Case Study: Premier Medical Associates achieves a 27% cut in heart failure readmissions and improved population health management with Optum360's Optum One analytics

Premier Medical Associates applies Optum® One analytics to improve population health management

Premier Medical Associates, a leading multi‑specialty clinic in western Pennsylvania, needed to shift from fee‑for‑service to fee‑for‑value by improving population health management. Their EHR lacked cohort identification and predictive capabilities to find and proactively manage at‑risk patients, so Premier turned to Optum360 and deployed the Optum One analytics platform to gain claims‑ and clinical‑based insights.

Using Optum360’s Optum One, Premier applied predictive risk scores to pinpoint high‑risk cohorts and restructured care teams (adding pharmacists, a social worker, an endocrinologist and a dietitian) to target outreach and close care gaps. The effort cut 30‑day heart‑failure readmissions from 13% to 9.5% (about a 27% improvement), achieved a 90% Medication Therapy Management call completion rate, identified hundreds of patients for focused interventions, and increased multi‑disciplinary engagement for 50–60% of high‑risk heart‑failure patients.

Premier Medical Associates

Frank Colangelo

Chief Quality Officer