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.

Revealing opportunities

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.