WHEN ALL PHARMACY BENEFIT
MANAGERS START LOOKING
THE SAME – CHOOSE THE ONE
THAT RISES TO THE TOP.
In today’s unprecedented times, it is vital to select a pharmacy benefit manager (PBM) that has your best interests in mind — a true partner. Selecting the right partner can be difficult when virtually every PBM is saying the same thing and boasting about the same services.
But, what they say and what they do, can be greatly different.
OPTUM IS DIFFERENT.
Our Total Care Management Solution is the right mix of clinical expertise, industry knowledge, data and analytics, and technology to look at a claim holistically and help you achieve positive outcomes. We are not just a pharmacy benefit manager – we deliver pharmacy care services and our focus is always on the care of the injured person.
Optum has saved our clients over $2B in the last four years.
Optum clinical programs soar as we help clients lower the percentage of claims using opioids over 24% points since 2012.
OPTUM IS ACCOUNTABLE.
While others boast about their transparent pricing, Optum pharmacy discounts are tied to AWP, which cannot be manipulated and can be easily verified and audited by our clients. Plus, we include a variety of value-added services including a workers’ compensation-specific formulary, clinical oversight, public and policy and regulatory affairs support and continuing education opportunities all at no additional cost and with NO hidden fees.
OPTUM DATA AND ANALYTICS ARE UNMATCHED.
All PBMs collect claim data, but Optum has the unique ability to leverage UnitedHealthcare data – our parent company and the largest healthcare payer in the provider market – along with our own 44 years of workers’ compensation transactional data to establish the industry’s largest medical data pool. We use this leading data set for risk analysis, predictive analytics, clinical oversight, medical intervention and more.
Optum rises to the occasion with our AWP-based pricing and achieves an average prescription cost per claim over 10% lower than a major PBM competitor.
79% of Optum claims identified by our superior data analytic capabilities resulted in positive outcomes such as lower number of scripts, lower costs, & lower med levels.
OPTUM KEEPS INNOVATING.
While it is now common for a PBM to have a customizable web portal for adjusters, Optum hasn’t stopped there. We continue to invest in our VitalPoint® web portal to make it intuitive and easy to use with robust smart routing protocols to engage the right person whenever needed. Plus, it provides a connection to all Optum services – ancillary, pharmacy, bill review, and settlement services – so case managers have the potential to manage it all.