Sharing our expertise, knowledge and research-driven content
Our subject matter experts translate today’s news into comprehensive informational pieces to help you better understand the impact of recent industry updates, trends, or issues.
Stronger and safer: Partnering with an established, stable enterprise
Your reputation matters. Working with a vendor partner that has a solid, stable, and positive market presence — as well as strong programs to protect against external threats — can enhance your credibility in the eyes of your customers. Optum is proud to be a part of UnitedHealth Group, one of the world's most respected companies. We have the infrastructure you need to protect systems and data; the human capital to provide you with expert advice whenever needed; and best-in-class governance practices that drive sustained value for all program stakeholders.
Top 10 factors in the successful management of high-risk claims
For a seriously injured individual, the road to recovery can be stressful and unnerving. Compassionate and careful claims management helps to smooth the way and remove barriers — paving the way for improved physical and emotional recovery. Dr. Robert Hall, Corporate Medical Director, draws on years of experience to simplify the complexity inherent in managing high-risk claims and help claims professionals successfully navigate the claims management process.
Data that makes a difference: The Optum Risk Score
How can a wealth of data be converted to information that can trigger the changes needed to reduce risk and improve health? Optum clinical and data experts provide the real-life illustration of Tracy, an injured worker, to show how the Optum proprietary Risk Score helped an adjuster and reviewing clinicians guide her prescriber toward actions that placed her on a better path to recovery.
Early action, better results: The benefits of proactive adjuster involvement in auto no-fault pharmacy claims
Optum Auto No-Fault experts AJ Carrier, Vice President of Account Management, and Melissa Dillingham, Senior Account Manager, illustrate how the power of a customized PBM program and proactive adjuster engagement can work together to help auto carriers significantly reduce the burden on adjusters, improve turnaround times, lower costs, and extend claimant benefits.
Dispelling the rumors about PPOs and other medical networks
Preferred Provider Organizations (PPOs) serve as an important component of effective claims management by managing medical treatment, medication, and ancillary utilization in accordance with clinical best practices. Unfortunately, misunderstandings regarding the part they play in workers’ compensation have led to concerns and fostered negative connotations. In this white paper, Optum PPO specialists review what you may have heard about these types of networks, and provide clarifications to dispel rumors and inaccuracies.
Optum public policy and regulatory experts share the right information at the right time
We’ve all heard the saying, “knowledge is power.” Evaluating legislation and regulation involves lots of details to organize, legalese to interpret, if/then statements to flowchart, and updates to sort. This is where the Optum Public Policy and Regulatory Affairs (PPRA) team really shines.
Subscribe today to receive our latest blogs, white papers, articles, podcasts and more.