Bots are a game changer for Medicaid
How robotic process automation (RPA) is improving health care
RPA is helping state Medicaid programs improve workflow and accuracy. The result is lower costs and faster delivery of benefits.
Featured insights
Speed up the claims process with AI
Read about our Claims Automated Rules Engine (CARE).
Call centers and AI technology
Transform state contact centers into 24/7 problem solvers.
Targeted care. Lower costs.
One state achieved both aims in delivering home health services.
Insights
Regulatory developments in pharmacy 2022, 2023
We discuss the Inflation Reduction Act, the drug pricing executive order and other federal and state regulations passed in 2022. We also look ahead to 2023.
4 new drugs to watch this year
Breakthrough treatments for menopause, Alzheimer's and hemophilia are coming.
A better path to managing specialty
Learn the actions you can take today to better manage spend and trend while finding the right care for those who need it most
Reality check: New drugs will cost more
The trend toward complex biologic drugs continues.
Celebrating American Pharmacists Month
Hear from 5 pharmacists on how they’re advancing patient care.
New rules to watch: Summer 2022
How the work of national and local lawmakers will impact you.
Breaking through vaccine fatigue: Top 4 reasons to get yours
New flu and Covid bugs are coming. Time to boost your immunity.
5 approaches to address prescription affordability
Watch our On-Demand webinar to learn about 5 key solutions designed to attack the affordability challenges your members face head on.
Pharmacy Insights Podcast
Listen to our resident experts discuss critical industry challenges and the solutions you need to control rising drug costs.
Keeping your data secure is mission critical
See how we help prevent costly, disruptive cyberattacks.
3 new drugs to watch this fall
As the year begins to close, we highlight three essential pipeline drugs with an expected U.S. Food and Drug Administration (FDA) decision this fall.
Is your pharmacy benefit manager delivering value?
4 key questions you should be asking.
3 ways to deal with escalating drug costs
Innovations custom built for today’s specialty challenges.
Fighting the tide of opioid overdose
The rate of drug overdose death involving opioids has spiked. See how Optum is the first in the industry to demonstrate expertise in opioid management.
4 key forces shaping the future of pharmacy
These emerging trends will help define the road ahead.
Building new possibilities for infusion care
How we are exceeding the evolving needs of the home parenteral nutrition market
Biosimilars explained: 5 questions you’ve been asking
Get prepared for more biosimilars to come to market.
Will these 4 new drugs re-shape the market?
Get the latest in this quarter’s Drug Pipeline Insights Report.
Four myths: Carving out specialty pharmacy
Integrating specialty pharmacy means better care, lower costs.
Drug pricing spotlight: Wound care
Combat against brand name products costing 125 times more.
Smart formulary management
Developing and managing formularies that bring clinical and financial value
Case study: 5/5 satisfaction on implementation
OptumRx earns 100% implementation score from City of Toledo
Indiana HHS values insightful analytics
Optum helps improve program outcomes and cost control.
Creating connections through partnerships
Hear from an Optum Rx client on how we're partnering together for everyone we serve.
Case Study: Advanced Pharmacy Audit Services
How a health plan saved more than $1 million
Increasing Value Through Higher Volume
Improve revenue integrity by expanding admission reviews.
Understanding the health care needs of Veterans
Ethnographic research conducted to help address Veterans' needs across the health care system.
3 ways CRISPR will change the drug world
Pharmaceutical industry finding novel uses for gene editing tools
Technology Helps Reduce Barriers to Tobacco Cessation
Learn about the growing change in tobacco cessation.
Opioid Use Disorder & The Medicaid Population
See how OID impacts the Medicaid population.
MMIS Game-Changer: Collaborative Contracting
NASPO ValuePoint helps states streamline procurement.
OPA for HHS: See how it works
Accelerate your state's efforts to address health inequity.
Newest regulations impacting pharmacy
View the recent activity at both the state and federal level.
Innovations in Health Monitoring, Care Management & Support
Linking health care and public health data improves care management, clinical care, and public health reporting and monitoring.
Connect with Optum at MESC 2021 in Boston, Aug. 9-12
Get a demo of the technologies that enable better health care outcomes, attend our informative speaker sessions and take part in a charitable giving activity.
Optum Claims Processing Master Agreement
We deliver claims administration through NASPO ValuePoint.
NASPO ValuePoint Helps States Streamline MMIS Procurements
Streamline MMIS procurements through cooperative purchasing.
The American Rescue Plan and public health
ARP is an opportunity for state governments to improve public health through investment, infrastructure and innovation.
Controlling the unprecedented costs of gene therapies
See how you can leverage cost benefits from gene therapy.
Hemophilia: Extremely rare, extremely expensive
Better management strategies and new treatments emerge
Managing diabetes gains an 8:1 return on investment
Learn how a third-party administrator’s client improved health outcomes and lowered costs.
How to eliminate prescription waste
Achieve savings by targeting expensive, low-value drugs.
Optum Rx customer obsession video
How one Optum Rx employee made the system work better for everyone
How to manage medication overload
Hear from a leader's perspective on how to manage polypharmacy.
Don't pay 5,000% more for commonly available generic drugs
This widespread practice costs plans millions.
Will diabetes drugs help us tackle obesity?
Discover four things to know about new uses of GLP-1 drugs.
How a client avoided $109M in pharmacy costs
View the Optum Rx Drug Pipeline Insights Report for 2022.
A new approach to rising specialty costs
See how contracting with medical providers can reduce drug costs
The big picture on cancer
How high cost oncology drugs are changing specialty pharmacy.
Specialty drug prices giving you sticker shock?
See how Specialty Compass defuses exploding drug costs.
5 questions: Optum Rx chief pharmacy officer
Michael Einodshofer addresses the risks, challenges and opportunities facing the industry.
How our medication packaging helps the planet
New packaging saves CO2, water, energy, and plastic waste.
4 steps to limit infusion drug costs
Specialty drugs account for over half of all drug spending
Personalized care: Focusing on the member
Hear from Optum Rx chief of operations, Jon Mahrt
Health Care Interoperability Solutions
Optum Interoperability and Patient Access Services can help your state comply with CMS' final rule. View our overview video to find out how.
Optum Health Care Interoperability & Patient Access Services
Our solution is fully developed and ready right now to help your state meet compliance.
How the pandemic has changed pharmacy care
Learn how COVID-19 has accelerated the rise of home and virtual care.
Reducing disparities in care and outcomes
Achieving health equity is a community-wide effort.
Redirecting Specialty Infusion Costs by Redirecting Site of Care
See how you can lower your plan costs by up to 52%.
The new model of personalized care
Predictive analytics improves user experience and outcomes.
Taking the pain out of prior authorization
How we are revamping the prescribing process
Which Rules Will Impact Pharmacy in 2023?
2023 is already a busy year for pharmacy regulation. Read about the latest regulations that could impact you and your pharmacy benefit plan.
Support state Medicaid agency goals for members
Find out how a person-centered approach can help.
Unlocking the promise of personal medicine
See how a peek at your genes enables more precise prescribing.
Creating better behavioral health care
We help people find care and support that’s easy to understand and access.
Helping members achieve their goals
See how the right mental health care makes a difference.
Optum Quit Services
Discover the difference of an evidence-based program that offers a truly personalized approach and blends technology with a human touch.
Gene therapy: Big potential, big prices
New strategies needed as revolutionary but costly therapies emerge.
Modernizing the Medicaid Experience | Optum
How can states and providers use modularity to modernize? Dustin Haisler at GovTech.com interviews Optum product leaders for insights.
Case study: Strategic formulary changes
How a third-party administrator helped clients save $6.49 PMPM.
5 questions: Premium Value formulary
Hear from OptumRx SVP of clinical & formulary services
Arkansas' New Approach to Medicaid Management
See how data and analytics help Arkansas manage one of the state's most vital and widely used government programs.
4 more psoriasis drugs on the way
Psoriasis costs up 40% in 5 years. Will these drugs help?
How to control drug costs without compromising care
Explore three principles driving better pharmacy benefit decisions.
Healthier Outcomes for Moms and Babies Through Data
By reaching out to women earlier in pregnancy, one state is supporting moms and babies and creating healthier outcomes for both with help from Optum.
Addressing pharmacy issues that matter to you
From specialty pharmacy to drug affordability, our experts tackle your biggest pharmacy challenges.
3 new first-in-class therapies coming
See how innovation is driving the latest product development.
Specialty and Weight Loss Webinar
Hear how weight loss drugs are shaping traditional and specialty spend.
Modernizing the Medicaid experience
Read our 9 key takeaways for states to modernize the provider management experience.
New mandatory CMS reporting rules will impact states
To meet the requirements, states should consider focusing on five key areas.
GLP-1 agonists: A new class of weight loss medications
In this conversation, discover how new weight loss drugs like Wegovy are changing obesity management and their connection to diabetes.
Biosimilars to save billions in this decade
Prices for popular brand-name biologics drop up to 60% with generic-equivalent biosimilars.
Empowering clients with more choice and transparency
Helping make prescription drugs more affordable for plan sponsors and the members we serve is a universal focus.
Orphan drugs market: Can we afford them?
We examine key questions around orphan drugs such as why they're so expensive, how they're being used and what plan sponsors should do next.
Inflammatory conditions: Trends, pipeline, management strategies
Hear leaders discuss trends for inflammatory conditions and gain insights on how the market is changing with a deep dive on pipeline, biosimilars, and care management strategies.
Achieving health equity: Actionable analytics unlock improved outcomes
By applying analytics solutions, states can create a comprehensive roadmap to better health equity.
Gene Therapy: How to Prepare for a Growing Pipeline
The unprecedented cost of gene therapies requires a fundamental rethinking of how treatment costs are managed.
Top