
Reduce costs, manage risk, improve outcomes
Optum® Complex Care Management offers an integrated suite of benefit management services.
These services help health plans and self-insured employers reduce total cost of care, manage organizational risk and improve outcomes for members facing complex disease states.
By combining condition-centric capabilities with flexible funding models, including full risk transfer, Optum delivers the greatest impact to the patients and payers who need it most.


Providing personalized support for complex member needs
- Care management
- Utilization management
- COE/Network
- Focused claims review
Complex care management solutions
Bariatric Resource Services
Focused Claims Review
Optum Guide for health advocacy
Musculoskeletal (MSK) Solutions
NurseLine Services
Oncology Solutions
Transplant Solutions
Specialty Pharma Solutions
Related healthcare insights
Article
There’s a lot at stake with organ transplant claims. Learn the importance of selecting an effective payment integrity approach.
E-book
Discover specialty medication management strategies to help you slow carve-out and stop member attrition.
E-book
Get an in-depth assessment of the ways Specialty Fusion™ is revolutionizing specialty drug management.
Article
See 4 ways that payers can help healthcare providers unlock the power of real-world data to drive quality and innovation in cancer care.