Optum Payment Integrity Solutions (Pre-Pay) Commentary
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Subject Expert
Boyd Stewart
VP of Payer/Provider Collaboration
Commentary Summary
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User Commentary
Relationship, Product
I would probably give Optum a fairly high rating for my likelihood to recommend them, but that is...
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Relationship
Optum Payment Integrity Solutions is fine, but Optum is not doing anything to make it better. We...
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Relationship
Optum Payment Integrity Solutions is very accurate. Change Healthcare really helps Optum’s customer...
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Loyalty, Product
Optum’s code review functions are well done, but we fall a little short because I don't think we...
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Product
Optum has a lot of capabilities, and that is part of the challenge. They are not as sophisticated as...
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Loyalty
Optum’s projected financial returns are hyperaggressive and not necessarily realistic. But their...
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Culture, Relationship
Too often, we have to escalate to a contact we have at Optum to get things done. And the executive...
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Relationship
It is strange that we have Optum for both pre- and post-pay operations. It feels like the two don't...
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Product
I really wish that Optum had inpatient rules.
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Loyalty
Our main Optum Payment Integrity Solutions strategy over the next few years is to shift all we can...
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Product, Value
We implemented the new pricer in Optum Payment Integrity Solutions, but I haven't seen a lot of...
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Relationship, Operations
The Optum training is average. Optum has training on their products, but it is very generic and...
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Product
Within accurate payments, we have implemented an APC pricing model, and we have had challenges with...
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Value
I would tell a peer who was considering the product that it is a great tool. It does what Optum...
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Loyalty
We are looking at expanding and doing facility scrubbing and claims editing. I am excited, but I am...
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Relationship, Product
We operate in multiple states, and Optum has been very helpful with determining local coverage and...
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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
The vendor will reach out if they have some new ideas for new algorithms that they want us to...
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Relationship
I'm not really seeing much development from the vendor. I feel like they sit back, they have their...
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