Attention former CareMount Medical patients: A new and improved Patient Portal is here. Stock photos used. Covid-19 made it worse. UnitedHealth wants to add at least 10,000 this year, and if regulators clear the proposed deal, Atriuss 700 doctors and primary-care providers will be among them. Mark Flakne serves as chief financial officer of Optum Health. Dominic King, MD, PhD, leads the Center for Advanced Clinical Solutions (CACS) at Optum Health, which is building innovative products that better enable our care teams to deliver proactive, best-practice care. He completed his residency in family practice at Jackson Memorial Hospital in Miami where he became board certified in family medicine. Prior to this role, Winkey was the chief development officer of UnitedHealth Group, leading all development efforts enterprise-wide. Dr. Hayworth has an AB in biology from Princeton University and an MD from Cornell University Medical College (now Weill-Cornell Medicine). That kind of consolidation has drawn scrutiny from economists and regulators. Then, the pandemic pushed up expenses for protective gear and dented revenue as patient visits dropped off. Her team had responsibility for overseeing the clinical model for Medicaid, Medicare and Dually Eligible individuals. Grundhoefer joined WellMed in 1998 as chief operating officer/chief financial officer and was promoted to president/COO in 2006. The acquisition is expected to be accretive to UnitedHealth Group's net and adjusted earnings per share by approximately $0.20 and $0.50 respectively in 2022, advancing strongly in subsequent . This new portal has an easy-to-use registration process and is only available to Optum Medical Care (formerly CareMount Medical) patients. Before joining CMS, he oversaw clinical operations and quality improvement at Cincinnati Childrens Hospital Medical Center. He oversees contract negotiations involving network design and has succeeded in driving down the total cost of care through strategic partnerships with health systems in a complex multi-payer environment. In his most recent position as Optum Tri-States president as well as in prior positions as CareMount Medicals chief financial officer and chief population officer, Conroy has been integral to introducing value-based care and improving the experience for providers, team members and patients. Hofer spent several years with Booz Allen, a leading management consulting firm headquartered in Washington, D.C. Hofer holds a bachelors degree in economics and environmental studies from St. Lawrence University and a Master of Business Administration degree from Yale Universitys School of Management. 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. The AG must approve the non-profits conversion to a private entity. He most recently held the dual role of chief medical information officer for Mayo Clinic, and CEO of Mayo Clinic in Arizona. More acquisitions are in the works: The company had $13 billion committed for recent purchases that have not yet closed, it disclosed in its annual report filed March 1. At Optum, Dr. Chao is a leader in advancing value-based care, expanding access to high-quality, affordable, and convenient care across the diverse communities of Americas West Coast. . Before joining WellMed, Grundhoefer spent three years at Anthem Insurance (now Wellpoint) in Indiana, where he was first head of mergers and acquisitions, and then COO/CFO for a multi-specialty IPA which managed the full-capitation risk for more than 10,000 lives. -f ? The brand new patient portal is now available. Who is the most 'overpaid' CEO in healthcare? He performed his internship and residency in internal medicine at the University of Virginia Medical Center and engaged in a research fellowship at Johns Hopkins University. %PDF-1.4 Optum Tri-State was formed in 2022 by bringing together Riverside Medical Group, CareMount Medical and ProHealth Care. Grundhoefer previously served as an executive consultant at Ernst & Young. 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. Travis Winkey was appointed president of Optum Health in 2020, where he is responsible for overseeing growth, innovation and emerging business development, business alignment and operations. Reliford also spent three years with CVS Health as a division head of specialty pharmacy, leading account management and sales for its rare disease, prior authorization and specialty fusion companies. Dr. Elsawy is also the co-chair of the Physician Executive Council, the national physician leadership and governing body for Optum Care. 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 the last 2 years, Optum Serve has entered into new markets, grown the top line by 300%, improved bottom-line performance by 1,250 base points and grown into a multi-billion dollar organization. Under his leadership, CareMount Medical has grown from a handful of locations to more than 45 sites throughout the Hudson Valley and New York City, expanding and transforming staff, services, facilities and practice infrastructure to offer a high-quality, seamlessly integrated patient experience. He also guided the medical management and customer service operations, which included assisting practices in delivering state-of-the-art customer services through a joint venture with Disney University. Founded in 2011, Optum, a part of UnitedHealth Group, is a information and technology-enabled health services business operating across many countries in North America, South America, Europe, Asia Pacific and the Middle East. Bryan Grundhoefer brings more than three decades of expertise to his role as president of WellMed Medical Management. SCA Health also appointed a new CEO. As a health care executive, Dr. Chao leads business development for the fast-growing Pacific West region, collaborating with external partners to find opportunities for growth and driving the M&A process. June 19, 2019. An expert in health care transformation, Horoho moved the entire Army Medicine organization from a disease model of care to a system for health. Coordinating care and mobilizing a full range of resources have been key to ensuring the best results for our patients. Derek Chao, MD, is a physician, health care executive, and a nationally recognized leader in value-based care strategy. His responsibilities include business development and strategy, financial planning and analysis, regulatory, pricing, and capital management. The regional alignment combines resources and services across the care continuum - from preventative medicine to diagnostics to treatment and beyond - and features 70 specialties . We provide data and analytics-driven solutions to improve clinical, financial, administrative, and patient engagement outcomes in the U.S. healthcare system. You are now being redirected to the BCE.ca website (Bell Canada Enterprises), where you can view our Accessibility plan,and submit your feedback using our Accessibility webform. Privacy Policy. He also serves on the Executive Committee of the Board of Directors for American Physicians Groups. [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. Copyright 2023 Becker's Healthcare. Another pending deal for in-home care provider Landmark Health is under review by the Federal Trade Commission, according to a person familiar with the situation. 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. With over two decades of success in developing innovative programs that improve quality, lower total cost of care, and enable patients to live healthier lives, Dr. Chao is at the forefront of redefining health care in the United States. This Optum-UnitedHealth model of vertical integration[17] is pointed to as having sparked a pattern of acquisition activity in the healthcare industry; most notably, mega-mergers between CVS-Aetna, Cigna-Express Scripts and Humana-Kindred. Sept. 17, 2019: Optum Ventures leads the $8 million funding round for Kaia Health,. Conroy is past chair of the Chief Financial Officer Council for the American Medical Group Association. Duffey leads interdisciplinary clinical teams delivering care in the home, as well as in community settings such as skilled nursing facilities. x}KnIr32wP.M{{* <0u/vfddyy?>GKFV?i keW{mI?N][}PR_xMx\5Z@YrJ(Wf:]e~P.x6^e/#id\k*^G2j[eQ8:q$4]0p\ She most recently served SCA Health as chief financial officer and chief administrative officer with oversight of 10 business functions. Kristi Henderson is a health care executive with 25+ years of progressive leadership in a journey from bedside nurse practitioner to CEO. At AbleTo, Hofer was responsible for driving significant growth for the organization in serving their members mental health needs with superior experiences and innovative solutions. The combination could steer more practices into the arms of deep-pocketed suitors. 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. B. Chief Nursing Officer, Optum Health; Chief Operating Officer, Optum Home and Community Care. Learn more at www.changehealthcare.com . He founded the digital health company Hark, which was acquired by Google in 2015 and went on to lead the health team at Google DeepMind and then Google Health in the UK. Dr. Hayworth was the president and CEO of CareMount Medical (formerly Mount Kisco Medical Group, PC) for more than 20 years, overseeing nearly 15-fold expansion in size of the group prior to its becoming part of Optum Tri-State in late 2020. Prior to joining UnitedHealth Group, Theisen worked for the public accounting firm of Price Waterhouse LLP, serving in various positions including senior manager-audit services. In this role he led clinical strategy, quality, affordability, risk adjustment, network strategy and provider experience in addition to all clinical programs and teams. 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. She made history being the first woman, first nurse and non-physician to hold these posts. The United HealthCare Group Inc. website on a laptop computer arranged in Hastings on Hudson, New York, U.S., on Saturday, Jan. 23, 2021. But sometimes,simply knowing the name of your medical group can be tricky. There didn't seem to be much except that the new Optum logo will now appear on bills and paperwork. He was selected by Beckers Hospital Review as one of their 105 Physician Leaders to Know in 2019 and 112 Physician Leaders of Hospitals and Health Systems in 2018. Optum contact info: Phone number: (888) 445-8745 Website: www.optum.com What does Optum do? Henderson most recently led clinical operations for Amazon Care, a health care initiative for Amazon employees and their families. Optum plans to expand the existing practices organically. stream Here's what Optum and SCA Health have done so far in 2023: Copyright © 2023 Becker's Healthcare. 2023 Optum, Inc. All rights reserved. Serving New Yorks Hudson Valley and Catskill for over 23 Years, Were the news source where other reporters get their news, Newsroom:news@midhudsonnews.comnews@statewidenews.com, 924 Homestead AvenueMaybrook, NY 12543Tel:929-607-3088, Copyright 2023 NY Newswire LLC| All rights reserved. <> Under his leadership, Optum received the Best Medical Provider in the Southland designation by readers of the L.A. Times, Top Doc status for hundreds of Optum Washington clinicians by Seattle Metropolitan and Seattle magazines, and numerous quality awards across the region. More than four million Optum patients are in such arrangements, including some insured by UnitedHealthcare and more than 80 other payers that Optum physicians contract with. All Rights Reserved. Trip Hofer recently rejoined Optum Health, a UnitedHealth Group Company, as CEO of Optum Behavioral Solutions. He was president and chief financial officer of WellCare of New York, a government programs health plan. The brand new patient portal is now available. LTG (Ret) Patricia (Patty) D. Horoho is the chief executive officer of Optum Serve, the end-to-end federal business of both Optum and UnitedHealth Group. 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. This week, Hudson Valley patients at CareMount Medical Group received a confusing email announcing that the company is now a part of Optum. Hofer is a visionary leader who has a reputation for bringing new and disruptive thinking to his teams. Starting today, please make any requests or download any relevant documents that you may want to save. We are reshaping the health care experience by putting patients at the center of everything that we do. Through a team of more than 16,000 purpose-driven employees across all 50 states, Optum home-based care solutions provide holistic care and serve the physical, mental and social needs of people according to their personal care preferences. Sept. 13, 2019: Optum acquires payment-processing platform Equian in a transaction valued at $3.2 billion. While many of your favorite Hudson Valley fast-food restaurants have remained in the same spot for decades, their buildings are almost unrecognizable from what they used to look like. View the job description, responsibilities and qualifications for this position. Dr. King previously practiced as an academic general surgeon at Imperial College London, where he continues to serve as an honorary clinical lecturer. (Bloomberg) -- Atrius Health, the largest independent doctors group in Massachusetts, faced financial trouble heading into 2020. 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. Previously, Duffey served as chief executive officer of Optum Population Health Solutions and led the business transformation and external partnerships for whole-person care products and services. The company encourages payment arrangements that tie revenue to long-term patient outcomes, rather than reimbursement for individual tests or procedures. Effective March 20, the pediatric providers at Poughkeepsie Columbia moved to Poughkeepsie Oakwood. Venkatesan has an extensive background in the technology strategy and software engineering of modern engineering platforms and high-volume processing systems across the health care domain. Optum claims "its system helps 'clinicians provide more effective patient care every day'".[28][29]. He is past chairman of the board of the American Medical Group Association and former national treasurer of the American College of Obstetricians and Gynecologists. Humana Corp. bought a South Florida physician network this week in its latest expansion of primary care. 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 has been a subsidiary of UnitedHealth Group since 2011. Scott D. Hayworth, MD, FACOG, is the senior vice president and chief physician liaison officer of Optum Health, driving growth across the country as a physician leader supporting mergers, acquisitions and new strategic partnerships. View statements from Optum Medical Care, P.C. Grundhoefer also serves as president of the board of the WellMed Charitable Foundation, the nonprofit philanthropic partner of WellMed. At Optum, we are . Her clinical teams bridge home and clinic to coordinate care across physicians, nurse practitioners, pharmacists, social workers and other experts to address the full medical, behavioral and social needs of all patients from healthy to the most complex. Across the industry, insurers are expanding their reach into care delivery. The company made recent deals to expand its presence in California and the Pacific Northwest, Dave Wichmann, UnitedHealths recently retired chief executive, said on an earnings call in January. Optum Tri-State was formed in 2022 by bringing together Riverside Medical Group, CareMount Medical and ProHealth Care. He completed his training in obstetrics and gynecology at Mount Sinai Hospital in New York. 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. At Optum, our primary care providers, specialists and care teams, supported by insights and data, work together to deliver personalized care so you and your family can live your best lives. Gisch graduated summa cum laude from Oregon State University with a BS in chemical engineering and a minor in business administration. Lay it on me. OptumHealth physicians also contract with UnitedHealthcares rivals, while UnitedHealthcare patients see Optum competitors. As regional president of Optum Care, Tarek Elsawy, MD, FACP, oversees the operations and performance of health care delivery systems in the organizations Northeast and Midwest regions. Such deals have turned UnitedHealths OptumHealth division into an increasingly important part of the parent companys business. She is also a member of Chief, a private network focused on connecting and supporting women executive leaders. The fallout will bring more opportunities for health plans, health systems and others to continue to aggregate physicians, she said. Wichmanns successor as CEO of the parent company, Andrew Witty, was CEO of Optum before the promotion, and he continues to hold that title. He is a past associate dean at the Icahn School of Medicine at Mount Sinai, as well as past chairman of the board of the American Medical Group Association. Optum Tri-State is comprised of four large multispecialty groups: CareMount Medical, ProHEALTH NY, Riverside Medical Group and Crystal Run Healthcare, which together include 2,000 providers. Everyone knows how confusing it can be to navigate the healthcare system. 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