Health Plans

Pressing challenges, unprecedented opportunities

A new health care marketplace is taking shape – one that presents greater quality, cost and compliance pressures. Health reform and shifting demographics have created unique opportunities for health plans to grow their business by entering new markets, offering new products, and becoming increasingly focused on consumers. 

 

Resource Center 

Optum Consumer Acquisition Platform: a complete eBenefits solution

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Pharmacy Risk Groupers bring ACA risk adjustments into focus.

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Maximize Savings with a Prepayment Enterprise Strategy

Administrative cost savings reach $47 billion if plans pre-score claims for coordination of benefits, fraud, subrogation and other categories. Discover how you can move your organization from “pay and chase” to “prevent and save” with a strategic payment integrity approach.

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Simplify and streamline provider payments with EFT, VCP and ERA  from Optum.

Take advantage of the 100,000,000 participating providers in our  payment network.     

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Attracting and Retaining New Medicaid Members

Millions of Americans are entering the Medicaid system -- creating the potential for significant growth, but with a heavy administrative burden.

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    For information on our global Life Sciences businesses and locations.

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