Our commitment to payer support
Our care model is supported by data and analytics. It focuses on caring for the person’s whole health according to their own unique needs. We utilize real-time critical data to help payers validate quality, consistency of care and cost management controls.
A payer’s dedicated account team is available for prior authorizations support and works directly with providers to support the process.
Key benefits
We are uniquely capable of helping you improve health outcomes while reducing cost of care for your members.
Optum Infusion Pharmacy
We offer consistent, convenient and compassionate infusion services.
Optum Specialty Pharmacy
We provide specialized treatment for complex conditions.
Optum Home Delivery Pharmacy
We make home delivery easy to use and increase patient satisfaction.
What we offer for pharmacy patients
Patients can expect:
- Innovative patient engagement tools
- A safe and cost-effective approach to infusion
- 24/7 access to pharmacist support
- Financial assistance support for patients who can’t afford their medications
- Connections to health care resources that go beyond a person’s specialty condition and prescription
- Proactive partnerships and outreach to providers to optimize patient care
- Fast and convenient shipping so people get started on their treatments as soon as possible
- Fully sustainable, biodegradable prescription packaging that maintains medication temperature throughout delivery
Learn more about how we help
We understand that a patient’s needs may change throughout their treatment journey. We help them to get what they need when they need it, taking a hands-on approach to their therapies by offering guidance, education and compassion.
We work with providers to deliver individualized plans that care for patients. Through patient-centric services, convenient tools and a commitment to accessibility, our dedicated team supports providers and advocates for patients throughout the course of treatment.
From patient onboarding to therapy management, we focus on a person’s physical and financial health. At Optum Specialty Pharmacy, our goal is to simplify the complicated, fragmented health care system encountered by our patients to make it work better for everyone.
Our certified clinical experts engage members, using Optum Connections, clinical assessments and clinical interventions. Our clinical assessments are disease specific and built from years of collected clinical data and proven results. Our certified clinical experts apply targeted, personalized interventions based on individual patient results.
Our centralized model of care delivers targeted therapeutic expertise for certain high cost, highly complex specialty conditions.
Our COE model adds a layer of specialists to the patient management model that includes designated and certified pharmacists, a patient concierge team, a provider support team, a manufacturer HUB liaison team and a PA team.
Optum® Therapy Solutions teams provide full-service support for patients with specialty-centric therapy needs. Through this approach to care, we see an improvement in the overall patient experience.
Each patient is connected with a clinical care team made up of experts who provide comprehensive treatment according to their unique needs and life circumstances. These care teams include clinicians such as:
- Pharmacists
- Nurses
- Physical therapists
- Dietitians
- Behavioral health specialists
We’re dedicated to providing care for people, their way. We offer a variety of support and resources to patients when and how they want them.
- Virtual visits with pharmacists, clinicians and care coordinators
- Video series explaining conditions and treatments
- Comprehensive specialty pharmacy patient portals
- Texting programs to support medication adherence
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