Health Plan Solutions

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A new health care marketplace is taking shape — one that presents greater quality, cost and compliance pressures. To address these pressures Optum^® works with health plans to analyze options and implement solutions to streamline operations and improve population health.

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Executive summary: 2020 CMS Final Notice

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Be informed, respond quickly, seize opportunities.
Learn how changes can impact your plan both operationally and financially.

Download now

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Join us for Optum Forum 2019

July 29-31 | ARIA Resort & Casino | Las Vegas

Let's move health care forward together. Be part of the perspectives, conversations and shared experiences shaping the future of health care. Register now for early-bird pricing.

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how we help

Achieve operational excellence

Drive growth, minimize administrative costs and ensure compliance with consulting and business process as a service solutions.

we can help

Grow membership and drive consumer engagement

Leverage data and tools that help differentiate your brand, and deliver an integrated experience that strengthens consumer engagement.

we can help

Modernize technology and operations

Modernize your technology and operations to shift from volume to value, respond to consumers, learn and profit from disparate data.

see how

we can help

Simplified and secure solutions as a service.

Streamline care management and administration

Leverage solutions designed to advance quality of care and simplify operations, helping improve health outcomes and reduce medical costs.

we can help

Manage pharmacy benefits

Drive down your pharmacy costs by connecting pharmacy with the rest of health care, improving accuracy, adherence and member satisfaction.

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Improve risk and quality performance

Support accurate risk adjustment and improve health outcomes with solutions that match engagements and provider networks to member needs.

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Apply analytics to improve performance

Use analytics technology and services to manage cost, risk and utilization, predict population health trends and measure quality.

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Behavioral health solutions

Improve outcomes and lower total costs by connecting individuals to quality, high-impact care and engaging them in their own wellness.

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Latest thinking from Optum

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Breaking new ground in behavioral health

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Read series on unlocking data to enable care orchestration

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Download Executive Summary now: 2019 CMS Final Notice

SEE ALL

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Insights exclusively for health system CFOs

Access peer interviews, articles, videos and third-party research for the financial executive

View now

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How payer IT leaders can spark collaboration

John Santelli, CIO of UnitedHealth Group, shares insights on the need for provider-payer partnerships.

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Solutions for health plans.

Executive summary: 2020 CMS Final Notice

Join us for Optum Forum 2019

how we help

Achieve operational excellence

we can help

Grow membership and drive consumer engagement

we can help

Modernize technology and operations

we can help

Streamline care management and administration

we can help

Manage pharmacy benefits

Improve risk and quality performance

WE CAN HELP

Apply analytics to improve performance

Behavioral health solutions

Latest thinking from Optum

Insights exclusively for health system CFOs

View now

How payer IT leaders can spark collaboration