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Health benefits

Complex care management

Discover simple solutions for complex conditions to reduce the cost of care, manage organizational risk and improve outcomes.

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. 

Woman surrounded by the Complex Disease Prevention and Management solutions Woman surrounded by the Complex Disease Prevention and Management solutions

Complex care management solutions

Bariatric Resource Services

We help reduce medical expenses associated with bariatric surgery and provide support for your members, their family members and caregivers.

Focused Claims Review

Save on total claims dollars reviewed with this innovative approach targeting procedure, surgery and facility claims.

Optum Guide for health advocacy

Optum Guide™ helps your employees improve engagement with their health care benefits and connects them to the right care at the right time.

Musculoskeletal (MSK) Solutions

Manage escalating utilization and spend.

NurseLine Services

We provide 24/7 support to help people understand their symptoms.

Oncology Solutions

Our solutions address complex challenges and help manage cancer costs while improving outcomes and quality of care.

Transplant Solutions

Get significant savings and statistically superior outcomes.

Specialty Management

Simplify specialty care with medical and pharmacy solutions that deliver enhanced analytics to inform strategy and lower costs.

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