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Optum Rx adopts fee-based model, ends spread pricing

Major model shift: Optum Rx will replace its traditional PBM model with a transparent, per-member fee structure, ending spread pricing and tying fees to services rather than drug prices. Digital cost ...
Becker's Hospital Review

‘Gone are the days’: Optum Rx to delink drug prices from fees

Optum Rx, UnitedHealth Group’s pharmacy benefit manager, said it will roll out a fee-based structure to customers in the coming years. A May 11 news release from Optum said Optum Rx’s agreements have ...
Healthcare Finance News

Optum Rx replaces traditional PBM model with a fee-based structure

Optum Rx has announced that it is replacing the traditional pharmacy benefit manager model with a transparent, fee‑based ...
Fierce Healthcare

Optum Rx unveils new transparent PBM model

UnitedHealth Group's pharmacy benefit manager, Optum Rx, is making the shift to a more transparent model, the company ...
Washington Technology

Optum's federal arm wins $1.6B military care contract

The Remote Health Reserve Program supports efforts by active duty, reserve and National Guard components to maintain a deployable force. Optum's federal-facing subsidiary has won the recompete of a ...
Star Tribune

Former Optum employee found guilty of fraud via ‘ghost employee’ scheme

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 New York Times

F.T.C. Settles With Express Scripts Over High Insulin Prices

The Trump administration announced that the company, a pharmacy benefit manager, had agreed to make significant changes to its practices. By Rebecca Robbins and Reed Abelson The reporters have ...
KSTP-TV

Optum begins Minnesota Medicaid audit with 80K ‘high-risk’ claims

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 ...
Health Affairs

Strategic Selection And Pricing Power: Optum’s Acquisitions Of Ambulatory Surgery Centers And Physician Practices

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 ...
Forbes

For UnitedHealth’s Optum, It’s ‘Back To Basics’ With Smaller Footprint

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 ...
KSHB Kansas City

Optum abruptly closes 3 Kansas City-area community centers, members shocked

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 ...