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Value-based care insights

Explore the challenges of and strategies for implementing value-based care and the benefits for patients, providers and payers. 

   

Transition from fee-for-service to value-based models

Article

The challenge of managing rising neonatal costs

NICU-related claims are becoming more costly. For payers, a comprehensive benefit management strategy, including focused claims review, is crucial.

Article

Future ready claims review automation not enough

As claims grow more complex, many automation methods aren't sophisticated enough for the job. See how payers can take claims review to the next level.

Article

How employers can make better benefits decisions

Assessing vendors is daunting enough. But for many employers, limited data, contract variations and employee confusion add complexity.

Article

Payer-provider collaboration in ESRD care

Kidney disease is complex and disproportionately impacts people with limited financial resources. Here’s how payers can help transform care.

Article

4 shifts shaping the future of oncology

An evolution in cancer prevention and treatment promises to forge a new path for patients, physicians and health plans alike.

Article

5 things a claims review program does that you might not realize

Learn more about how an all-in, centralized claims review can contain costs while boosting consumer and provider experiences.

On-demand webinar

Site-of-care: A longitudinal review

Gain insights into the site-of-care landscape, what market data reveals and how outmigration could affect your hospital.

    

Data and analytics in care optimization

Article

Analytics in payer-oncologist partnerships

See 4 ways that payers can help healthcare providers unlock the power of real-world data to drive quality and innovation in cancer care.

White paper

Forging a new frontier in mental and behavioral health

Overcome today's barriers with leadership, collaboration and investment strategies that proactively address mental and behavioral health.

Article

How health data can improve msk care

Here’s how payers can harness the power of data to bring more effective — and timely — musculoskeletal (MSK) care to their members.

Guide

Care Pathways study

Mental health specialists serve a critical role in reducing total cost of care for plan sponsors.

Article

Improve fertility treatment efficiencies and outcomes

Whether for personal or professional reasons, many couples today are delaying starting a family. However, waiting to conceive can lead to fertility issues — for one partner or both.

White paper

2024 Stars preview: A path forward

Perform key actions to manage your Stars performance with a focus on member engagement. Learn how to take control of your Star ratings now.

The role of navigation to simplify health care

An active approach to advocacy can help improve member experiences while driving down costs. Read our e-book to learn how.

On-demand webinar

Site-of-care: A longitudinal review

Gain insights into the site-of-care landscape, what market data reveals and how outmigration could affect your hospital.

    

Provider enablement and collaboration

Article

Hub and advocacy solutions work together

Navigating a complex healthcare environment is challenging. Using hub and advocacy solutions together helps employers and employees alike. 

Article

What makes a meaningful health advocacy program?

A great health advocacy program helps employees get the most out of their benefits while fostering strong health outcomes and savings.

White paper

Support state Medicaid goals members

Find out how a person-centered approach can help.

    

Patient-centered care and engagement

Video

Reimagine your employee assistance program

Help employees feel mentally, physically and financially well with Emotional Wellbeing Solutions.

Video

Women's health: Susan's story

Learn how OB Homecare and advanced analytics can help manage at-risk pregnancies.

Article

Fitness needs across generations

Fitness needs vary across generations. Here’s how to make sure your offerings are serving each age bracket.

White paper

Emotional wellbeing solutions for health care workers

Support healthcare workers, who put others first every day.

Guide

Youth mental health research findings

In our new report, you'll learn key findings about the mental health needs of young people and their caregivers, and discover opportunities for intervention.

Article

When chronic conditions and behavioral health collide

The collision of chronic conditions and behavioral health challenges can’t always be stopped, but healthcare leaders can work to mitigate its impact.

Article

Supporting women beyond the reproductive years

Learn how health plans can fill care gaps by offering greater support and personalized solutions for women experiencing menopause.

Case study

Safeguard the mental health of content moderators

Learn how we support the unique workplace needs of content moderators with a tailored wellbeing strategy.

    

Policy and regulatory landscape

White paper

Combating the opioid epidemic

Medication interventions save lives — more people need access to them.

    

Workplace health issues

Article

How organizations can support neurodiversity in the workplace

Recognizing the unique perspectives of neurodivergent individuals and creating an inclusive workplace can enrich and empower your teams.

Article

Packaging your employee benefits experience

Use best practices to build a gift-wrapped benefits experience that engages your people and optimizes your employees’ well-being.

White paper

Wellbeing shifts with meaningful impact

Results from the 8th annual Wellbeing in the Workplace study from Optum highlight how over 400 global employers are winning at wellness.

     

Chronic disease and complex care

Article

Cancer costs are rising — are you ready?

As experts forecast a steep climb in already-expensive oncology costs, payers must prepare for the big changes ahead.

Article

How payers can prepare for the next wave of cellular therapy patients

CAR T-cell therapies have been remarkably successful and may become more widely available. Here’s how to get ready for a rise in these expensive treatments.

Article

Diagnosis and care recommendations for rare congenital anomaly

Rigorous work-up leads to conservative CHD (congenital heart disease) treatment approach.

Article

Fecal transplant to treat recurrent urinary tract infection

Learn how leveraging a microbiome approach helped one patient with von Willebrand disease and multiple antibiotic allergies.

  

All value-based care insights (110)

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  • How organizations can support neurodiversity in the workplace

    Recognizing the unique perspectives of neurodivergent individuals and creating an inclusive workplace can enrich and empower your teams.

  • Helping a member find support

    See how one mother found in-the-moment support during a family crisis.

  • Optimize employee benefits with healthcare analytics

    With the right tools, employers can transform employee benefits data into actionable insights that drive better experiences and add value.

  • How payers can prepare for the next wave of cellular therapy patients

    CAR T-cell therapies have been remarkably successful and may become more widely available. Here’s how to get ready for a rise in these expensive treatments.

  • Digital MSK tools: 5 important features

    Digital MSK can improve outcomes while reducing costs. Learn how payers and employers can choose a program that delivers on health benefits and savings.

  • Supporting members through life’s challenges

    See how mental health support from Optum helped a member navigate grief.

  • Women’s health is more than reproductive care

    Discover 5 areas of focus for payers and employers looking to improve women’s health outcomes, costs and member satisfaction.

  • The importance of workforce mental health maintenance

    See how employee mental health benefits are evolving to support workforce wellbeing.

  • Supporting women beyond the reproductive years

    Learn how health plans can fill care gaps by offering greater support and personalized solutions for women experiencing menopause.

  • How to build a mobile crisis team

    Learn more about the current research on mobile crisis teams (MCTs), how to build an MCT as well as envision a future for them.

  • Building a better oncology managed care program

    New cancer treatments can transform patients’ lives — but they also create costs that demand a new kind of cancer guidance program.

  • How payers can improve maternal care in the 4th trimester

    Learn how payers can drive meaningful impact through preconception care, postpartum coaching and managing chronic conditions early.

  • When chronic conditions and behavioral health collide

    The collision of chronic conditions and behavioral health challenges can’t always be stopped, but healthcare leaders can work to mitigate its impact.

  • Safeguard the mental health of content moderators

    Learn how we support the unique workplace needs of content moderators with a tailored wellbeing strategy.

  • Why workforce wellness programs must reward more than health tasks

    To ensure that well-being benefits drive results, employers must let go of strategies built around one-and-done health tasks. Here’s how.

  • Holistic msk improves care

    Our holistic approach can help payers better fight against rising musculoskeletal care costs while better serving members.

  • Hub and advocacy solutions work together

    Navigating a complex healthcare environment is challenging. Using hub and advocacy solutions together helps employers and employees alike. 

  • Revolutionizing specialty medication management

    Get an in-depth assessment of the ways Specialty Fusion™ is revolutionizing specialty drug management.

  • How to manage organ transplant costs

    There’s a lot at stake with organ transplant claims. Learn the importance of selecting an effective payment integrity approach.

  • Health loyalty rewards programs

    Learn how employers can tap best practices to ensure their health rewards and loyalty programs make a meaningful difference.

  • Access to mental health care within 48 hours

    Optum expands care options while reducing crisis events and costs.

  • 4 shifts shaping the future of oncology

    An evolution in cancer prevention and treatment promises to forge a new path for patients, physicians and health plans alike.

  • Fecal transplant to treat recurrent urinary tract infection

    Learn how leveraging a microbiome approach helped one patient with von Willebrand disease and multiple antibiotic allergies.

  • Asia pacific culture of health

    By engaging region-specific expertise, your company can strategically improve the well-being of its employees.