Emergency Room Decision Support

February 16, 2013

The ER Decision Support program targets members before they become frequent ER users and it addresses underlying reasons members use the ER inappropriately, such as lack of knowledge of appropriate resources, including a Primary Care Physician (PCP). The program increases customer value through cost reduction and reduced utilization trend.  It engages “at risk” employees, increases use of UnitedHealth Premium® providers and facilities and in-network providers and identifies appropriate referrals to case or disease management, complex medical condition management and behavioral health solutions.