The value of organ transplant programs
View white paper (PDF 178 KB)
Transplants are costly and complex. Without careful contract negotiation, along with provider oversight, financial and clinical outcomes can vary dramatically.
That’s why thousands of clients partner with Optum to reduce medical expenses and to gain access to quality transplant providers through our unique Transplant Resource Services (TRS) and Managed Transplant Program (MTP).
Network access
Preferred provider pricing
Nationwide network of 160 quality providers with more than 880 transplant programs
Online decision-making tools
Network access + clinical management + full risk carve out
Options for health plans and self-funded employers
Predictable monthly premium
Pairs well with standard stop loss or reinsurance coverage
Specialized clinical case management with medical director support
Nationwide network of 160 quality providers with more than 880 transplant programs
Our transplant Centers of Excellence (COE) network is at the heart of how we help Commercial, Medicare Advantage and managed Medicaid payers. TRS provides clients access to this specialized network, which delivers deep savings through better contracted rates. Health plans save 56% on average, while giving members nationwide access to best-in-class transplant providers.
Managed Transplant Program (MTP) is designed to further address the high variable costs and clinical complexity of transplant cases. MTP offers full-risk solutions for both health plans and self-funded employers.
We leverage extensive case management expertise in addition to transplant Centers of Excellence network access to control volatile transplant costs and leverage our full breadth of expert services. Simply pay a competitively priced monthly premium.
Optum brings more than 30 years of experience managing transplant cases. Put us to work to help you achieve greater cost predictability and better clinical outcomes.
The value of organ transplant programs
View white paper (PDF 178 KB)