Optum Rx has announced that it is replacing the traditional pharmacy benefit manager model with a transparent, fee‑based structure. The model, being offered to every Optum Rx PBM customer, changes how ...

In addition to the new PBM model, Optum said it will launch new digital tools that will make it easier for members to find pricing information before they reach the pharmacy counter and to compare ...

Market-leading approach to client and consumer transparency further aligns incentives across patients and plan sponsors, offering consumers new affordability tools --(BUSINESS WIRE)--Today, Optum Rx ...

Optum is expanding its collaboration with Microsoft to introduce new AI-powered capabilities within Optum Real, a real-time claims platform designed to connect payers and providers and streamline ...

A California man was accused of hiring a friend for a fictitious position and receiving a portion of wages from the no-show job via kickbacks. A Minnesota jury has found a former senior director at ...

The platform is designed to integrate directly into existing workflows, eliminating the need for outside spreadsheets and smoothing out communication. ((UnitedHealth Group)) Optum is rolling out a new ...

Optum is introducing AI-powered prior authorization. Optum said the intelligent automation solution delivers timely decisions for providers to reduce delays, speed approvals and reduce repetitive work ...

Vertical integration between insurers and providers is rapidly reshaping US health care, with acquisitions by UnitedHealth Group’s Optum division playing a significant role. This study examined two ...

This voice experience is generated by AI. Learn more. This voice experience is generated by AI. Learn more. UnitedHealth Group’s Optum health services business is working on its own turnaround that ...

The Minnesota Department of Human Services (DHS) has begun “enhanced prepayment review” of Medicaid service programs, according to an update from state officials on Monday. More than 80,000 claims ...

KSHB 41 reporter Lily O’Shea Becker covers Franklin and Douglas counties in Kansas. KSHB 41 News received multiple emails from viewers frustrated by the sudden and permanent closures of three Optum ...