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
Solution suite
Bariatric Resource Services
We help reduce medical expenses associated with bariatric surgery and provide support for your members, their family members and caregivers.
Solution suite
Focused Claims Review
Save on total claims dollars reviewed with this innovative approach targeting procedure, surgery and facility claims.
Solution suite
Oncology Solutions
Our solutions address complex challenges and help manage cancer costs while improving outcomes and quality of care.
Solution suite
Transplant Solutions
Get significant savings and statistically better clinical outcomes.
Industry insights
White paper
This white paper analyzes CAR T utilization, outcomes and economic impact across commercial and Medicare populations in the Optum Cell and Gene Therapy (CGT) program from 2022–2024.
Article
Life after cancer is complex, and survivorship — living with and beyond diagnosis — demands long-term support for mental, physical and financial health.
Article
Payers facing rising CGT costs and complexity can draw on decades of transplant care experience to improve systems for coordination, risk management and patient support.
Article
Learn how leveraging a microbiome approach helped one patient with von Willebrand disease and multiple antibiotic allergies.