Optum Payment Integrity Solutions (Pre-Pay and Post-Pay) Commentary
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Subject Expert
Boyd Stewart
Research Director
Commentary Summary
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User Commentary
Relationship
I'm not really seeing much development from the vendor. I feel like they sit back, they have their...
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Relationship
The vendor will reach out if they have some new ideas for new algorithms that they want us to...
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Relationship
The vendor is at the top of the market, so if another health plan wanted to get into this space,...
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Relationship
We like the relationship we have with Optum. Their approachability and responsiveness are good, and...
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Relationship
Optum is great, and they really do things to a T. We have very few disputes and very few overturns....
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Relationship, Operations, Product
As far as the upgrade implementations from Optum go, nothing is perfect, but we have never...
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Operations, Product
The product is very user friendly, and there is also a lot of self-service that we can do and feel...
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Relationship
There are some rules and functionality that we know the vendor is working on. The vendor keeps us...
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Relationship
The vendor sends out a lot of communication. Some days, the communication is almost overwhelming....
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Relationship
The vendor has moved our account manager several times over the years. All of the account managers...
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Product
There is some functionality that Optum has that we can't use because of our payment system. The...
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Operations
For the initial training, the vendor came on-site and did what we felt was a really exceptional job...
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Product
We are satisfied with what is in Optum Payment Integrity Solutions. We used to struggle with...
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Relationship
Optum is very reactive. I feel like they are only there for renewals and issues.
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Relationship, Product
The vendor recommends that we operationalize a whole bunch of things that don't make any clinical...
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Culture
The vendor provides a service that is consistent with their contract. They do things in a timely...
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Relationship
The vendor knows that there are production issues, so they are fairly responsive when we have...
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Culture, Value
The expenses associated with the product are fairly straightforward, and the vendor doesn't charge...
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Operations, Product
The vendor’s upgrades have gotten better, but there are still occasional testing situations that...
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Relationship
When we have questions, the vendor is willing to spend time, address those questions, and point us...
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Product
The product works pretty well with Epic's system; the interoperability there is seamless, and we...
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Product
There are occasional hiccups with rebooting the product, but that is pretty normal for most...
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Value
The vendor is doing a big upgrade; it is a major rewrite for them, and it is converting all their...
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Product
We can do pretty much whatever we want in the solution.
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Loyalty, Product
We are satisfied with Optum Payment Integrity Solutions and won't leave. Optum keeps up with changes...
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Relationship, Product
Optum Payment Integrity Solutions is integrated with an Epic module we use, and the integration...
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Loyalty, Product
We use Optum's product for code editing in our regular claims processing. We don’t have any plans to...
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Value
As we see things that another vendor is not covering, we can utilize Optum Payment Integrity...
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Relationship, Product, Value
Optum is able to do chart reviews for us. Tending to claims internally is labor-intensive work, so...
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Relationship
Our relationship with Optum is newer than it is with other vendors. It takes time to help acclimate...
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Loyalty, Relationship
Optum seems to be a good post-pay partner, and they are somewhat responsive with prepay. Optum isn't...
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Relationship
Optum has grown tremendously over the last few years. They have gobbled up specialty services, but...
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Relationship, Value
Optum is a terrific partner. They are willing to customize their solutions based on our business...
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Relationship
Sometimes, there is a bit of a gap between the vendor changing our contact and getting things up and...
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Value
Optum Payment Integrity Solutions is very easy to use and very intuitive. It is a good product. It...
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Culture, Relationship
Optum doesn’t keep all promises. We discovered that the state of the provider was not being passed...
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Relationship
Optum is very attentive and responsive. They still have recurring meetings with our claims staff to...
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Loyalty, Product
Optum's system integrates with our claims system. That is really nice. The process runs at night....
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Relationship, Operations
Optum released a knowledge base a couple of quarters ago and walked through how to put it in place...
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Relationship
I am not really a fan of Optum. They aren’t very proactive, and I would like them to stop buying...
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Culture
If we like the thing that Optum is selling, that is great because they can do anything that we want...
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Relationship, Product
I like some of the humans at Optum; they are good people and are easy to work with.
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Product
We use the Optum platform to keep providers honest in terms of submitting claims appropriately and...
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Value
What we save from using the Optum platform is not nothing, and the product is a whole lot cheaper...
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Value
Optum charges me for pretty much everything. They aren’t shy about sending a bill.
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Product
Doing reporting in the Optum system is a little challenging.
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Relationship, Relationship, Relationship, Operations, Operations
Optum has some struggles technologically, or maybe they have some knowledge struggles. We are still...
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Relationship, Relationship, Relationship
The vendor is very siloed. Suddenly an issue will come up, and that is because someone didn't know...
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Relationship, Relationship, Relationship
With Optum recently, there have been more senior leadership people involved. The vendor has a...
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