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Value-based care insights

Explore the challenges of and strategies for implementing value-based care and the benefits for patients, providers and payers. 

   

Transition from fee-for-service to value-based models

The Challenge of Managing Rising Neonatal Costs

Article

The challenge of managing rising neonatal costs

NICU-related claims are becoming more costly. For payers, a comprehensive benefit management strategy, including focused claims review, is crucial.

Future-Ready Claims Review: Automation Isn’t Enough

Article

Future ready claims review automation not 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.

How Employers Can Make Better Benefits Decisions

Article

How employers can make better benefits decisions

Assessing vendors is daunting enough. But for many employers, limited data, contract variations and employee confusion add complexity.

4 Shifts Shaping the Future of Oncology Care and Treatment

Article

4 shifts shaping the future of oncology

An evolution in cancer prevention and treatment promises to forge a new path for patients, physicians and health plans alike.

5 Things a Claim Review Program Does

Article

5 things a claims review program does that you might not realize

Learn more about how an all-in, centralized claims review can contain costs while boosting consumer and provider experiences.

Site of Care A Longitudinal Review [Webinar]

On-demand webinar

Site-of-care: A longitudinal review

Gain insights into the site-of-care landscape, what market data reveals and how outmigration could affect your hospital.

Developing Medicaid Core Set measures for States

Article

Developing Medicaid Core Set measures for States

Discover how Michigan and Virginia took different approaches to meet the federal mandate of tracking care quality for Medicaid and CHIP.

    

Data and analytics in care optimization

Analytics in Payer-Oncologist Partnerships

Article

Analytics in payer-oncologist partnerships

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

Forging a New Frontier in Mental & Behavioral Health

White paper

Forging a new frontier in mental and behavioral health

Overcome today's barriers with leadership, collaboration and investment strategies that proactively address mental and behavioral health.

How Health Data Can Improve MSK Care for Members

Article

How health data can improve msk care

Here’s how payers can harness the power of data to bring more effective — and timely — musculoskeletal (MSK) care to their members.

Care Pathways Study: Early Intervention of Mental Health Care

Guide

Care Pathways study

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

Improve Fertility Treatment Efficiencies & Outcomes

Article

Improve fertility treatment efficiencies and outcomes

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.

2024 Star Ratings Preview

White paper

2024 Stars preview: 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.

E-book: The Role of Navigation in Simplifying Healthcare

The role of navigation to simplify health care

An active approach to advocacy can help improve member experiences while driving down costs. Read our e-book to learn how.

Site of Care A Longitudinal Review [Webinar]

On-demand webinar

Site-of-care: A longitudinal review

Gain insights into the site-of-care landscape, what market data reveals and how outmigration could affect your hospital.

    

Provider enablement and collaboration

How Hub and Advocacy Solutions Work Together for Employers

Article

Hub and advocacy solutions work together

Navigating a complex healthcare environment is challenging. Using hub and advocacy solutions together helps employers and employees alike. 

Employer Insights for Health and Well-Being

Article

What makes a meaningful health advocacy program?

A great health advocacy program helps employees get the most out of their benefits while fostering strong health outcomes and savings.

Support State Medicaid Goals for Members

White paper

Support state Medicaid goals members

Find out how a person-centered approach can help.

    

Patient-centered care and engagement

Support Your Workforce with Emotional Wellbeing Solutions

Video

Reimagine your employee assistance program

Help employees feel mentally, physically and financially well with Emotional Wellbeing Solutions.

Women’s Health: Susan’s Story

Video

Women's health: Susan's story

Learn how OB Homecare and advanced analytics can help manage at-risk pregnancies.

Spotlight: Fitness Needs Across Generations

Article

Fitness needs across generations

Fitness needs vary across generations. Here’s how to make sure your offerings are serving each age bracket.

Emotional Wellbeing Solutions for Healthcare Workers

White paper

Emotional wellbeing solutions for health care workers

Support healthcare workers, who put others first every day.

Research Findings to Support Youth Mental Health Needs

Guide

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.

When Chronic Conditions and Behavioral Health Collide

Article

When chronic conditions and behavioral health collide

The collision of chronic conditions and behavioral health challenges can’t always be stopped, but healthcare leaders can work to mitigate its impact.

Supporting Women Beyond the Reproductive Years

Article

Supporting women beyond the reproductive years

Learn how health plans can fill care gaps by offering greater support and personalized solutions for women experiencing menopause.

Clinician Real Talk Podcast | Optum Care

Podcast

Clinician Real Talk Podcast

Join host Adia Morris for inspiring chats with clinicians on care, culture and how Optum supports their journey every step of the way.

    

Policy and regulatory landscape

Fight the Opioid Epidemic with Medication Interventions

White paper

Combating the opioid epidemic

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

    

Workplace health issues

How Organizations Can Support Neurodiversity in the Workplace

Article

How organizations can support neurodiversity in the workplace

Recognizing the unique perspectives of neurodivergent individuals and creating an inclusive workplace can enrich and empower your teams.

Packaging Your Employee Benefits Experience

Article

Packaging your employee benefits experience

Use best practices to build a gift-wrapped benefits experience that engages your people and optimizes your employees’ well-being.

Wellbeing Shifts with Meaningful Impact

White paper

Wellbeing shifts with meaningful impact

Results from the 8th annual Wellbeing in the Workplace study from Optum highlight how over 400 global employers are winning at wellness.

     

Chronic disease and complex care

Cancer Costs Are Rising — Are You Ready?

Article

Cancer costs are rising — are you ready?

As experts forecast a steep climb in already-expensive oncology costs, payers must prepare for the big changes ahead.

How Payers Can Prepare for Rise of Cellular Therapy Patients

Article

How payers can prepare for the next wave of cellular therapy patients

CAR T-cell therapies have been remarkably successful and may become more widely available. Here’s how to get ready for a rise in these expensive treatments.

Diagnosis and Care Recommendations for Rare Congenital Anomaly

Article

Diagnosis and care recommendations for rare congenital anomaly

Rigorous work-up leads to conservative CHD (congenital heart disease) treatment approach.

Fecal Transplant to Treat Recurrent Urinary Tract Infection

Article

Fecal transplant to treat recurrent urinary tract infection

Learn how leveraging a microbiome approach helped one patient with von Willebrand disease and multiple antibiotic allergies.

  

 All value-based care insights

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.

Why workforce wellness programs must reward more than health tasks

To ensure that well-being benefits drive results, employers must let go of strategies built around one-and-done health tasks. Here’s how.

Access to mental health care within 48 hours

Optum expands care options while reducing crisis events and costs.

Support for substance use disorders

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

Closing the diagnosis gap in CKD

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

Women’s health is more than reproductive care

Discover 5 areas of focus for payers and employers looking to improve women’s health outcomes, costs and member satisfaction.

Building a better oncology managed care program

New cancer treatments can transform patients’ lives — but they also create costs that demand a new kind of cancer guidance program.

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.

Personalized support for members with autism

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

Shift-of-site care is a win for women

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

Reimagining behavioral health

Join speakers Lou Dierking and Miranda Anderson as they share insights into how technology can drive much-needed improvements in behavioral health care.

Helping members achieve goals

See how the right mental healthcare makes a difference.

Optimize employee benefits with healthcare analytics

With the right tools, employers can transform employee benefits data into actionable insights that drive better experiences and add value.

Wellbeing shifts with meaningful impact

Results from the 8th annual Wellbeing in the Workplace study from Optum highlight how over 400 global employers are winning at wellness.

What Gen Z wants in employer fitness benefits

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

Analytics in payer-oncologist partnerships

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

Combating the opioid epidemic

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

Reimagine your employee assistance program

Help employees feel mentally, physically and financially well with Emotional Wellbeing Solutions.

Mental health: Optum addresses the great information divide

Explore the challenges and opportunities in using mental health data to understand prevalence, risk, impact and treatment in patients, members and communities.

Boost engagement with personalized benefits communication

Learn how personalized employee communications can help meet benefit strategy objectives

How to manage organ transplant costs

There’s a lot at stake with organ transplant claims. Learn the importance of selecting an effective payment integrity approach.

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

New and expectant mothers are facing an epidemic. Here’s what they need, not only to withstand pregnancy and early parenthood but to thrive.

Future ready claims review automation not 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.

Human-centered design in healthcare

This Optum white paper shows how human-centered design builds technology and programs that are easy and intuitive for consumers to use.

More inclusive MSK care: How can employers help?

Discover what employers can do to support all employees who may be coping with costly and common musculoskeletal conditions.

Leveraging GLP-1s for a whole-person approach

A holistic, strategic approach to GLP-1s combines medication, surgery and behavioral health to support weight management and reduce costs.

Supporting employee wellbeing after a loss

Learn how Optum helped a member find support after a loss.

Diagnosis and care recommendations for rare congenital anomaly

Rigorous work-up leads to conservative CHD (congenital heart disease) treatment approach.

Cost breakthroughs in complex care management

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

Menopause in the workplace: Promoting awareness and support

How employers and payers can step up with tailored benefits, workplace accommodations, and integrated care.

Mitigating maternal care deserts

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

Understanding college and graduate student mental health needs

Explore the realities of mental health among college students and graduates and how we can make it better.

Delivering on promise of fertility care

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

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.

Workplace fitness benefits: What to know

Employers must adjust their fitness programs to meet employees' evolving fitness needs. Here’s how to bring your offerings into the new era.

Elevating employee engagement

Data-driven, targeted strategies help successfully increase employee use of mental health, financial and legal services.

Supporting women beyond the reproductive years

Learn how health plans can fill care gaps by offering greater support and personalized solutions for women experiencing menopause.

Forging a new frontier in mental and behavioral health

Overcome today's barriers with leadership, collaboration and investment strategies that proactively address mental and behavioral health.

5 things a claims review program does that you might not realize

Learn more about how an all-in, centralized claims review can contain costs while boosting consumer and provider experiences.

Supporting the unique needs of firefighters

When the Minnesota Fire Service needed emotional well-being support for their firefighters, Optum stepped in to help.

The importance of workforce mental health maintenance

See how employee mental health benefits are evolving to support workforce wellbeing.

Behavioral health support for millennials at work

Millennials are leading the charge for mental wellness—and employers are stepping up.

2024 Stars preview: 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.

Attracting Gen Z employees with smart benefits strategies

Gen Z is changing workplace expectations — employers must evolve benefits to keep up..

Fitness needs across generations

Fitness needs vary across generations. Here’s how to make sure your offerings are serving each age bracket.

Supporting family mental health

See how the Child and Family Behavioral Coaching program helped a family find support for their child’s ADHD.

Improve fertility treatment efficiencies and outcomes

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.

Increasing at-home dialysis for ESRD patients

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.

2023 3rd Annual C-suite Research Report

How are market dynamics impacting decision-making across healthcare? Research report examines progress, challenges and priorities in 2023.

Emotional wellbeing solutions for health care workers

Support healthcare workers, who put others first every day.

Packaging your employee benefits experience

Use best practices to build a gift-wrapped benefits experience that engages your people and optimizes your employees’ well-being.

Behavioral health support helps improve ROI

With work-life balance becoming a priority, offering no-cost outpatient therapy is more than a benefit — it’s a commitment to wellbeing.

The role of navigation to simplify health care

An active approach to advocacy can help improve member experiences while driving down costs. Read our e-book to learn how.

How to make most of your fitness benefits

Get a step-by-step guide for employers to maximize ROI, design the best offering and keep their workforce engaged in essential offerings.

Improve well-being engagement and usage

Learn 5 critical factors that can help you successfully engage employees in your wellness strategy.

Emotional wellbeing support

Help your workforce take charge of their health, so they can be more resilient and present every day.

Antiracism and inclusion

Optum saw the value in a project for a community cohort, Leadership for Racial Equity, and quickly worked to create a national strategy.

How payers can improve maternal care in the 4th trimester

Learn how payers can drive meaningful impact through preconception care, postpartum coaching and managing chronic conditions early.

Drive wellbeing programme utilisation

Strengthen your international wellbeing programme with an integrated health promotion specialist.

7 strategies for meeting more mental health needs

Discover how to create an interconnected network of services that help people get properly diagnosed, access support and sustain progress.

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.

Site-of-care: A longitudinal review

Gain insights into the site-of-care landscape, what market data reveals and how outmigration could affect your hospital.

Are employees checked out mentally present

Keys to investing in wellbeing programs that meet employees where they are and offering solutions for everyday life.

Fecal transplant to treat recurrent urinary tract infection

Learn how leveraging a microbiome approach helped one patient with von Willebrand disease and multiple antibiotic allergies.

How employers can make better benefits decisions

Assessing vendors is daunting enough. But for many employers, limited data, contract variations and employee confusion add complexity.

4 shifts shaping the future of oncology

An evolution in cancer prevention and treatment promises to forge a new path for patients, physicians and health plans alike.

Addressing social determinants of health

Create solutions to eliminate barriers to care and support members.

Health loyalty rewards programs

Learn how employers can tap best practices to ensure their health rewards and loyalty programs make a meaningful difference.

Case study: Investing in employees' success

Tailored financial wellbeing support eases employee stress and boosts productivity for global telecommunications company.

4 ways behavioral support helps make GLP-1s cost effective

As GLP-1 use surges, payers and employers need to include behavioral support, deprescription planning and long-term care to sustain outcomes.

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.

How to implement patient-centered oncology care

Patient-focused care is becoming the highest aspiration in cancer care. Here’s what payers should know to embrace this beneficial approach.

Kidney care breakthroughs: What payers should know

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

Wellbeing in the Workplace Study

Explore the latest insights and trends shaping workplace wellbeing from our global employer survey.

How holistic programs improve senior health

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

How to ease the emotional toll of caregiving for members

Learn how plan sponsors can support caregivers and their loved ones' mental health with resources and tools.

Revolutionizing specialty medication management

Get an in-depth assessment of the ways Specialty Fusion™ is revolutionizing specialty drug management.

Bring wellness strategy to life

Discover how partnering with a health promotion specialist can help you unlock creative ways to engage your employees with wellness programs and initiatives.

How to build a mobile crisis team

Learn more about the current research on mobile crisis teams (MCTs), how to build an MCT as well as envision a future for them.

5 ways to help your employees reach their wellness goals

Learn how employers can bridge the wellness gap through workplace wellness programs that offer personalized, practical and human support.

What employers should know about a hub benefits strategy

A fresh approach to benefits is easing leaders’ administrative burden and connecting employees to better care.

Managing the high costs of complex conditions with Centers of Excellence

How to build a resilient benefits strategy that drives access and improves outcomes sustainably.

Connected care

See the whole picture for whole-person health.

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.

How patient-first care helps women with cancer

A growing number of women are navigating cancer care. Targeted supports can make a difference in patient experience, outcomes and costs.

Safeguard the mental health of content moderators

Learn how we support the unique workplace needs of content moderators with a tailored wellbeing strategy.

How organizations can support neurodiversity in the workplace

Recognizing the unique perspectives of neurodivergent individuals and creating an inclusive workplace can enrich and empower your teams.

Supporting providers in the transition to VBC

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

Cancer costs are rising — are you ready?

As experts forecast a steep climb in already-expensive oncology costs, payers must prepare for the big changes ahead.

Helping a member find support

See how one mother found in-the-moment support during a family crisis.

Why quality fitness benefits are crucial for employers

Whether you offer exercise classes, fitness equipment or nutritious snacks, investing in your employees’ movement and health will always be smart.

Senior brain health and social interaction

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

When chronic conditions and behavioral health collide

The collision of chronic conditions and behavioral health challenges can’t always be stopped, but healthcare leaders can work to mitigate its impact.

Support state Medicaid goals members

Find out how a person-centered approach can help.

How health data can improve msk care

Here’s how payers can harness the power of data to bring more effective — and timely — musculoskeletal (MSK) care to their members.

Behavioral healthcare made better

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

Guidance along fertility journey

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

Asia pacific culture of health

By engaging region-specific expertise, your company can strategically improve the well-being of its employees.

Addressing the Root Causes of Mental Health Disparities

Discover steps and strategies to reduce disparities among vulnerable populations and remove barriers for more equitable mental health care.

Supporting members through life’s challenges

See how mental health support from Optum helped a member navigate grief.

Clinician Real Talk Podcast

Join host Adia Morris for inspiring chats with clinicians on care, culture and how Optum supports their journey every step of the way.

Care Pathways study

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

Ways digital movement reshaping member experiences

As digital fitness, physical therapy and virtual musculoskeletal care surge in popularity, they’re yielding benefits for health plans and members alike.

Hub and advocacy solutions work together

Navigating a complex healthcare environment is challenging. Using hub and advocacy solutions together helps employers and employees alike. 

Slowing specialty pharmacy carve out stampede

Discover specialty medication management strategies to help you slow carve-out and stop member attrition.

Youth-centered mental health

Find new ways to address youth mental health and how health care leaders and communities can come together to achieve long-lasting impact.

Addressing high-cost of musculoskeletal care deferral

With musculoskeletal (MSK) incidence rates and costs rising, connecting members with the care they need is more urgent than ever.

What makes a meaningful health advocacy program?

A great health advocacy program helps employees get the most out of their benefits while fostering strong health outcomes and savings.

When healthcare works better for everyone

See how building an outcomes-based model for behavioral healthcare can benefit both clinicians and patients.

How payers can prepare for the next wave of cellular therapy patients

CAR T-cell therapies have been remarkably successful and may become more widely available. Here’s how to get ready for a rise in these expensive treatments.

Women's health: Susan's story

Learn how OB Homecare and advanced analytics can help manage at-risk pregnancies.

Costs for unrecognized kidney disease

A new study published by The American Journal of Managed Care highlights health care costs associated with unrecognized progression to late-stage kidney disease.

What healthcare leaders really think about AI

For our 2-part series on the future of AI, we surveyed more than 100 healthcare leaders. Part 1 reveals how leaders are approaching AI investments. Part 2 looks at the leadership challenge that executives face.

The challenge of managing rising neonatal costs

NICU-related claims are becoming more costly. For payers, a comprehensive benefit management strategy, including focused claims review, is crucial.