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Optum, Inc. is an American healthcare company that provides technology services, pharmacy care services (including a pharmacy benefit manager) ...
A whistleblower lawsuit filed in 2011 charged UnitedHealth Group's data analytics division with assisting in defrauding Medicare by boosting risk adjustment scores from Medicare Advantage companies. The suit alleged that UnitedHealth Group subsidiary Ingenix (now OptumInsight) "defrauded the United States of hundreds of millions – and likely ...
Atrius was acquired by Optum on May 31, 2022, ... Atrius Health is also a participant in the Centers for Medicare & Medicaid Services' Pioneer ACO program. In 2015 ...
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53 million Medicaid patients rely on Deloitte software—but the technology has generated notices with errors, ... It was a financial boon to Deloitte and such companies as Accenture and Optum, ...
HealthCare.gov is a health insurance exchange website operated by the United States federal government under the provisions of the Affordable Care Act (ACA), informally referred to as "Obamacare", which currently serves the residents of the U.S. states which have opted not to create their own state exchanges.
The new model, Optum Rx Clear Trend Guarantee, will provide value-based pricing of drugs per member combining the cost of these medicines from various sources such as retail pharmacy, home ...
As of 2018, two-thirds of Medicaid enrollees are in plans administered by private companies for a set fee. [34] These may involve some sort of value-based system; in addition, the contracted companies may be evaluated on population health statistics, as in the case of California's Medi-Cal which tasked its companies with improving the health of ...