Optum has been serving the needs of workers’ compensation
and auto no-fault payers for over 45 years. Our programs and services are coordinated, holistic solutions that go beyond
simple transactional savings to address an injured person’s complete treatment.
By managing it all, we help you manage utilization, control costs and minimize risks for injured people. We call this Total Care Management…it is the Optum way.
Our solution focuses on your needs and is based on three foundational pillars:
Some of the brightest people in the workers’ compensation and auto no-fault industries choose to work at Optum. The group below are much sought-after thought leaders who have presented at the industry’s leading conferences. To inquire about availability for speaking engagements and media interviews, please contact us.
We are an SSAE 16-accredited organization, which is renewed on an annual basis. We are also certified by URAC (Utilization Review Accreditation Commission) a non-profit, independent agency for pharmacy benefit management and case management.
URAC promotes quality healthcare and provides standards that healthcare organizations must meet in order to receive and maintain accreditation. URAC has a specific set of standards for workers’ compensation PBMs, which serves as an indicator of quality and compliance. We are proud to have received URAC accreditation across the entire enterprise; our next scheduled corporate accreditation review is set to occur in September 2022 for pharmacy benefit management, and will be valid for an additional three years after.
The Optum Case Management program received certification from the National Committee for Quality Assurance (NCQA).
Recognized for quality, the NCQA reviewed our policies, procedures and data reporting and awarded us the highest level of accreditation—a 3 year accreditation—for our comprehensive case management program.
The NCQA Review Oversight Committee (ROC) found that the program offered by Optum demonstrates strong performance of NCQA’s rigorous requirements for comprehensive case management. This status is awarded only to organizations that demonstrate strong performance of the functions outlined in the NCQA standards for Case Management accreditation. Our accreditation is effective October 30, 2017 – October 30, 2020.
Optum is a part of the UnitedHealth Group (UHG) family of companies.