Bots are a game changer for Medicaid
How robotic process automation (RPA) is improving health care
RPA is helping state Medicaid programs improve workflow and accuracy. The result is lower costs and faster delivery of benefits.
Featured insights
Speed up the claims process with AI
Read about our Claims Automated Rules Engine (CARE).
Call centers and AI technology
Transform state contact centers into 24/7 problem solvers.
Targeted care. Lower costs.
One state achieved both aims in delivering home health services.
Insights
Supporting Youth Mental Health: On-Demand Webinar
Dr. Yusra Benhalim shares insights on the challenges we must overcome to reach youth.
A collaborative approach to advancing maternal health
Learn how leaders, communities, and institutions can work with Optum to promote safe pregnancies and childbirth.
Rules impacting pharmacy: Summer 2023 legislative sessions
Learn what's at stake as the Senate considers PBM legislation.
Regulations to watch: Spring 2024
Get the latest on legislation impacting PBM operations.
Summer: Fast action for postpartum and depression
New drugs for postpartum depression, dermatitis and blindness are coming.
Supporting care for at-risk minors
Learn about a lightweight, scalable foster-family placement system developed for one Northeastern state.
Getting ahead of the mental health crisis
See how leaders are advancing data strategies, screenings and exploring ways to connect consumers to mental health support.
Regulations to watch: Fall 2023
Learn what's at stake as the PBM legislation advances on Capitol Hill.
Alternative funding: Real savings or problems?
See how much "free" drugs will actually cost you.
Is your pharmacy benefit manager delivering value?
4 key questions you should be asking.
3 ways to deal with escalating drug costs
Innovations custom built for today’s specialty challenges.
3 steps to slash medication costs
This is your guide to reducing your health care spending.
Optum Rx Drug Pipeline Insights Reports
Read the most recent quarterly reports on new drugs coming down the pipeline.
Pharmacy Insights Podcast
Listen to our resident experts discuss critical industry challenges and the solutions you need to control rising drug costs.
4 key forces shaping the future of pharmacy
These emerging trends will help define the road ahead.
Four myths: Carving out specialty pharmacy
Integrating specialty pharmacy means better care, lower costs.
Drug pricing spotlight: Wound care
Combat against brand name products costing 125 times more.
Smart formulary management
Developing and managing formularies that bring clinical and financial value
Managing diabetes gains an 8:1 return on investment
Learn how a third-party administrator’s client improved health outcomes and lowered costs.
How to eliminate prescription waste
Achieve savings by targeting expensive, low-value drugs.
Optum Rx customer obsession video
How one Optum Rx employee made the system work better for everyone
Creating connections through partnerships
Hear from an Optum Rx client on how we're partnering together for everyone we serve.
How to manage medication overload
Hear from a leader's perspective on how to manage polypharmacy.
Specialty drug prices giving you sticker shock?
See how Specialty Compass defuses exploding drug costs.
5 questions: Optum Rx chief pharmacy officer
Michael Einodshofer addresses the risks, challenges and opportunities facing the industry.
How our medication packaging helps the planet
New packaging saves CO2, water, energy, and plastic waste.
Case Study: Advanced Pharmacy Audit Services
How a health plan saved more than $1 million
Understanding the health care needs of Veterans
Ethnographic research conducted to help address Veterans' needs across the health care system.
OPA for HHS: See how it works
Accelerate your state's efforts to address health inequity.
Innovations in Health Monitoring, Care Management & Support
Linking health care and public health data improves care management, clinical care, and public health reporting and monitoring.
NASPO ValuePoint Helps States Streamline MMIS Procurements
Streamline MMIS procurements through cooperative purchasing.
Technology Helps Reduce Barriers to Tobacco Cessation
Learn about the growing change in tobacco cessation.
The American Rescue Plan and public health
ARP is an opportunity for state governments to improve public health through investment, infrastructure and innovation.
Redefining the prior authorization process
How we are revamping the prescribing process
Modernizing the Medicaid experience
Read our 9 key takeaways for states to modernize the provider management experience.
MMIS Game-Changer: Collaborative Contracting
NASPO ValuePoint helps states streamline procurement.
Health Care Interoperability Solutions
Optum Interoperability and Patient Access Services can help your state comply with CMS' final rule. View our overview video to find out how.
Optum Health Care Interoperability & Patient Access Services
Our solution is fully developed and ready right now to help your state meet compliance.
Modernizing the Medicaid Experience | Optum
How can states and providers use modularity to modernize? Dustin Haisler at GovTech.com interviews Optum product leaders for insights.
Unlocking the promise of personal medicine
See how a peek at your genes enables more precise prescribing.
Healthier Outcomes for Moms and Babies Through Data
By reaching out to women earlier in pregnancy, one state is supporting moms and babies and creating healthier outcomes for both with help from Optum.
Addressing pharmacy issues that matter to you
From specialty pharmacy to drug affordability, our experts tackle your biggest pharmacy challenges.
Support state Medicaid agency goals for members
Find out how a person-centered approach can help.
Creating better behavioral health care
We help people find care and support that’s easy to understand and access.
Helping members achieve their goals
See how the right mental health care makes a difference.
Personalized care: Focusing on the member
Hear from Optum Rx chief of operations, Jon Mahrt
Optum Quit For Life
Discover the difference of an evidence-based program that offers a truly personalized approach and blends technology with a human touch.
5 questions: Premium Value formulary
Hear from OptumRx SVP of clinical & formulary services
Arkansas' New Approach to Medicaid Management
See how data and analytics help Arkansas manage one of the state's most vital and widely used government programs.
Optum Quit Services
Discover the difference of an evidence-based program that offers a truly personalized approach and blends technology with a human touch.
How to control drug costs without compromising care
Explore three principles driving better pharmacy benefit decisions.
What to consider about weight loss drugs
Get the most from these pricey new obesity drugs by choosing the right coverage strategy and helping your members build lifelong habits.
Winter: First big drugs for 2024
New treatments for NASH, schizophrenia and more are on the way.
Using data to improve health equity
Together, we can identify disparities and take steps toward health equity for all Americans.
The new drugs plan sponsors need to watch for
See which trends to consider when assessing the pharmacy benefit, which new drugs may be flying under the radar and what's coming.
Weighty issue: How to contain GLP-1 costs
Get strategies for handling the new anti-obesity medications.
Regulatory updates with Optum Rx
Stay up-to-date on what’s happening in pharmacy legislation.
Advancing health equity: How Optum Rx Is overcoming challenges
Thought leaders discuss the intentional vigilance needed to overcome obstacles impeding better access to health care for all.
Address the complexity of the claims process
Read the interview for insights into how state leaders can reduce administrative cost, and support collaboration with providers
Experts agree: PBMs add value, lower costs
PBMs don’t cause high drug costs — they’re part of the solution. Our drug prices beat the “low cost” vendors.
3 ways to address vaccine fatigue
Learn about researched vaccine messaging themes and important steps you can take to promote critical vaccinations for members.
How to manage blockbuster anti-obesity drugs
The pricey weight management drugs work well, but users need coaching and support to maintain the benefits.
Decreasing avoidable claim denials with transparency
In this white paper, see how near real-time visibility prevents improper claim denials.
Gene therapies: Can we afford the future of medicine?
Learn how to manage financial risk as gene therapies become more commonplace.
5 trends that defined pharmacy in 2023
See which trends are shaping the present and future of pharmacy care services.
Health Equity Vision Into Action Report
Learn how identifying and addressing disparities in health care allows everyone to live their healthiest life.
Fall 2023: Exciting advances for sickle cell, chronic obesity, Alzheimer’s
See potential cures for sickle cell and new help for chronic obesity and Alzheimer’s, along with how they work and how much they cost.
Transforming the pharmacy industry with transparency
Hear how the industry’s most transparent and independent Pharmacy & Therapeutics Committee evaluates drugs for the Optum Rx formulary.
Think differently: Strategies for incremental modernization
States can build on a step-by-step approach to modernization, incrementally transforming the user experience without disruption.
Key considerations when updating provider management modules
Explore 6 key factors when updating, streamlining and coordinating provider management modules with other Medicaid functions.
What’s changing the PBM industry?
In this conversation, learn from Optum Rx thought leaders on how access, affordability and transparency have become imperatives for pharmacy benefit management.
Alzheimer's treatment: Time for a level-set?
See success rates, risks and costs of the new Alzheimer’s treatments.
Key learnings for modernizing your state’s legacy system
As you embark on maintenance and operations (M&O) modernization, consider how these 8 best practices can drive your success.
The secret to lowering the total cost of care
Rising pharmacy costs concern everyone. Managing the underlying health conditions behind each prescription is key to addressing these high costs.
Improving access to behavioral health services
See how Optum helped one state visualize utilization and demographic data around behavioral health programs.
Achieving health equity: Actionable analytics unlock improved outcomes
By applying analytics solutions, states can create a comprehensive roadmap to better health equity.
Orphan drugs market: Can we afford them?
We examine key questions around orphan drugs such as why they're so expensive, how they're being used and what plan sponsors should do next.
Biosimilars to save billions in this decade
Prices for popular brand-name biologics drop up to 60% with generic-equivalent biosimilars.
New mandatory CMS reporting rules will impact states
To meet the requirements, states should consider focusing on five key areas.
GLP-1 agonists: A new class of weight loss medications
In this conversation, discover how new weight loss drugs like Wegovy are changing obesity management and their connection to diabetes.
Empowering clients with more choice and transparency
Helping make prescription drugs more affordable for plan sponsors and the members we serve is a universal focus.
The road to modernization
Learn how modernization can help constituents and stakeholders interact with state agencies quickly, effortlessly and through preferred communications.
How to push back on 3 key pharmacy headwinds
Innovative formulary structures and clinical programs can help plan sponsors meet the challenge of expensive orphan, biologic and GLP-1 drugs.
Connections that count: Redefining the PBM experience
Hear from experts on better ways to simplify the complex health care experience through impactful innovation.
Optum State Data Hub for enterprise data-sharing
Cost-effective, modern information sharing puts collaboration and security first.
Regulations to watch: Fall 2024
An assessment of the latest rules impacting PBMs from state and federal legislation.
Specialty drugs: Not just set and forget?
For optimizing specialty drug therapy, monitoring patients throughout their care is key to cost-effective use of high-cost drugs.
Taking the paper out of member communications
Discover how digital communications can increase member engagement and lower the cost of care.
New innovative treatments for hemophilia B, RSV, COPD
Cutting-edge research in gene therapy, mRNA editing and blood enzymes pays off with powerful new advances for these drug classes.
New options to treat schizophrenia, COPD
A clever combination drug offers new help for schizophrenia with reduced side effects, while Dupixent expands its footprint to COPD.
Get immediate savings on specialty drugs
Specialty drug spend is a "top threat" to employer-provided benefits. Discover sustainable savings with your existing Optum Rx plan.
Preparing your plan for the GLP-1 era
After revolutionizing care for diabetes and weight loss, GLP-1 drugs are being eyed more. Can we afford it?
Autoimmune, oncology, diabetes and obesity rule drug spending
Many patients combined with expensive drugs leads to top spending classes.
Building the PBM of the future
Creating solutions plan sponsors need today to tackle tomorrow’s pharmacy challenges.
Partnerships to close gaps in maternal health
Learn how we can help states take strategic, tactical action on health equity challenges like home-lessness and perinatal care.
Eliminating surprises in pharmacy spend
Old strategies and new drugs don’t mix. Future-proof your plan and get better predictability with new specialty pricing models.
The latest PBM regulations: Summer 2024
Get your guide to the evolving health care regulatory landscape and see what’s coming as lawmakers debate 600+ new bills impacting PBMs.