Every year, plan sponsors lose as much as $300 billion to healthcare fraud, waste, and abuse. Optum Rx Fraud, Waste, and Abuse Audit Services run 24/7 behind the scenes at no cost to our clients and save significant dollars.
This latest case study showcases how we were able to recover $315,000 within six months for a nursing union representing 1.2 million lives. In addition to helping this client, the fraud uncovered by this audit also led to the termination of 45 pharmacies within our network and, in doing so, generated $80.5 million in cost avoidance for other clients.
Related resources
Article
Achieve savings by targeting expensive, low-value drugs.
Guide
Cutting-edge research in gene therapy, mRNA editing and blood enzymes pays off with powerful new advances for these drug classes.
Article
Get your guide to the evolving health care regulatory landscape and see what’s coming as lawmakers debate 600+ new bills impacting PBMs.