Identifying and qualifying high-caliber programs
Transplant Resource Service (TRS) is built upon a network of high-quality Centers of Excellence (COE). We invest substantial resources to identify and qualify the programs that deliver improved outcomes. Once a program is qualified clinically, we leverage extensive purchasing power to drive deep contractual savings.
Key benefits
Commercial savings
Optum averages 60% savings per transplant for commercial patients.1
Public sector savings
Optum offers Medicaid discounts, which yield savings of 68% and average 70% savings on transplants for Medicare patients.1
More than $12 billion in yearly claims
We manage over $12 billion in transplant claims per year and accurately and quickly process repriced claims.2
Improved clinical outcomes and faster recovery
Optum COEs can improve survival rates for solid organ transplant patients by up to 9%3 and reduce hospital stays by an average of 19%.4
Fee-based access services for low-incidence, high-cost care
Optum provides contractual protection for payers for cellular therapies, including all chimeric antigen receptor T-cell (CAR T), therapies and select gene therapies.
With the VAD program, hospital contractual discounts average 55%–65% off billed charges from Optum VAD network centers,3 protection from high durable medical equipment (DME) costs, and support for coordinating the multiple steps in caring for VAD patients.
CHD Resource Services combines a specialized network of the nation’s leading CHD facilities with extensive contractual savings.
CRS provides access to top-performing cancer centers across the country, known as our Cancer Centers of Excellence (COE) network. CRS is particularly useful for individuals seeking a second opinion on their cancer diagnosis or treatment. The network includes 39 leading cancer centers that meet strict evaluation criteria.
Optum partners with top dialysis centers across the nation to provide needed quality care at negotiated rates. Access to this network of more than 6,300 preferred dialysis facilities can reduce dialysis costs up to 80%.6
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Helping clients secure significant savings per transplant episode
Informed decision-making on choosing a care center is critical in ensuring the best possible outcomes. Optum has the tools to help. Through our COE network, we can provide better outcomes, expanded access and economic relief through pre-negotiated rates for transplants.
Complementary solutions
Managed Transplant Program
Transplant Solutions
- Optum repriced claims data by line of business from 2023, assessed 8/2024
- Optum total billed charges 2023
- HRSA January 4, 2021
- Length of stay from 2020 Optum claims data
- Optum claims, Jan. 1, 2022, to Nov. 31, 2023; reconciled and infused cases
- Repriced 2023 dialysis claims