Helping health plans navigate today's reformed marketplace
Reform and market pressures are driving health plans to significantly reduce administrative expenses while sharpening their focus on quality and care improvement. At the same time, insurers need to design new business and risk models that account for Medicaid expansions and health benefit exchanges, as well as comprehensive compliance programs that accommodate ICD-10 and STARS.
In today’s market, health plans must do everything they can to decrease costs and increase performance across their entire value chain. OptumInsight can help your organization develop the right strategy to meet those goals while strengthening business operations.
Learn more about critical areas of focus that address health plan needs:
Clinical communities & networks
Identify opportunities to strengthen provider relationships and optimize the costs of managing your organization’s network.
Clinical performance & compliance
Get comprehensive views into provider measurement and care management.
Operational & administrative efficiency
Keep your company’s payment stream cleaner, more precise, and more transparent.
Risk optimization & growth
Assess the landscape, plan new initiatives, and evaluate programs on an ongoing basis.
No matter how your organization wants to prioritize efforts in these areas, we have the expertise and insight required to meet your goals.
Providing innovative solutions
We focus on evolving standards and providing innovative software, technology, and services to answer your organization’s most urgent business needs. Our industry-leading models supply the means to aggregate, analyze, and communicate data, ultimately enabling more insightful decision-making.
OptumInsight works closely with health plans to analyze their current state and uncover new opportunities. Drilling down and applying industry-leading best practices and benchmarking, we spot trends and potential changes that might otherwise be missed, creating cost savings that maximize performance.
Case Studies & Insights
Perspectives Summer 2012 Edition eBook: Building Momentum in Times of Change Read more.
Perspectives Spring 2012 Edition eBook: Four Ways to Thrive in a Reform-Driven Health Care Environment Read more.
Optimized provider networks—key to meeting critical business objectives Read more.
Provider Network Management: Rating Current Performance, Dimensions in Need of Improvement Read more.
Health Plan Self-Assessment Inventory: Pursuing Provider Network Opportunities Read more.
ICD-10 will be most far-reaching change to the U.S. health system to date.
Health care connectivity can enable streamlined workflow, greater financial stability and improved patient care. Read more.
ICD-10 will be most far-reaching change to the U.S. health system to date. Read more.
Close to one trillion dollars will be spent on health care reform. Read more.
Accountable Care Organizations are shaping the future of the health system. Read more.
HIPAA 5010 brings new transaction standards and new opportunities. Read more.
Computer-assisted coding can help you improve coder efficiency, reduce costs, and prepare for ICD-10. Read more.