Patient Engagement
Members can schedule a primary care visit within days with a provider they select, and access care for common illnesses and infections.
Optum Rx positioned the tool as an enhancement of the company's ability to offer a lower price on generics at about a 90% rate.
If the $35-per-month cap on insulin had been in place in 2020, 1.5 million seniors would have saved about $500 for the year, data showed.
If there is a lower cost to the member outside of their insurance benefit, Price Edge automatically applies that price, company says.
Health plan members gain access to a dedicated team, led by LGBTQ+ care coordinators, that can connect them to in-network affirming care.
"We have seen a $400 per member, per month improvement in patient total cost of care," says CMO Jonathan Welch.
Adverse drug events comprise 39% of the adverse events, making them the most common by far.
Nearly all states indicated using at least one specified strategy to increase the behavioral health workforce.
The action furthers a larger goal of improving the accuracy of the quality information that is publicly reported in the Five-Star Rating System.
The company looks to transform smartphones into clinical devices that can facilitate earlier testing.