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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

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.

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.

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.

Article

Payer-provider collaboration in ESRD care

Kidney disease is complex and disproportionately impacts people with limited financial resources. Here’s how payers can help transform care.

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.

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.

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.

    

Data and analytics in care optimization

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.

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.

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.

Guide

Care Pathways study

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

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.

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.

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.

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

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. 

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.

White paper

Support state Medicaid goals members

Find out how a person-centered approach can help.

    

Patient-centered care and engagement

Video

Reimagine your employee assistance program

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

Video

Women's health: Susan's story

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

Article

Fitness needs across generations

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

White paper

Emotional wellbeing solutions for health care workers

Support healthcare workers, who put others first every day.

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.

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.

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.

Case study

Safeguard the mental health of content moderators

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

    

Policy and regulatory landscape

White paper

Combating the opioid epidemic

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

    

Workplace health issues

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.

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.

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

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.

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.

Article

Diagnosis and care recommendations for rare congenital anomaly

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

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

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.

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.

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.

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.

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.

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.

Supporting providers in the transition to VBC

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

Health equity in kidney disease management

Learn 5 strategies for health plans to address inequities in the kidney care landscape and create more equitable access, treatment and outcomes for all.

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.

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.

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.

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.

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.

Reimagine your employee assistance program

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

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

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

Case study: Investing in employees' success

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

Mitigating maternal care deserts

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

Elevating employee engagement

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

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.

Kidney care breakthroughs: What payers should know

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

Are employees checked out mentally present

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

Supporting employee wellbeing after a loss

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

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.

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.

Senior brain health and social interaction

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

Payer-provider collaboration in ESRD care

Kidney disease is complex and disproportionately impacts people with limited financial resources. Here’s how payers can help transform care.

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.

Preemptive kidney transplants

Avoiding dialysis in favor of organ transplant may yield better patient outcomes and lower healthcare costs. So why is it still uncommon?

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.

Care Pathways study

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

Fitness needs across generations

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

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.

Emotional wellbeing solutions for health care workers

Support healthcare workers, who put others first every day.

Emotional wellbeing support

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

How holistic programs improve senior health

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

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.

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.

Cost breakthroughs in complex care management

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

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.

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.

Wellbeing in the Workplace Study

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

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.

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.

Diagnosis and care recommendations for rare congenital anomaly

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

Holistic msk improves care

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

Asia pacific culture of health

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

Drive wellbeing programme utilisation

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

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.

Hub and advocacy solutions work together

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

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.

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.

Addressing social determinants of health

Create solutions to eliminate barriers to care and support members.

Support state Medicaid goals members

Find out how a person-centered approach can help.

Combating the opioid epidemic

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

Understanding students' mental health needs

Read about the realities of campus behavioral healthcare and how we can make things better for college students.

When healthcare works better for everyone

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

Personalized support for members with autism

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

Support for substance use disorders

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

Supporting the unique needs of firefighters

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

Behavioral healthcare made better

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

Helping members achieve goals

See how the right mental healthcare makes a difference.

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.

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.

Boost engagement with personalized benefits communication

Learn how personalized employee communications can help meet benefit strategy objectives

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.

Supporting members through life’s challenges

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

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.

Health loyalty rewards programs

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

Supporting family mental health

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

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.

Improve well-being engagement and usage

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

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.

Access to mental health care within 48 hours

Optum expands care options while reducing crisis events and costs.

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.

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.

Helping a member find support

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

Payers address family building inequities

Read how payers can turn the tide on 5 worrisome statistics.

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.

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.

Women's health: Susan's story

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

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.

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 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.

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.

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.

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.

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.

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.

Connected care

See the whole picture for whole-person health.

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.

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.

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.

Improve women's health with community-based solutions

Research shows that community-based care is an effective way to lessen the negative effects of social factors that can heavily influence health outcomes.

Address health equity barriers in cancer care

Discover the 5 pillars of equity-driven member navigation.

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.

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.

Health equity and women's health

Create meaningful change for the women in your workforce. Learn steps to help close the gap in health equity, improve health and lower costs.

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.

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.

Safeguard the mental health of content moderators

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

Slowing specialty pharmacy carve out stampede

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

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.

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.

Revolutionizing specialty medication management

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

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.

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.

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.

The importance of workforce mental health maintenance

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

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.