Payment Solutions

OptumInsight payment solutions use an established framework to help government agencies share the risk with their provider network, making sure each group is accountable for the portion of risk that they can effectively manage. This method rewards the providers delivering effective care while creating incentives for other providers to improve their care-delivery processes. 

We’ll help you design payment strategies for using:

• APCs and DRGs for out-of-network claims
• APCs and DRGs for in-network commercial business
• Alternative reimbursement methodologies