Optum Financial aims to create a more connected healthcare experience by integrating technology and data, delivering care through Optum and health benefits through UnitedHealthcare, and streamlining payment processes.
Optum Financial envisions a seamless payment experience for consumers in healthcare, integrating their payment mechanisms with retail networks for real-time adjudication of purchases, automatic benefits dispersion, and simplified financial processes for providers.
Deep dives
Overview of Optum Financial and its Role in UHG
Optum Financial, a division of Optum and part of UnitedHealth Group (UHG), aims to create an improved and more connected healthcare experience for individuals. By integrating technology and data, Optum delivers care, while UnitedHealthcare offers health benefits and coverage. This integration helps bring order and efficiency to the healthcare system, which is currently burdened with numerous point solutions. Optum Financial's services include a bank that offers health benefit accounts, such as health savings accounts, flexible spending accounts, and other financial planning tools for healthcare expenses. They have built a network connected to care providers' bank accounts for streamlined payment processes, and have facilitated the distribution of billions of dollars in healthcare payments. Their focus going forward is to leverage their infrastructure to curate new experiences and transform the payment and financing landscape in healthcare.
Enabling Seamless Payment Experiences for Consumers
Optum Financial aims to facilitate seamless payment experiences for consumers in the healthcare industry. By integrating their payment mechanisms with existing retail networks, they enable real-time adjudication of healthcare-related purchases, such as healthy foods or over-the-counter medications. This eliminates the need for consumers to submit claims or keep receipts, allowing benefits to be dispersed automatically. This vision extends to a unified card or app-based experience that covers various health and wellness services and products. On the provider side, Optum Financial seeks to improve cash flow by offering real-time financial adjudication and upfront payment of claims. Through their network, providers can receive payments for their services on the first day of the month, addressing their cash flow issues and simplifying financial processes.
The Role of Embedded Fintech and Partnership Opportunities
Optum Financial embraces the concept of embedded fintech to enhance the consumer and provider experience in healthcare. By partnering with software companies and leveraging their domain expertise, they aim to curate new experiences that connect healthcare with other industries. They see opportunities for partnerships that integrate health and wellness payment and savings mechanisms into existing daily transaction processes. This could involve embedding payment and liquidity options into retail and app-based experiences, making payments and financial transactions seamless for consumers. Additionally, they are open to collaborating with other networks and verticals to deliver a connected healthcare ecosystem that improves financial workflows for businesses. Optum Financial emphasizes the importance of partnerships in order to curate experiences that may not be feasible to develop independently.
In this episode, Kurt Adams, CEO of Optum Financial, chats with Daisy Wolf, investment partner for a16z Bio + Health, and Marc Andrusko, investment partner for a16z focused on fintech, about Optum Financial, how consumers might interact with fintech while seeking care or participating in healthy behaviors, and what a fintech-integrated version of the healthcare experience could look like.