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Health benefits

Complex care management

Discover simple solutions for complex conditions to reduce the cost of care, manage organizational risk and improve outcomes.

Reduce costs, manage risk, improve outcomes

Optum® Complex Care Management offers an integrated suite of benefit management services. 

These services help health plans and self-insured employers reduce total cost of care, manage organizational risk and improve outcomes for members facing complex disease states. 

By combining condition-centric capabilities with flexible funding models, including full risk transfer, Optum delivers the greatest impact to the patients and payers who need it most. 

Woman surrounded by the Complex Disease Prevention and Management solutions Woman surrounded by the Complex Disease Prevention and Management solutions

Complex care management solutions 

Solution suite

Bariatric Resource Services

Best for:
  • Employers
  • Payers

We help reduce medical expenses associated with bariatric surgery and provide support for your members, their family members and caregivers.

Solution suite

Focused Claims Review

Best for:
  • Employers
  • Payers

Save on total claims dollars reviewed with this innovative approach targeting procedure, surgery and facility claims.

Solution suite

Musculoskeletal (MSK) Solutions

Best for:
  • Employers
  • Payers

Manage escalating utilization and spend.

Solution suite

NurseLine Services

Best for:
  • Employers
  • Health systems and hospitals

We provide 24/7 support to help people understand their symptoms.

Solution suite

Oncology Solutions

Best for:
  • Employers
  • Payers

Our solutions address complex challenges and help manage cancer costs while improving outcomes and quality of care.

Solution suite

Specialty Pharma Solutions

Best for:
  • Payers
  • Providers

Manage specialty medical drug expenses.

Solution suite

Transplant Solutions

Best for:
  • Payers

Get significant savings and statistically better clinical outcomes.

Industry insights

Kidney Care Breakthroughs: What Payers Should Know

Article

Kidney care breakthroughs: What payers should know

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

How to Achieve More Inclusive MSK Care

Article

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.

3 Ways Holistic MSK Care Improves All Avenues of Care

Article

3 ways holistic MSK care improves all avenues of care

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

Digital MSK Tools: 5 Important Features

Article

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.