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Case Study

Regional Health Plan More Than Triples Year-Over-Year Growth

A regional health plan facing competitive pressure and member retention challenges partnered with Optum to redesign its population health strategy, streamline care management workflows, and improve star ratings performance. This case study chronicles the transformation, detailing the specific data tools, clinical programs, and operational changes that drove results. Within two years, the plan had more than tripled its year-over-year membership growth while meaningfully improving outcomes for high-risk member segments.