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The health plan market environment demands that payers face the dual challenge of meeting today’s demands while preparing for the headwinds of tomorrow. Optum can help define the path to value — working with health plans to improve operations, increase satisfaction and drive outcomes to support successful evolution in a constantly changing environment.

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  • Optum serves as a strategic partner, enabling health plans to elevate performance today and empower transformation for the future.

    Realize immediate financial and operational improvements

    Health Plan value

    • Indentifying your opportunities for immediate impact
    • Defining a clear path to optimize your performance
    • Optimizing your performance through proven services and solutions


    • Data on 100M+ lives across the U.S. for unique national perspective
    • $10+ billion in savings generated annually through payment integrity services
    • 82% of clients MA contracts achieved 4 Stars or better in 2016
    • 7M Medicaid members managed under health and well-being programs

    Increase constituent satisfaction and improve outcomes

    Health Plan value

    • Delivering your actionable intelligence
    • Enabling you to achieve better care and optimized outcomes
    • Optimizing your constituent engagement and satisfaction
    • Driving simplification and transparency for your members


    • 450+ risk models built to identify and predict patient problems
    • $3,275 PEMPM 2017 medical cost savings1
    • 37M+ people access Optum Behavioral Health services
    • Over 5M in-home visits completed, with satisfaction rate of 98%

    1 Optum MACM BOB estimated savings using validated Values based Methodology inclusive of 5,422 closed cases in 2017

    Successfully navigate a dynamic environment

    Health Plan value

    • Offering you visibility and expertise for the future
    • Delivering guidance for your streamlined execution
    • Enabling your purposeful innovation
    • Aligning our success to your performance


    • 24K+ data and analytics professionals on staff
    • $3.2B annual investment on technology and innovation
    • 1,400+ consulting engagements impacting 70% of all health plan members in the market
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how we help


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Ready to create a healthier tomorrow? See how Optum can help you streamline operations and improve population health.

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