Health Insurance Marketplace Solutions

Optum has a proven track record in delivering successful solutions to state-based and federally facilitated health insurance marketplaces. We bring extensive market knowledge, health care resources, leadership and experience to complex projects involving information technology, operations, contact centers and program management.

Our experience partnering with state and federal agencies encompasses all phases of marketplace development — from establishing and operating contact centers to assessing and improving marketplace functionality, operations, enrollment capability and information technology.

Our services include:

  • Contact centers that enroll, engage and retain consumers
  • Broad-based marketplace implementation and operational support meeting a multitude of needs
  • Provider information management (PIM) that verifies provider data and powers the search function
  • Policy and program expertise to measure and monitor the performance of state marketplaces

Contact us to learn more about how we can help improve your state marketplace.

Analytic services

Our consulting organization, The Lewin Group, can help marketplaces achieve their goals by developing an analytics framework to monitor performance.

Contact center services

Engagement with the consumer doesn’t end at enrollment. OptumTM contact center specialists engage with members throughout the life of their health plan to help them make the most of their benefits and make better, more informed health care decisions.

Operations support

With establishment of the new health insurance marketplace, state agencies and legislative bodies are facing unique operational challenges. Whether it’s quality, cost or compliance related, Optum has the depth of resources and marketplace expertise to help you meet expectations.

Provider information management

Optum provider information management supplies standardized provider data for all qualified health plans (QHPs), enabling consumers purchasing insurance through the health insurance marketplace to easily compare provider network options and choose a health plan.