We simplify the care path for patients with complex needs
Every patient deserves the simplest path to care. At Optum, we’re reimagining the healthcare experience with leading-edge solutions across medical and pharmacy needs. We're also removing barriers to getting the right care — even for patients with the most complex needs.
Grounded in deep clinical expertise and backed by the latest technology and data, we deliver innovative tools and integrated capabilities to address specialty needs in oncology, rheumatology, cardiovascular and transplant care. And by layering on rich analytics and reporting, we provide actionable insights to improve specialty strategies and augment savings along the way.
Specialty management solutions
Claims Edit System
Achieve clean claims and maximize medical spend savings with our flexible, real-time claim editing software.
Emergency Department Claim Analyzer – Facility
Control rising emergency outpatient facility costs with automated, consistent and defensible E/M coding evaluation.
Laboratory Benefit Management
Reduce your lab spend and improve patient outcomes with our comprehensive approach.
Managed Transplant Program for Health Plans
Health plans can better manage risk, control costs and improve transplant services.
Oncology Solutions
Our solutions address complex challenges and help manage cancer costs while improving outcomes and quality of care.
Specialty Fusion
Experience a specialty drug management solution that does more by bringing medical and pharmacy benefits together at the point of care.
Transplant Resource Services
We offer a high-quality nationwide provider network of transplant centers and significant discounts.
Transplant Solutions
Get significant savings and statistically better clinical outcomes.
Industry insights
Article
Explore innovations custom built for today’s specialty challenges.
White paper
Integrating specialty pharmacy means better care, lower costs.
E-book
Get an in-depth assessment of the ways Specialty Fusion™ is revolutionizing specialty drug management.