Skip to main content

Health care

We provide affordable and personalized care

How can we help?

Helpful links

Financial

Accounts to help you save and pay for health care expenses

How can we help?

Helpful links

  • Resources

    Find contribution limits, savings tools, calculators and eligible expenses

  • Account support

    Find contact information and frequently asked questions

Tax season resources

Get ready for HSA tax season

If you used an HSA this year, the HSA Tax Center offers general information about contributions, eligible expenses and commonly used tax forms — all in one place.

Pharmacy

We make it easy to get medications you need, when and where you need them

How can we help?

Helpful links

  • Optum Rx

    For people with pharmacy insurance benefits through Optum Rx

  • Track orders

    Track your home delivery and specialty order

  • Pharmacy support

    Find contact information and answers to frequently asked questions

Mobile app

Optum Rx on the go

Request refills, track order status, manage billing information and much more.

Download on the App StoreGet it on Google Play

In this story

Exploring the spillover effects of Medicare Advantage risk payment arrangements

March 26, 2025 | 2-minute read

Why it matters

This study is the first to demonstrate that the advantages of value-based care can extend — or “spill over” — beyond MA patients to other Medicare recipients. These benefits include fewer hospitalizations for chronic illnesses, fewer emergency visits, more wellness visits, and better medication adherence.

Details

Researchers, including Optum Health’s Dr. Ken Cohen, studied nine large physician groups that provided care to over 1.4 million traditional Medicare patients between 2016 and 2019.

The study examined two groups of traditional Medicare patients. The first group was treated by doctors who frequently dealt with complex situations. The second group was a smaller, random sample (20%) of patients treated by all other doctors.

By the numbers

Traditional Medicare patients who benefited from Medicare Advantage value-based care practices were:

10%

less likely to have acute hospital admissions

12%

less likely to be readmitted within 30 days

5%

less likely to be prescribed high-risk medications

9%-13%

more likely to adhere to medications for hypertension, diabetes and high cholesterol

21%

less likely to use emergency departments, and 82% more likely to have annual wellness visits

The big picture

The positive spillover effects benefiting traditional Medicare patients highlight the broader positive impact of accountable, value-based care Medicare Advantage arrangements.

Related news

How Value-Based Care Enhances Patient Health

News story

How value-based care enhances patient health while helping reduce costs

Discover Kelsey-Seybold's approach to patient-centered care is a more cost-effective and comfortable solution for people in need.

October 15, 2025

Study: Medicare Advantage Enrollees See Superior Health Outcomes

News story

Study: Medicare Advantage enrollees see superior health outcomes

MA enrollees under fully accountable care models have far better outcomes than fee-for-service Medicare patients—even with the same physicians.

May 19, 2025