Transplant Solutions for Health Plans
Get significant savings and statistically superior outcomes.
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.
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 charges:5
- Commercial: 58%
- Medicare: 67%
- Medicaid: 70%
Managed Transplant Program: Full-risk solutions 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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Explore our solutions
Managed Transplant Program
Manage the risks of complex medical conditions.
Transplant Resource Services (TRS)
TRS Network Access delivers a high-quality nationwide provider network of transplant centers and industry-leading discounts.
Footnotes:
- 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.