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Insights for health plans

Our curated selection of resources address emerging trends impacting health plans.

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Perspectives on health plan trends

Resources to help navigate the challenging world of health care

Together, we are driving toward the same things for our health care system — better quality, lower cost and higher consumer and provider satisfaction.

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Latest health plan trends

Outcomes-based contracts for payers

Enable outcomes-based contracts and ease challenges.

Move the affordability lever

Learn how to activate savings through comprehensive payment integrity.

Prepare for market expansion

Develop a strategy roadmap for a government programs entry.

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Insights

HouseCalls Program

Helping support the continuity of care.

How are you identifying overpayments?

Identifying overpayments after a claim has been paid is a core component of payment integrity.

Managing cell and gene therapies

A diverse pipeline of CGT is coming to the market.

Value-based insurance and network design

Optum has access to one of the industry’s largest health care data assets and many of the industry’s top professionals.

Moving toward preemptive kidney transplants

Avoiding dialysis in favor of organ transplant can yield better patient outcomes and lower health care costs. So why is it still uncommon?

Kidney Disease Care: A Comprehensive Approach

Find out how an integrated approach produces better outcomes for renal disease — a common, complex and costly condition.

Flexing seniors’ brains and social muscles

Medicare Advantage plans can differentiate supplementary programs by addressing cognitive health and social interaction.

Enhancing fraud investigations with AI

Simplify the complexities of fraud case review

Increasing at-home dialysis for ESRD patients | Optum

See why home-dialysis patients tend to fare better than in-clinic patients, and how patient-centric kidney care management helps them make informed choices.

How Health Plans Can Improve Encounter Data Quality

How holistic programs improve senior health

Medicare Advantage plans need to rise above the competition by going beyond traditional fitness offerings.

Case study 1: High-dollar claim savings

DRG outlier identified, resulting in $200,578 savings.

Case study 2: High-dollar claim savings

DRG outlier identified, resulting in $600,000 savings.

Viewpoints on the 2024 CMS Advance Notice

In this webinar, health plans will hear Optum viewpoints on the proposed CMS changes and how they may affect your MA plan. Be prepared now.

Achieving Growth Through Technology: Part 2

The HouseCalls difference: Kim's story

Kim, a HouseCalls advanced clinician practitioner, believes a good day is when she’s helped someone. Watch the video to see her story.

The Impact of In-home Health Assessments

Learn about the benefits of HouseCalls assessments with these 5 fast facts.

Maximize Recoveries with Subrogation

Identify, investigate and recover medical and disability payments related to accidents.

Read a report about claims payments opportunities.

Thinking about going paperless for claims payments? We commissioned a study of senior health plan executives to hear what’s on their minds.

Health plan solutions designed to lower the cost of care

Tour our ecosystem of capabilities designed to tackle broad-based health plan challenges.

Make your pharmacy benefit plan work better

4 key questions you should be asking.

Pharmacy Insights Podcast

Listen to our resident experts discuss critical industry challenges and the solutions you need to control rising drug costs.

Social Determinants of Type 2 Diabetes

This study analyzes how social determinants of health (SDOH) variables impact the incidence and progression of Type 2 diabetes.

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.

8 ways to make drugs more affordable

Discover what plan sponsors need to know.

Is your pharmacy benefit manager delivering value?

4 key questions you should be asking.

Fighting fraud

How one plan sponsor recovered $315,000 in six months.

3 ways to deal with escalating drug costs

Innovations custom built for today’s specialty challenges.

Moving to lower-cost electronic payments

Partner with Optum Financial to increase ACH payments

A seamless pharmacy benefit change?

We guarantee it. And it's easier than you think.

Social determinants of health

Completing the health data picture

Intelligent Automation Benefits for Health Plans | Optum

See how IA increases the throughput of the retro case developer process, reducing processing time and freeing resources for other high-value tasks.

Four myths: Carving out specialty pharmacy

Integrating specialty pharmacy means better care, lower costs.

Why equity in women’s health demands an integrated approach

Why equity in women’s health demands an integrated approach

Enhance R&Q data acquisition with AI and NLP

Learn how digital clinical data, AI and NLP can help health plans get the data they need, when they need it.

Creating connections through partnerships

Hear from an Optum Rx client on how we're partnering together for everyone we serve.

Value Transformation at Keck Medicine of USC

Value Transformation at Keck Medicine of USC

Case Study: UMass utilizes analytics to improve adult immunizations

Population health analytics drive UMass participation in the AMGA AI Collaborative

Increasing Value Through Higher Volume

Improve revenue integrity by expanding admission reviews.

Delivering Value-Based Care for Veterans Affairs & DOD | Optum

Best practices to help transition to value-based care.

Improve access to care with HouseCalls

White Paper: Improve Access to Care With HouseCalls | Optum

Symmetry Episode Risk Groups White Paper

Predict future health care utilization

Evidence-based Clinical Practice Guidelines for DoD and VA

Improve continuity of care by reducing variation in practice for service members transitioning to Veteran status.

Executive Perspectives: Tech Innovation in Health Care

How AI and other technologies can help heal the health care system

The Doctor Will See You…Anywhere

A profound shift toward coordinated, responsive care is underway in American medicine.

Sustainable Future Cancer Care

Creating a sustainable future for cancer care

Technology Helps Reduce Barriers to Tobacco Cessation

Learn about the growing change in tobacco cessation.

Veterans Benefits Administration

They honored their commitment. It's time to honor ours.

Avasant Healthcare Payor Digital Services

Avasant's annual RadarView report helps healthcare payors craft a robust strategy for digital transformation based on industry outlook and best practices.

SNFs Improve Care & Business Outcomes for Facilities

The Optum Care Model Helps SNFs Meet Strategic Goals

Solutions to the maternal care crisis are coming into focus

Solutions to the maternal care crisis are coming into focus

Health Care's Guide to Machine Learning

What you need to know about AI's latest buzzword.

Center for Health Equity - The Lewin Group, Part of Optum Serve

See how we help public and private health care leaders, policy makers and researchers support equitable individual and community health.

Navigating Forward: C-suite check-in — Research findings state of health care

Find out what 161 C-suite health care leaders think about how COVID-19 has changed the industry — and where we still must make progress.

Impact member care with in-home assessments

Download the infographic to learn more about how in-home assessments can uniquely impact SDOH.

Star ratings are important to Medicare Plans

Learn how health plans can improve Star ratings through high-touch strategies.

Insights on improved care through technology and scale

John Muir Health shares how the organization uses technology to reach those in need of health care services.

Health plan pitfalls

Read a follow-up to Optum study of health plan executives.

Preparing a strategy roadmap for government programs entry

Amy Jensen, VP of Optum Advisory Services, outlines requirements for a new market expansion.

Optum Care Model & UnitedHealthcare Assisted Living Plan

Support residents living in a senior living community.

Improved Arkansas Medicaid Outcomes

Helping Arkansas improve Medicaid outcomes, reduce costs.

Accelerate your digital transformation

Capitalize on the momentum around digital health solutions.

Optum Advanced Practice Clinician (APC) video

Advanced practice clinicians give personal care

Population health management best practices

Learn about industry players in the population health management (PHM) market and what to look for in a best-in-class solution.

The rising cost of cancer care

Understand the trends and how to respond.

Assisted living plan comparison scenario

Keep your SNF-qualified residents with you longer.

Taking the Blinders Off Cancer Through Immunotherapy

Webinar: Taking the Blinders Off Cancer Through Immunotherapy

The Path to 4+ Star Performance

Implications for 2023 Star Ratings

Reserve Health Readiness Program

Customized health care solutions for the DoD.

Generating fuel for growth

Generating fuel for growth

Targeted care and lower cost: How one state achieved both

One state achieved both in delivering home health services.

Case study: Provider performance analytics

Case study: Provider performance analytics

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.

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.

Making sense of copay cards

How copay cards can disrupt your benefit strategy

2021 PEAK Matrix Report : HealthCare Top 20

2021 PEAK Matrix Report : HealthCare Top 20 | Optum

Health Equity & Women's Health

Create meaningful change for the women in your workforce.

Clinical and claims data: A powerful combination

Get a snapshot of the pros/cons of clinical and claims data.

Improve Women's Health with Community-Based Solutions

Improve Women's Health with Community-Based Solutions | Optum

Optum HouseCalls: In-home Multi-Dimensional Clinical Evaluation

In-home clinical evaluation of health and ongoing care needs

Rare diseases, large costs

The rise in orphan drugs is offering hope

Health equity in kidney disease management

Learn 5 strategies for health plans to address inequities in the kidney care landscape and create more equitable access, treatment and outcomes for all.

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.

Digital scheduling at a rural health system

Learn how a rural health system achieved an ideal patient experience and increased bookings with digital scheduling.

Family-building inequities

Read how payers can turn the tide on 5 worrisome statistics.

Unlocking the promise of personal medicine

See how a peek at your genes enables more precise prescribing.

Mitigating maternal care deserts

For some mothers-to-be, health care options are disturbingly limited — or even nonexistent.

How to achieve more inclusive MSK care

Musculoskeletal conditions are costly, common and fraught with health inequities. Here’s how a more holistic approach can help payers better serve all members.

Spend more time with members and less time on paperwork

See how prospective assessment programs can reduce administrative burden and allow physicians to focus on what matters most: member care

Slowing the specialty pharmacy carve-out stampede

Study reveals costs for unrecognized kidney disease

Platform strategy for digital transformation

Read more about the digital transformation journey and how to approach these challenges by working toward a product driven model.

SDOH and Medicare Advantage

This paper examines the critical impact of social determinants of health (SDOH) on patient care and how in-home assessments can help.

Hearts Behind the Work: Meet Our People

Meet the people of Optum who are putting you at the center of everything we do.

Webinar: Trends and challenges in telehealth

Explore new ways of doing business that allow you to meet shifting customer expectations, workforce challenges and emerging business goals.

Third Annual Optum Survey - AI in Health Care

AI on the rise: Health leaders turn to tech in the pandemic.

How to control drug costs without compromising care

Explore three principles driving better pharmacy benefit decisions.

Health Plan Leaders on StepWise Migration to the Cloud

Delivering the Personal Touch

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.

Supporting providers in the transition to VBC

Learn how value-based care (VBC) partnerships between payers and providers are more important than ever.

Analytics in payer-oncologist partnerships

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

Specialty and Weight Loss Webinar

Hear how weight loss drugs are shaping traditional and specialty spend.

Emerging technologies in underwriting

Listen to the on-demand webinar from Becker Healthcare in partnership with Bill Dimmock, VP of Advisory Services at Optum.

Payer-provider collaboration in ESRD care

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

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.

Improving care, outcomes and costs

Achieve better care through understanding the customer, not just the patient.

Biosimilars to save billions in this decade

Prices for popular brand-name biologics drop up to 60% with generic-equivalent biosimilars.

Fertility solution overview

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.

5 things to know about the new landscape of fertility benefits

More and more, benefits leaders see the value of reproductive health — and it’s changing how they approach offerings.

Delivering on the promise of fertility care

As a highly specialized area of care, fertility treatment is a significant cost driver for health plans and employers.

Health system boosts reach with payer channel scheduling

St. Luke’s Health dramatically increased volumes and decreased costly no shows with Optum digital scheduling. Learn how your system can, too.

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.

Engage providers to impact member outcomes

Download our infographic to learn how Optum can take the burden off of payers to impact provider performance.

Unraveling complexity in specialty care

Learn how Optum is streamlining care delivery with insights from patients and providers to improve outcomes and drive down costs.

Collaborative strategies to optimize complex care management

As caring for complex patients gets more complicated, payers and providers must partner to provide better, more accessible, lower-cost care.

Trends and perspectives for health plans

Driving toward the same things for our health care system — better quality, lower cost, and higher consumer and provider satisfaction.

Breakthroughs in kidney care

Explore the most promising innovations in renal care for people with chronic kidney disease.

White paper: Defragment care with in-home assessments

In-home assessments can help to improve mental health and other social determinants for seniors. Read about the HouseCalls approach.

Four steps to optimizing value-based care

Learn how combining these steps can help power a holistic workflow between payers and care delivery.

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.

Transforming the six zones of consumer experience

Discover innovations and success factors to drive engagement, loyalty and growth.

5 ways shift-of-site care is a win for all women

With unique needs, women benefit greatly from a wider array of care options. Payers and employers can reap big rewards by providing them.

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.

Ensuring responsible use of AI in health care

See how we use artificial intelligence (AI) and machine learning (ML) to help people live healthier lives and make the health system work better for everyone.

The secret to lowering the total cost of care

Rising pharmacy costs concern everyone. Managing the underlying health conditions behind each prescription is key to addressing these high costs.

Struggling to balance paperwork and patients?

You may be missing out on health plan services that can help.

What’s changing the PBM industry?

In this conversation, learn from Optum Rx thought leaders on how access, affordability and transparency have become imperatives for pharmacy benefit management.

Cost breakthroughs in complex care management

Not every complex care management program is built equally. Here's how to optimize them for maximum benefits.

Innovative approaches to collaborate with PCP's

Understanding the challenges confronting Medicare Advantage plans and their Medical Loss Ratio.

The time for better payment delivery is now

Market dynamics are driving the need for health care payment innovation. Providers expect fast and reliable payments from health plans.

Intelligent automation is improving member outcomes

Optum Advisory's Loren Koerber and Matt Matousek break down intelligent automation and reducing the administrative burden in health care.

A case study on Excel Medical Center

Using digital integration to ease administrative burdens can help you spend more time with patients and deliver positive patient outcomes.

The next biosimilar wave has arrived. Now what?

In this conversation, learn about a new class of biosimilars and what this means for competition, cost and volume in the PBM market.

Managing risk in value-based care delivery

Watch as Erik Johnson explores models for risk in delivering value-based care (VBC).

Lowest net cost and your bottom line

Learn about strategies to achieve the lowest net cost of prescription drugs through formularies, biosimilars and our Vigilant Drug Program.

HouseCalls: Helping to care for members where they are

As demand for home and community care grows, Optum® HouseCalls can reach your Medicare Advantage members and assess members’ health needs.

Optimize member engagement through collaboration with Optum

A health plan increased in-home assessment rates for their Medicare Advantage members by working with Optum to increase member engagement.

Intelligent automation improves underwriting results

Machine learning coupled with software features and cost-tuning delivered significantly improved predictive value and underwriting results.

Navigating government programs

Learn how small and community-based plans can enter Medicaid programs in our navigating government programs video.

Achieving growth through technology

Changes to risk adjustment are coming. Are you prepared?

Learn how your practice may need to evolve to proactively anticipate the upcoming changes announced in April related to MA and Part D.

Making Risk Adjustment Programs Work for You

Learn how three care delivery organizations reduced administrative burden to spend more time with patients and improve outcomes.

Regulations to watch: Fall 2023

Learn what's at stake as the PBM legislation advances on Capitol Hill.

Personalized care: Focusing on the member

Hear from Optum Rx chief of operations, Jon Mahrt

How to eliminate prescription waste

Achieve savings by targeting expensive, low-value drugs.

The dangers of polypharmacy

Millions of workers at risk due to overprescribed drugs

Comprehensive payment integrity savings

Inform and improve your entire claims management lifecycle.

Best practices for reducing provider abrasion

Find out what is driving the recent increase in abrasion and learn what health plans can do to alleviate provider pain points.

Alzheimer's treatment: Time for a level-set?

See success rates, risks and costs of the new Alzheimer’s treatments.

Staying current in your core admin platform

Get current, stay current and leverage the newest platform capabilities with ongoing release management.

Case Study: Advanced Pharmacy Audit Services

How a health plan saved more than $1 million

HouseCalls travels far and wide to support members’ health

The HouseCalls program provides health plans with annual in-home clinical assessments for Medicare Advantage members available in 50 states.

How to implement patient-centered oncology care

HouseCalls: Fewer Emergency Visits, Hospital Stays

HouseCalls: Fewer Emergency Visits, Hospital Stays

Get ahead of 3 pharmacy trends that will affect your plan

Find out what’s changing the pharmacy market and how it could impact you.

Spotlight: Fitness needs across generations

4 new drugs to watch this year

Breakthrough treatments for menopause, Alzheimer's and hemophilia are coming.

Advancing health equity: How Optum Rx Is overcoming challenges

Thought leaders discuss the intentional vigilance needed to overcome obstacles impeding better access to health care for all.

Enabling Success for the Health Plan Ecosystem

Optum has a complete portfolio of assets designed to enable health plans to make meaningful strides toward achieving their goals.

How to manage blockbuster anti-obesity drugs

The pricey weight management drugs work well, but users need coaching and support to maintain the benefits.

Rules impacting pharmacy: Summer 2023 legislative sessions

Learn what's at stake as the Senate considers PBM legislation.

3 ways to address vaccine fatigue

Learn about researched vaccine messaging themes and important steps you can take to promote critical vaccinations for members.

Cancer costs are rising — are you ready?

Viewpoints on the 2025 CMS Advance Notice

Don't miss this exclusive webinar and the chance to learn how your Medicare Advantage plan can better prepare for the 2025 changes.

Experts agree: PBMs add value, lower costs

PBMs don’t cause high drug costs — they’re part of the solution. Our drug prices beat the “low cost” vendors.

The impact of corrective actions on Stars ratings

Learn more about the impact and implications of a Corrective Action Plan and how Stars and these corrective actions are interconnected.

Combating the opioid epidemic

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

Meet the rising demand from seniors to age in place

In-home assessments can improve outcomes, reduce health care costs and align with member preference.

Help Improve Your Members' Health with Optum HouseCalls

Medicare Advantage members receiving in-home assessments saw reductions in emergency department visits and inpatient hospital stays across 4 conditions.

Gene therapies: Can we afford the future of medicine?

Learn how to manage financial risk as gene therapies become more commonplace.

The value of DEX Z-Codes in the commercial space

Optum and Palmetto experts partner in discussing how to solve genetic lab challenges in legacy solutions.

2024 Stars Preview: A Return to Normal and 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.

Exciting advances for sickle cell, chronic obesity, Alzheimer’s

See potential cures for sickle cell and new help for chronic obesity and Alzheimer’s, along with how they work and how much they cost.

5 trends that defined pharmacy in 2023

See which trends are shaping the present and future of pharmacy care services.

Regulatory update: Winter 2023

Get the latest on legislation impacting PBMs.

Creating better behavioral health care

We help people find care and support that’s easy to understand and access.

Care Pathways study

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

Behavioral Health Solutions

We support the journey to better health.

Making a better future for mental health care

Guide members to the right behavioral health care when they need it.

Behavioral Health Provider Digital Access Survey | Optum

Mental health support for youth and caregivers

Youth are struggling more than ever before with their mental health and well-being. We can help.

Helping members achieve their goals

See how the right mental health care makes a difference.

Support for long-term recovery

Find substance use disorder treatment that includes evidence-based resources and compassionate care for members and their communities.

Getting ahead of the mental health crisis

See how leaders are advancing data strategies, screenings and exploring ways to connect consumers to mental health support.

Understanding college students' mental health needs

Read about the realities of campus behavioral health care and how we can make it better.

Guided help for mental health support

We’re making it easier for people to access care.

Tackling the youth mental health crisis

A board-certified adult, child and adolescent, and addiction psychiatrist discusses how to connect children and families to needed behavioral health solutions.

Working together to help end the opioid epidemic

Opioids are powerful drugs with a high risk of misuse and dependence. A comprehensive solution can help address this complex problem.

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.

Supporting Youth Mental Health: On-Demand Webinar

Dr. Yusra Benhalim shares insights on the challenges we must overcome to reach youth.

Support for substance use disorders

Expand access to evidence-based support to help individuals achieve stabilization and sustain recovery.

Supporting our kids

Mental health needs are increasing in youth. Experts share their insights on how to best support them so they can grow into healthy adults.

Personalized support for members with autism

Optum is breaking barriers in supporting members and families who are diagnosed with autism spectrum disorder (ASD).

Managing diabetes gains an 8:1 return on investment

Learn how a third-party administrator’s client improved health outcomes and lowered costs.

Drugs to Watch in summer 2023: New therapies

New drugs for postpartum depression, dermatitis and blindness are coming.

Redefining the prior authorization process

How we are revamping the prescribing process

Optum Rx Drug Pipeline Insights Reports

Read the most recent quarterly reports on new drugs coming down the pipeline.

How our medication packaging helps the planet

New packaging saves CO2, water, energy, and plastic waste.

Shipping sensitive medications

See how medications are protected in transit.

Smart formulary management

Developing and managing formularies that bring clinical and financial value

Transforming the pharmacy industry with transparency

Hear how the industry’s most transparent and independent Pharmacy & Therapeutics Committee evaluates drugs for the Optum Rx formulary.

Why you should prioritize digital payments

Digital payment processing doesn’t have to be a daunting task. Here's why it should be at the top of your priority list.

SDOH solutions: Transforming health care for all

Learn from experts how to transform health care by addressing the social and economic factors that impact health outcomes.

SDOH solutions: Improving population health outcomes

Learn how we are utilizing technology to understand and impliment effective population health interventions.

Fitness for a generation that never gets old

With baby boomers rapidly aging into Medicare, health plans must take an informed approach when marketing fitness benefits. Here’s how.

Closing the diagnosis gap in chronic kidney disease

Most people with chronic kidney disease don’t know they have the condition. These payer strategies can help turn the tide.

3 Ways Digital Movement Is Reshaping Member Experiences | Optum

How to Engage Hard-to-Reach Kidney Disease Patients | Optum

A New Approach: guidance along the fertility journey

Discover how health plans can set aside ad hoc solutions and adopt a comprehensive approach to improve health outcomes and accessibility to fertility care.

How Health Data Can Improve MSK Care for Members | Optum

Future-ready claims review: automation isn’t 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.

E-book: How payers can evaluate Centers of Excellence

Not all Centers of Excellence are created equal. Here are five questions that payers should keep in mind.

Taking aim at the U.S. maternal mental health crisis

New and expectant mothers are facing an epidemic — and a lack of support in addressing it. Read how health plans and employers can help.

Addressing health equity barriers in cancer care

Discover the 5 pillars of equity-driven member navigation.

How CAPs directly impact your Stars performance

Stars Final Rule and the importance of taking a member-centric approach to improve health equity.

Alternative funding: Real savings or problems?

See how much "free" drugs will actually cost you.

Health Equity Vision Into Action Report

Learn how identifying and addressing disparities in health care allows everyone to live their healthiest life.

Regulatory updates with Optum Rx

Stay up-to-date on what’s happening in pharmacy legislation.

Achieving health equity: Strategies for payers

Learn more about a comprehensive solution for health payers to address health disparities and achieve health equity.

First big drugs for 2024

New treatments for NASH, schizophrenia and more are on the way.

Using data to improve health equity

Together, we can identify disparities and take steps toward health equity for all Americans.

2024: A new year promises a host of new drugs

See which trends to consider when assessing the pharmacy benefit, which new drugs may be flying under the radar and what’s coming this year.

A young patient’s hemophilia story

See how OptumRx helped change a patient’s life.

Navigate the intersection of risk adjustment and Stars

Discover 5 strategies that will help your health plan be prepared to factor risk adjustment data into Star Ratings.

Weighty issue: How to contain GLP-1 costs

Get strategies for handling the new anti-obesity medications.