Optum360
45 Case Studies
A Optum360 Case Study
Food and Beverage Company faced fragmented medical coverage with membership split between UnitedHealthcare and other carriers and clinical programs carved out to third parties, leaving only limited integration (monthly claims feeds and few patient referrals). Optum360 was engaged to address this lack of coordination by applying an integrated health framework that combines the medical plan with clinical programs to improve care coordination and member experience.
Optum360 implemented fully integrated clinical programs that leverage technology, clinical expertise and behavior-change management to drive evidence-based care. The integrated approach produced measurable gains versus carve‑out peers: inpatient days shortened by about 12%, 30‑day readmissions reduced by 7%, primary care visits increased ~12%, improvements in evidence‑based medicine compliance across conditions, and potential medical cost savings of 1–3% (up to $1.2M annually for a 10,000‑member employer).
Food and Beverage Company