O4 Detail Hero Banner

Insights for state government agencies

Explore our latest insights on emerging topics in government health programs.

O4 1 Column (Full)
O4 1 Column (Full)
O4 50-50 Content Block
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.

O4 Hubs

Insights

5 questions: Optum Rx chief pharmacy officer

Michael Einodshofer addresses the risks, challenges and opportunities facing the industry.

4 more psoriasis drugs on the way

Psoriasis costs up 40% in 5 years. Will these drugs help?

Hemophilia: Extremely rare, extremely expensive

Better management strategies and new treatments emerge

Case study: 5/5 satisfaction on implementation

OptumRx earns 100% implementation score from City of Toledo

Four myths: Carving out specialty pharmacy

Integrating specialty pharmacy means better care, lower costs.

Rare diseases, large costs

The rise in orphan drugs is offering hope

How the pandemic has changed pharmacy care

Learn how COVID-19 has accelerated the rise of home and virtual care.

Taking the Pain Out of Prior Authorization

How we are revamping the prescribing process

The New Model Of Personalized Care

Predictive analytics improves user experience and outcomes.

Newest regulations impacting pharmacy

View the recent activity at both the state and federal level.

A new approach to rising specialty costs

See how contracting with medical providers can reduce drug costs

Case study: Strategic formulary changes

How a third-party administrator helped clients save $6.49 PMPM.

How to control drug costs without compromising care

Explore three principles driving better pharmacy benefit decisions.

Don't Pay 5000% More for Commonly Available Generic Drugs

This widespread practice costs plans millions.

Drug pricing spotlight: Wound care

Combat against brand name products costing 125 times more.

Shipping Sensitive Medications

See how medications are protected in transit.

Reducing disparities in care and outcomes

Achieving health equity is a community-wide effort.

Gene therapy: Big potential, big prices

New strategies needed as revolutionary but costly therapies emerge.

3 ways CRISPR will change the drug world

Pharmaceutical industry finding novel uses for gene editing tools

Will Diabetes Drugs Help Us Tackle Obesity?

Discover four things to know about new uses of GLP-1 drugs.

How a client avoided $109M in pharmacy costs

View the Optum Rx Drug Pipeline Insights Report for 2022.

Managing diabetes gains an 8:1 return on investment

Learn how a third-party administrator’s client improved health outcomes and lowered costs.

Case Study: Advanced Pharmacy Audit Services

How a health plan saved more than $1 million

Personalized care: Focusing on the member

Hear from OptumRx chief of operations, Jon Mahrt

Redirecting Specialty Infusion Costs by Redirecting Site of Care

See how you can lower your plan costs by up to 52%.

4 steps to limit infusion drug costs

Specialty drugs account for over half of all drug spending

Will these 4 new drugs re-shape the market?

Get the latest in this quarter’s Drug Pipeline Insights Report.

Industry trend to watch: Eczema

New treatment options could mean bigger costs.

How to eliminate prescription waste

Achieve savings by targeting expensive, low-value drugs.

The big picture on cancer

How high cost oncology drugs are changing specialty pharmacy.

The dangers of polypharmacy

Millions of workers at risk due to overprescribed drugs

Optum Rx Customer Obsession Video

How one Optum Rx employee made the system work better for everyone

Rush to judgement?

An inside look at the FDA's prescription drug approval process.

A young patient’s hemophilia story

See how OptumRx helped change a patient’s life.

High-cost gene therapies

A comprehensive approach to the next generation of cures

How to manage medication overload

Hear from a leader's perspective on how to manage polypharmacy.

Making sense of copay cards

How copay cards can disrupt your benefit strategy

Specialty drug prices giving you sticker shock?

See how Specialty Compass defuses exploding drug costs.

Creating connections through partnerships

Hear from an Optum Rx client on how we're partnering together for everyone we serve.

Optum Claims Processing Master Agreement

We deliver claims administration through NASPO ValuePoint.

Smart formulary management

Developing and managing formularies that bring clinical and financial value

How our medication packaging helps the planet

New packaging saves CO2, water, energy, and plastic waste.

Controlling the unprecedented costs of gene therapies

See how you can leverage cost benefits from gene therapy.

Opioid Use Disorder & The Medicaid Population

See how OID impacts the Medicaid population.

5 questions: Premium Value formulary

Hear from OptumRx SVP of clinical & formulary services

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.

MMIS Game-Changer: Collaborative Contracting

NASPO ValuePoint helps states streamline procurement.

The American Rescue Plan and public health

ARP is an opportunity for state governments to improve public health through investment, infrastructure and innovation.

Alternative funding: Real savings or problems?

See how much "free" drugs will actually cost you.

Regulatory developments in pharmacy 2022, 2023

We discuss the Inflation Reduction Act, the drug pricing executive order and other federal and state regulations passed in 2022. We also look ahead to 2023.

Connect with Optum at MESC 2021 in Boston, Aug. 9-12

Get a demo of the technologies that enable better health care outcomes, attend our informative speaker sessions and take part in a charitable giving activity.

When the world turns upside down

Moving forward with implementations amid COVID-19

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.

NASPO ValuePoint Helps States Streamline MMIS Procurements

Streamline MMIS procurements through cooperative purchasing.

Optum Quit Services

Discover the difference of an evidence-based program that offers a truly personalized approach and blends technology with a human touch.

Technology Helps Reduce Barriers to Tobacco Cessation

Learn about the growing change in tobacco cessation.

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.

Indiana HHS values insightful analytics

Optum helps improve program outcomes and cost control.

Increasing Value Through Higher Volume

Improve revenue integrity by expanding admission reviews.

Biosimilars explained: 5 questions you’ve been asking

Get prepared for more biosimilars to come to market.

Reality check: New drugs will cost more

The trend toward complex biologic drugs continues.

Pharmacy Insights Podcast

Listen to our resident experts discuss critical industry challenges and the solutions you need to control rising drug costs.

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.

4 key forces shaping the future of pharmacy

These emerging trends will help define the road ahead.

4 new drugs to watch this year

Breakthrough treatments for menopause, Alzheimer's and hemophilia are coming.

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.

Inflammatory conditions: Trends, pipeline, management strategies

Hear leaders discuss trends for inflammatory conditions and gain insights on how the market is changing with a deep dive on pipeline, biosimilars, and care management strategies.

8 ways to make drugs more affordable

Discover what plan sponsors need to know.

New rules to watch: Summer 2022

How the work of national and local lawmakers will impact you.

3 ways to deal with escalating drug costs

Innovations custom built for today’s specialty challenges.

Make your pharmacy benefit plan work better

4 key questions you should be asking.

5 approaches to address prescription affordability

Watch our On-Demand webinar to learn about 5 key solutions designed to attack the affordability challenges your members face head on.

A seamless pharmacy benefit change?

We guarantee it. And it's easier than you think.

Building new possibilities for infusion care

How we are exceeding the evolving needs of the home parenteral nutrition market

A better path to managing specialty

Learn the actions you can take today to better manage spend and trend while finding the right care for those who need it most

Breaking through vaccine fatigue: Top 4 reasons to get yours

New flu and Covid bugs are coming. Time to boost your immunity.

3 new drugs to watch this fall

As the year begins to close, we highlight three essential pipeline drugs with an expected U.S. Food and Drug Administration (FDA) decision this fall.

Fighting the tide of opioid overdose

The rate of drug overdose death involving opioids has spiked. See how Optum is the first in the industry to demonstrate expertise in opioid management.

Fighting fraud

How one plan sponsor recovered $315,000 in six months.

Celebrating American Pharmacists Month

Hear from 5 pharmacists on how they’re advancing patient care.

Keeping your data secure is mission critical

See how we help prevent costly, disruptive cyberattacks.

Fighting Fraud in Pharmacy

Explore emerging trends and strategies to combat schemes.

Is your pharmacy benefit manager delivering value?

4 key questions you should be asking.

Addressing pharmacy issues that matter to you

From specialty pharmacy to drug affordability, our experts tackle your biggest pharmacy challenges.

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.

Advancing the Frontier of Precision Medicine

The future of guided prescribing is here.

Support state Medicaid agency goals for members

Find out how a person-centered approach can help.

Which Rules Will Impact Pharmacy in 2023?

2023 is already a busy year for pharmacy regulation. Read about the latest regulations that could impact you and your pharmacy benefit plan.

3 new first-in-class therapies coming

See how innovation is driving the latest product development.

Creating better behavioral health care

We help people find care and support that’s easy to understand and access.