Category Archives: Health Plans

Consumer-centric wellness solutions for health plans

When individuals are able to proactively manage their health and wellness — whether they have multiple chronic conditions or are relatively healthy — they’re able to live their best lives. And as health risks are reduced, so are costs. Optum offers NCQA-accredited wellness solutions tailored to the needs of each population’s needs. These services are […]
Read More »

Health plans: Consider new metrics for assessing organ transplant programs

Organ transplants save lives, and the number of transplants is rising. That’s why it’s important for health plans to reassess the metrics they use to measure the value of organ transplant programs. Our white paper,“Reassessing how payers determine the value of organ transplant programs,” explores the Transplant Value Initiative. This Optum initiative looks at how […]
Read More »

Payers, avoid value leakage. Opt for the right comprehensive sourcing model

Part 2 of a 2-part series Payers leave a lot of value on the table when they manage IT, process, and medical costs separately. Our research shows that payers can achieve breakthrough cost savings improvements if they manage medical and operational costs together. This blog series offers a plan that enables payers to convert their […]
Read More »

Better outcomes and reduced costs for our frailest populations

Patients living in skilled nursing facilities (SNFs) are a small subset of Medicare beneficiaries. But these clinically complex individuals generate nearly two times the average medical expense for all Medicare members, according to The Henry J. Kaiser Family Foundation. By promoting more intense attention to this institutional population, health plans can drive better care and […]
Read More »

Payers, avoid value leakage. Opt for the right comprehensive sourcing model

Part 1 of a 2-part series Payers leave a lot of value on the table when they manage IT, process and medical costs separately. Our research shows that payers can achieve breakthrough cost savings improvements if they manage medical and operational costs together. This blog series offers a plan that enables payers to convert their […]
Read More »

Optum and Everest webinar: Achieve Breakthrough Cost Savings for Health Plans

Register now Research shows that health plans leave a lot of value on the table when they manage IT, process and medical costs separately. Join Optum and Everest as they discuss how health plan executives can achieve breakthrough cost savings by converting their entire spectrum of costs into a utility-based model that addresses both medical […]
Read More »

Uber inspired scheduling software reshaping the clinician experience

So who knew we needed a new taxi service? We were all used to calling for a taxi. Getting someone on the line telling us a driver would be dispatched shortly. Then the waiting came. Not sure who would show up or when. Uber saw an opportunity to use the latest mobile technology to transform […]
Read More »

Medicare Advantage competitive positioning in 2018: Analyzing the market landscape and plan offerings

For the seventh year in a row, Medicare Advantage (MA) plan enrollment is projected to increase to a new, all-time high.1 In this growing market, in order to maintain favorable competitive position in the marketplace, MA plans need to compete on an increasingly complex array of product features and plan attributes including premiums, benefits, quality […]
Read More »

What’s driving your pharmacy costs?

Increased demand for prescription drugs, expensive specialty medicines, price inflation and widespread chronic illness are causing a greater strain on health plan and patient pharmacy resources. To more effectively manage these costs, plans need to understand the drivers of their trend, identify actionable data and consider a multi-pronged approach to control spend while deriving value. […]
Read More »

Taking a three-pronged approach to personalizing the consumer journey

The health care market is in the midst of transformative change. Demographic shifts and regulatory and societal changes are intensifying pressures on consumers and health systems alike. As consumers take on personal responsibility for their care while navigating a complex and dynamic market, businesses are challenged to differentiate themselves by delivering value, innovation and exceptional […]
Read More »