The regional alignment combines resources and services across the care continuum - from preventative medicine to diagnostics to treatment and beyond - and features 70 specialties, working in 360 medical practices and more than . It definitely has stressed even the largest physician groups, said Lisa Bielamowicz, co-founder of consultancy Gist Healthcare. Venkatesan received his undergraduate degree in electronic engineering from Indian University and his MBA in health care from the University of St. Thomas. [18] "Optum's been the leader in showing how a managed care organization with an ambulatory care delivery platform and a pharmacy benefit manager all in house can lower or maintain and bend cost trend and then drive better market share gains in their health insurance business. Mark Flakne serves as chief financial officer of Optum Health. Horohos distinguished professional career also includes 33 years with the U.S. Army, where she retired as a Lieutenant General, the 43rd Army Surgeon General and Commander of the U.S. Army Medical Command. The Optum Story in the Tri-State Region: Optum Tri-State was formed in 2022 by bringing together Riverside Medical Group, CareMount Medical and ProHealth Care. CIO, Optum Health and Enterprise Clinical Technology. He's a member of the Board of Partners Health Plan, a health plan dedicated to serving individuals with intellectual and developmental disabilities and their families. Shawna Gisch has been with UnitedHealth Group for 13 years, splitting her time in leadership roles across Optum and UnitedHealthcare. This week, Hudson Valley patients at CareMount Medical Group received a confusing email announcing that the company is now a part of Optum. Dr. Hayworth has been named by Crains New York Business as a Notable Health Care Leader every year from 2020 to 2022. President and Chief Executive Officer, Optum Pacific West. Contacts Media Contacts Gwen Holliday 202-549-3429 gwen.m.holliday@Optum.com Katherine Wojtecki 630-624-9142 Katherine.Wojtecki@changehealthcare.com The previous patient portal is read-only. He has led applied research programs in patient safety, digital health and public policy, publishing over 100 articles in journals including, Language Assistance / Non-Discrimination Notice, Asistencia de Idiomas / Aviso de no Discriminacin. Previously, he served as the managing director and head of mergers and acquisitions at Dain Rauscher Wessels, which became part of Royal Bank of Canada. RMA of New York and CareMount Medical Announce Partnership to Expand At CareMount Medical, he was responsible for several physician acquisitions and led the formation of the Groups Management Services Organization. Gisch graduated summa cum laude from Oregon State University with a BS in chemical engineering and a minor in business administration. Under his leadership, the company reached profitability in its second year of operations by tripling the number of covered lives, reducing the medical loss ratio and maintaining administrative expenses. ? Humana Corp. bought a South Florida physician network this week in its latest expansion of primary care. Be challenged in a career that helps people around the world live fuller lives through better health. The center brings together a cross-functional team of clinicians, designers, technologists and data scientists with a shared passion for using technology to enhance care delivery. Confused, I scrolled down to find outmore about this exciting announcement. Her team had responsibility for overseeing the clinical model for Medicaid, Medicare and Dually Eligible individuals. OptumHealths operating revenue has roughly tripled since 2015 to almost $40 billion last year -- greater than that of 85% of companies in the S&P 500 -- and it contributed $3.4 billion to UnitedHealths operating profit. General Cardiologist - Optum Tri- State- CareMount Medical He was responsible for establishing, leading and executing strategic technology roadmaps and the associated capital investments to support UnitedHealthcares businesses through innovative and differentiated technology capabilities. Dr. Decker also has served as a Professor of Emergency Medicine at the Mayo Clinic College of Medicine, and directed the Emergency Medicine Residency Training program at Mayo Clinic. This new portal has an easy-to-use registration process and is only available to Optum Medical Care (formerly CareMount Medical) patients. Those include data and payments firm Change Healthcare Inc., valued at $8 billion, and other targets the company did not specify. She also received an MBA from Harvard Business School. The email shows a huge Optum logo, with smaller logos for CareMount, ProHEALTH and Riverside Medical Group below it. His responsibilities include business development and strategy, financial planning and analysis, regulatory, pricing, and capital management. He also serves on the Executive Committee of the Board of Directors for American Physicians Groups. Here's what Optum and SCA Health have done so far in 2023: Optum appointed a new enterprise lead and a new CEO for its East region. The combination could steer more practices into the arms of deep-pocketed suitors. As part of his PhD, he co-authored the influential Mindspace report, which served as the initial operating framework for the Behavioral Insights Team in the UK Prime Ministers office. Caremount (or Optum) promises that the change won't affect who your healthcare provider is, office locations or the acceptance of patients' current health insurance plans or copays. Under her leadership, Horoho has built a dynamic senior leadership team and has grown the Optum Serve employee population and business. POUGHKEEPSIE - Caremount Medical with offices. Coordinating care and mobilizing a full range of resources have been key to ensuring the best results for our patients. View statements from Optum Medical Care, P.C. CareMount Medical is a physician-led multispecialty group that was started in 1946 by a group of physicians who wanted high-quality medicine closer to home. In 2017, he became president of the Optum Care Mountain West Region. Learn more at www.changehealthcare.com . In his current role as president and CEO of Optum Pacific West, Dr. Chao oversees the growth and operations of Optum Care in California, Oregon and Washington. Other leadership roles include service as an executive board member for the Association of American Medical Colleges Telehealth Committee, advisor for the National Quality Forums telehealth committee and co-chair of the Telehealth Committee for the American Nurses Association. We are super strict between our two shops, UHC and Optum, Decker said. Everyone knows how confusing it can be to navigate the healthcare system. A CPA and member of the American Institute of Certified Public Accountants, Grundhoefer earned his MBA in finance and accounting from the University of Texas at Austin. The ability to communicate with your provider, view upcoming appointments and request prescription refills continues on the new portal. At Mayo Clinic, Dr. Decker pioneered the use of innovative digital technologies, including telemedicine and AI, to deliver health care expertise to affiliated care providers nationwide, as well as leading the digital strategy around engaging and empowering patients. Independent doctors were in decline before Covid, as high administrative costs and weak negotiating leverage favored tie-ups with big health systems. Home & Community Care is focused on delivering patient-centric health care with improved patient outcomes, increased quality, lower costs and high patient satisfaction. Landmark declined to comment. During this time, you will receive an enrollment email with a sign-up link. Prior to his current role, Hofer served as the CEO of AbleTo since 2018. Scott Theisen is the chief executive officer of Home & Community Care and is responsible for leading Optum home-based care programs including in-home clinical assessments, and longitudinal and transitional care programs for members in home, assisted living and skilled nursing settings. Kevin Conroy - Chief Executive Officer and Market Leader, Optum Tri Optum plans to expand the existing practices organically. Our portal is for non-urgent matters only. In that capacity, she worked across employer, health plan, government and provider markets. It goes on to explain that "Optum is a national health services innovation company" and that the new partnership will do more to "fulfill our mission to provide you with state-of-the-art care, close to home.". His career with Optum began in 2008 at Southwest Medical Associates in Las Vegas, Nevada, where he served as a primary care physician and medical director. 6 0 obj He has medical degrees from the University of St. Andrews and University of Manchester, and undertook academic surgical training in Oxford and London. With more than 700 doctors and 745,000 patients, the group has a track record of providing efficient care. A 490,000-square-foot building housing Optum's CareMount Medical in Chappaqua, N.Y., was sold. He is currently certified by the American Board of Urology and a Fellow of the American College of Surgeons. Prior to joining Optum, Dr. Decker served for more than two decades at Mayo Clinic, one of the largest not-for-profit, academic health systems in the U.S. July 2022 Optum acquires Caremount Medical, Inc., of southeastern New York State, Riverside Medical Care of New Jersey, and ProHealth Medical Group of Western Connecticut, three midsized physician-led independent medical groups. President, Optum Health Derek Chao, MD President and Chief Executive Officer, Optum Pacific West Patrick Conway, MD, MSc CEO, Care Solutions Kristy Duffey, APRN-BC, FAAN Chief Nursing Officer, Optum Health; Chief Operating Officer, Optum Home and Community Care Daniel Frank, MD Chief Clinical Officer, Optum Health Scott D. Hayworth, MD, FACOG Dr. Elsawy is also the co-chair of the Physician Executive Council, the national physician leadership and governing body for Optum Care. Before joining Reliant, Dr. Elsawy held several executive positions at Cleveland Clinic. Gisch has also served as chief of staff to the Community & State CEO and led various teams within Optum Health, including managing a portfolio of case and chronic condition management programs. Physician practices that need capital often find big hospital systems to be eager buyers, and Boston has plenty. He has led applied research programs in patient safety, digital health and public policy, publishing over 100 articles in journals including Nature, The Lancet and Health Affairs. Winkey has an MBA from The University of Chicago Booth School of Business and a BA from Wartburg College. The regional alignment combines resources and services across the care continuum - from preventative medicine to diagnostics to treatment and beyond - and features 70 specialties, working in 360 medical practices and more than .