Optum offers products for complex medical conditions such as:
Bariatric
Cancer
Chronic Kidney Disease
Congenital Heart Disease
Orthopedics
Transplantation
VAD
Women's Health Services
- Neonatology
- Pregnancy
 

 

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Selling MTP

Learn more about how you can start selling the Managed Transplant Program today.

Have Questions?

Contact us with any questions about Complex Medical Conditions or any of our products and services.

 
 

Managed Transplant Program: Reinsurance Carve-out


Managed Care Organization Benefits

The Managed Transplant Program (MTP) allows you to outsource the risk for transplants by paying a standard monthly premium. MTP will then pay virtually all claims that result from transplant cases.

MTP accomplishes these benefits:

  • Eliminates volatility via first-dollar transplant coverage through Optum, turning transplant costs into a stable budget item
  • Allows you to focus attention on other high ROI areas of your business
  • Frees up dollar reserves, allowing you to reinvest in your business
  • Eliminates needless costs by using Optum's Centers Of Excellence network and clinical management team to accomplish these results better than their average peer facilities:
    • Avoiding inappropriate transplants
    • Identifying eligible patients for Medicare
    • Reducing re-transplant rates
  • Reduces costs of health reinsurance premium
  • Covers all transplant-related costs, including immunosuppressants (anti-rejection drugs)
  • Covers the following transplant types:
    • Solid organ
    • Blood and marrow
      • Bone marrow
      • Cord blood
      • Stem cell
  • Covers all transplant-related expenses from one day prior to the transplant through a maximum of 365 days following the transplant
  • Includes coverage for evaluation, search and registry, organ procurement, home health, outpatient treatment, and travel and lodging benefits
 

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