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Complex, costly conditions

Reduce costs and improve care with an integrated strategy.

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Complex, costly conditions

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It’s no surprise that
health care spending

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in the United States
continues to rise

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with no sign of slowing down.

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What might come as a surprise
to many

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is the fact that just four
complex conditions

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are driving one-quarter
of total healthcare spending.

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There is a compelling human
and financial need

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for both payers and
purchasers of health care

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to have an integrated
strategy in place

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for patients with these
complex conditions.

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In a recent webinar,
Dr. Jon Friedman,

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chief medical officer for Optum
medical benefit management,

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revealed a growing body of
research that helps explain

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the rising financial burden created
by these four conditions:

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Together they represent 455 billion
dollars of health care spend;

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that’s 25 percent of the total
healthcare spend in the United States.

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We’ll discuss trends and drivers
and offer solutions

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we believe can reverse the
upward spend trends

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that are driving costs
in these areas.

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Here are a few of the
take-aways from Dr. Friedman’s
presentation.

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The rising trend lines for hospitalizations,

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surgical interventions and drug costs

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combined with growing
prevalence rates

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and increasing patient complexity

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indicate that payers and employers
will be spending billions more

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on these conditions
in the coming years

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Spending on cardiovascular care
alone is expected to grow

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by $205 billion over the next decade

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We’ve also seen a dramatic increase
in the cost of cancer care.

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Exciting innovations, including
new therapies and technology,

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are behind the staggering price increases.

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Prescription drug prices are
a key driving force

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behind increased spending on
musculoskeletal conditions.

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Anti-inflammatory drugs have jumped
9 percent in just one year.

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It’s easy to see why spending
on those conditions has increased

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by 60 percent in just 12 years.

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And finally, chronic kidney disease or CKD

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affects an estimated 1 in 7
adults in the United States.

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Left undiagnosed and untreated,
CKD can present serious health problems

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down the road possibly
leading to dialysis,

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which causes major life disruptions
and skyrocketing costs.

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These are only a few of the reasons
that now – more than ever –

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is the time for health care payers and
purchasers to implement

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an integrated medical benefit
management strategy

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to keep spending in check and
improve clinical outcomes for patients.

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This would bring value.. benefiting you,
both employers and payers,

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but most importantly to your patients.”

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To listen to the full webinar and to
learn more about complex,

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costly conditions and the
strategies to address them,

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go to Optum.com

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New insights and key findings revealed

Four complex condition categories are responsible for driving a quarter of total health care spending in the United States:

  • Cancer
  • Musculoskeletal disorders
  • Cardiovascular disease
  • Kidney disease

There's a compelling human and financial need for both payers and employers to have an integrated strategy for managing complex conditions. Learn how this strategy is key to creating value for payers, employers and patients.

In a webinar, Dr. Jon Friedman, chief medical officer for Optum medical benefit management, revealed insights from research that speaks to the rising financial burden created by these costly condition categories. View now to see the webinar highlights.

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