Optum Payment Integrity Solutions (Pre-Pay) Commentary
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Subject Expert
Boyd Stewart
VP of Payer/Provider Collaboration
KLAS VP of Payer/Provider Collaboration - Boyd Stewart
 
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User Commentary

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VP/Other Executive

Loyalty, Product

Optum’s code review functions are well done, but we fall a little short because I don't think we...

Oct 2024
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Director

Relationship

It is strange that we have Optum for both pre- and post-pay operations. It feels like the two don't...

Jun 2024
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Director

Product

I really wish that Optum had inpatient rules.

Jun 2024
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Director

Loyalty

Our main Optum Payment Integrity Solutions strategy over the next few years is to shift all we can...

Jun 2024
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VP/Other Executive

Product, Value

We implemented the new pricer in Optum Payment Integrity Solutions, but I haven't seen a lot of...

May 2024
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VP/Other Executive

Relationship, Operations

The Optum training is average. Optum has training on their products, but it is very generic and...

May 2024
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VP/Other Executive

Product

Within accurate payments, we have implemented an APC pricing model, and we have had challenges with...

May 2024
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Manager

Value

I would tell a peer who was considering the product that it is a great tool. It does what Optum...

May 2024
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Manager

Loyalty

We are looking at expanding and doing facility scrubbing and claims editing. I am excited, but I am...

May 2024
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Manager

Relationship, Product

We operate in multiple states, and Optum has been very helpful with determining local coverage and...

May 2024
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Director

Relationship

The vendor is at the top of the market, so if another health plan wanted to get into this space,...

Apr 2024
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Director

Relationship

The vendor will reach out if they have some new ideas for new algorithms that they want us to...

Apr 2024
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Director

Relationship

I'm not really seeing much development from the vendor. I feel like they sit back, they have their...

Apr 2024
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Manager

Relationship, Product

Other vendors do better with subrogation. There are things we believe to be subrogation that Optum...

Dec 2023
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Manager

Relationship

The vendor has moved our account manager several times over the years. All of the account managers...

Nov 2023
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Manager

Product

There is some functionality that Optum has that we can't use because of our payment system. The...

Nov 2023
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Manager

Operations, Product

The product is very user friendly, and there is also a lot of self-service that we can do and feel...

Nov 2023
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Manager

Relationship, Operations, Product

As far as the upgrade implementations from Optum go, nothing is perfect, but we have never...

Nov 2023
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Manager

Relationship

There are some rules and functionality that we know the vendor is working on. The vendor keeps us...

Nov 2023
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Manager

Relationship

The vendor sends out a lot of communication. Some days, the communication is almost overwhelming....

Nov 2023
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Manager

Operations

For the initial training, the vendor came on-site and did what we felt was a really exceptional job...

Nov 2023
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