Stratethon Case PDF

OPTUM STRATETHON CASE STUDY
Stratethon
Ranked Fortune #6 and with over $230 billion of annual revenue, UnitedHealth Group (UHG) is the
largest health care and wellness solutions company in the world. Optum, the fast growing part of
UnitedHealth Group, is a leading information and technology-enabled health services business. Our
teams are dedicated to modernizing the health care system and improving the lives of people and
communities. Serving virtually every dimension of the health system, we work with a diverse set of
clients across 150 countries – from those who diagnose and treat patients to those who pay for care,
deliver health services, and those who supply the cures. Optum maintains operations across North
America, South America, Europe, Asia Pacific and the Middle East. Our innovative partnerships provide
technology and tools that enable unprecedented collaboration and efficiency. As a result, we can tap
into valuable health care data to uncover insights and develop strategies for better care at lower costs.
At Optum, our mission is to help people live healthier lives and to help make the health system work
better for everyone. We are tackling the biggest challenges in health care by designing multifaceted
solutions, creating actionable insights and partnering across the entire ecosystem. Together, we are
transforming health care for a better future for everyone we serve.
One of the challenges that we are constantly dealing with is the rising cost of management of chronic
conditions. A number of fundamental structural trends, ageing population and lifestyle changes to name
a few, have created the preconditions for an expansion in the prevalence of chronic disease problems
in the future. Accordingly, the pressure these illnesses are creating on the overstretched health
systems cannot be ignored.
90% of the annual $3.3 trillion health care expenditure in the US is by people
suffering from chronic and mental health conditions. According to the Centers
for Disease Control and Prevention, chronic disease accounts for nearly 75%
of the aggregate health care spending or $5300 per person annually.
As chronic diseases continue to rise in the United States, it is imperative for health care insurance
companies to provide health care services for patients with these costly and long-term conditions.
Chronic diseases have evolved into such an expensive health care issue that experts, such as the
American Medical Association, have asked private and public insurance companies to address it
directly. Insurance companies are now required to fund chronic disease management programs and
other stakeholders have established chronic disease management funds that provide Medicare
beneficiaries financial support to pay for the high costs of chronic care treatment.
Optum’s condition management programs identify at-risk individuals and help resolve health care gaps
by providing the right resources at the right time. Ninety percent of the participants felt the program
helped create a better, more positive health care experience. Our data and analytics allow holistic
viewing and monitoring of total population health. We integrate workflow solutions that deliver data in
real-time and create actionable insights. This helps us identify individuals closer to the time they
experience a change in health, when they are more likely to act and engage. With our expertise, we
enable the patients and health care providers to be equipped to manage chronic conditions. We are
continuously creating strategies to make condition management more efficient and cost effective.
Stratethon
Below is the list of the top ten chronic diseases in US along with their associated costs on the US
health care industry:
Cost of Chronic Diseases on US Health Care

Sl.No. Chronic Disease Direct Cost Loss in Productivity Total Cost
1 Cardiovascular Diseases $193.7 billion $123.5 billion $317 billion
2 Smoking related health issues $170 billion $156 billion $300 billion
3 Alcohol related health issues - - $249 billion
4 Diabetes $176 billion $69 billion $245 billion
5 Alzheimer's Disease $236 billion - $236 billion
6 Cancer - - $171 billion
7 Obesity - - $117 billion
8 Arthritis $81 billion $47 billion $128 billion
9 Asthma - - $ 56 billion
10 Stroke - - $ 33 billion
***Source: https://healthpayerintelligence.com/news/top-10-most-expensive-chronic-diseases-for-healthcare-payers
Economic burden of chronic diseases is manifold, imposing costs not only at individual and family level
but at national level as well. Accordingly, disease management can increase quality of life for all the
stakeholders - patients, hospitals and physicians. Patients can become aware about the process of
self-monitoring and managing their conditions. From the physician’s perspective, it is advantageous to
regularly interact with patients and monitoring symptoms. Analyzing the patient’s condition helps
doctors to identify abnormalities before they progress to untreatable levels. Hospitals can also actively
participate in community health management and lower acute diseases.
You are required to suggest probable business interventions like, but not limited to, technological
solutions, adoptable care models, learnings from other industries etc. to address cost burden of these
chronic diseases and improve the system for all the stakeholders. You will be evaluated on following
criteria:
1. Your understanding of the US healthcare system and the related issues

2. Diversity of interventions proposed to tackle the situation
3. Uniqueness and innovativeness of your solutions
4. Coherence and Structure of presenting your thoughts
5. Relevance to the Health Care Industry
Guidelines for the competition:

• There are three rounds in total
• Solutions are to be submitted in teams of 2-3 students
• Both first and second year students of the participating B-Schools can participate in the competition
but team members should be from the same batch.
• Your submissions can be in the form of a document or presentation and can contain infographics
but they shouldn’t exceed one page
• Last date to submit your entries is October 22, 2019
Winners get a chance to win PPIs and exciting cash prizes. Time is of the essence so let’s get cracking!
We look forward to your participation!

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OPTUM STRATETHON CASE STUDY

Cost of Chronic Diseases on US Health Care

1. Your understanding of the US healthcare system and the related issues

Guidelines for the competition:

We look forward to your participation!

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