Optimize your employee benefits program
Tools and resources to help you understand your population health needs, risks and opportunities.
Health Plan Manager
Health Plan Manager integrates medical, pharmacy, clinical, financial, disability, workers’ compensation and time and attendance data in order to tell a holistic, client-specific story. Get strategic insights to reliably analyze health benefits, population health and absence and productivity management.
The providers and facilities caring for your plan members are vitally important to the success of their treatment and to your ability to manage total medical costs.
At Optum, we build and maintain networks of providers in a variety of complex medical conditions and rehabilitative therapies. We hold providers to a standard of delivering the highest quality of care with the greatest efficiency for the best possible outcomes.
Our services* include claims administration, utilization management and clinical oversight. In some cases, we work with an insurer who can underwrite the risks of some complex medical conditions so you can predict what your costs will be.
We can work with you to improve network access for your plan members. We can also help you address legal and regulatory mandates.
*Services provided by OptumHealth Care Solutions, Inc.
One in five working-age Americans experiences symptoms of a mental health disorder in any given month1, and behavioral health issues are the fifth-leading cause of short-term disability.2 At Optum, we recognize the impact that behavioral health can have not only on plan sponsors’ medical costs, but also on their organization’s vitality and potential to thrive.
Pharmacy benefit management
Pharmacy benefit management helps make health care work better for everyone by specializing in the delivery, clinical management and affordability of prescription medications.
To keep health care more affordable for everyone, we help our clients not only manage total drug spend but also impact total health care spend through our suite of pharmacy cost management offerings, ability to synchronize benefits and guide better member decisions.
With a focus on affordability, service excellence and the ability to offer everything from pharmacy-only services to fully synchronized benefits, we manage beyond our client’s pharmacy benefits to look at total health care costs and better health outcomes.