policy re-design, or custom reporting solutions.

No matter our participation level, we ensure that the client goals are always in the forefront and lend our expertise to our clients to ensure long term PCMH success. Remember, the goal of the PCMH program is to affect long-lasting practice improvements. Policies and workflows must be sustainable to be truly successful. To be truly successful, in the long term, the design of your PCMH participation must fit into your practice’s culture. Optumus ensures this is woven through the fabric of your participation plan.