Organ transplants can be lifesaving treatments
Transplants are costly and complex. Without careful contract negotiation, along with provider oversight, financial and clinical outcomes can vary dramatically.
That’s why thousands of clients partner with Optum to reduce medical expenses and to gain access to quality transplant providers through our unique Transplant Resource Services (TRS) and Managed Transplant Program (MTP).
Costs vary depending on the type of transplant and where, geographically, the transplant is being performed, leading to unpredictable costs.
Key benefits
The Optum Transplant Centers of Excellence (COE) network delivers access, choice and exceptional value.
188 centers of excellence facilities
We have 188 COE facilities and over 1,000 COE programs.1
Millions of members have access
Our more than 95 million members have access to quality care.2
Proximity to a COE
Approximately 98% of members are within 200 miles of a COE.3
Nearly 1 transplant per hour
Almost 1 transplant is performed per hour in network.4
Transplant solutions for our health plans
Transplant Solutions can help provide clinical and economic value to organizations managing the catastrophic care of transplants. We offer two different solutions for addressing transplant care. Our transplant options include Transplant Resource Services and the Managed Transplant Program.
Transplant Resource Services
Our transplant Centers of Excellence (COE) network is at the heart of how we help Commercial, Medicare Advantage and managed Medicaid payers. TRS provides clients access to this specialized network, which delivers deep savings through better contracted rates. Average discount from billed charges5:
- Commercial: 58%
- Medicare: 67%
- Medicaid: 70%
Managed Transplant Program for health plans
This program addresses the high costs and complexity of transplant cases. Case management expertise helps us leverage our full breadth of services.
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Complementary solutions
Managed Transplant Program
Transplant Resource Services
- Flies D. Optum transplant network status as of December 2022.
- 2022 year-end UHC membership plus estimated external membership as of Aug. 2023
- Foster, G. Analysis on COE access, July 2022
- Donovan B. Count of 2022 cases created in CMC Facets. August 2023.
- Donovan B. Repriced claims data. CMC Facets. 2022. Medicaid average savings based on adult transplants.