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Optum serves employers, government agencies, health plans, life science companies, care providers and individuals and families offering products in data and analytics, pharmacy care services, health care operations and delivery, population health management and advisory services. [7] The Optum Serve division provides health-related services to ...
Formed in 2011, Optum says that it provides "data and analytics, pharmacy care services, population health, healthcare delivery, and healthcare operations". [78] It is organized into three businesses: OptumHealth – provides primary and secondary care. [78] [79] OptumInsight – provides data analytics, technology, and operations services. [78]
Pay for performance systems link compensation to measures of work quality or goals. Current methods of healthcare payment may actually reward less-safe care, since some insurance companies will not pay for new practices to reduce errors, while physicians and hospitals can bill for additional services that are needed when patients are injured by mistakes. [1]
North American Medical Management (NAMM) develops and manages provider networks, offering a full range of services to assist physicians and other providers in their managed care and business operations.
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Low reimbursement rates for Medicare and Medicaid have increased cost-shifting pressures on hospitals and doctors, who charge higher rates for the same services to private payers, which eventually affects health insurance rates. [144] In March 2010, Massachusetts released a report on the cost drivers which it called "unique in the nation". [145]
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