Cost management

Employer medical costs are set to climb 8.5% in 20261 – a surge is fueled by regulatory changes, an aging workforce and a rise in chronic conditions. Additionally, the growing use of costly specialty drugs and more frequent catastrophic claims, along with increased behavioral health needs, are contributing to higher expenses.2 To tackle these challenges, employers may want to consider adopting a strategic, comprehensive approach to cost management that aims to reduce health care spending without sacrificing the quality of the benefits offered.

Managing cost trend while delivering on quality

Health plan and networks designed to help make quality care more affordable

Understanding and recommending the right medical plan and network configuration for your clients can help ensure their organization and employees get the most out of their health insurance, at the lowest possible cost. From fully insured, level funded and self-funded medical plans to a wide variety of network configurations, UnitedHealthcare has options that meet just about every employer’s needs

Care and clinical management programs aimed at supporting better health outcomes and lower costs

The prevalence of complex and chronic conditions — and the costs that accompany them — demands clinical and care management programs built to help your clients’ employees navigate their care journey. Targeted clinical and care management programs can help deliver more efficient and cost-effective care, improve health outcomes and ultimately reduce costs.

Solutions designed to protect members’ dollars

UnitedHealthcare ultimately pays 98% of all claims received for eligible members as long as the claims are submitted in a timely manner, do not contain missing or incorrect information and are not duplicate submissions.2 We are also committed to ensuring members are paying for the care rendered. Our payment integrity solutions are designed to help resolve claims issues before a member has to pay for care, potentially saving money for employers and employees.

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