Clinical ​cost ​containment solutions

As a provider of pharmacy benefit management, Optum uses predictive analytics to help you reduce pharmacy and medical treatment costs on every claim. Our suite of clinical services includes: 

  • Medication ​analysis, which identifies medication-related concerns and develops a plan for cost containment. 
  • Clinical ​cost ​containment ​reviews, which apply expertise in settlement, pharmacy, medical services, equipment, and clinical management to systematically identify potential cost savings and support positive health outcomes.
  • MSA ​clinical ​outreach, which collaborates with the treating physician to clarify future treatment needs and avoid outdated or vague treatment plans.
  • Peer-to-​peer ​reviews with the treating physician about appropriate therapeutic options and alternative treatment strategies, followed by Nurse Monitoring to track the progress of changes. 
 To refer a case for review, click on the appropriate box below.