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Data and analytics trends and insights

Discover how complete and accurate data can identify trends and uncover new ways to improve operations, market research and health outcomes. 

Latest featured insights

Maternal Health Transformation: State Strategies & Analytics

Case study

Transforming maternal health: A roadmap for states

We offer analytics, consulting insights and real-world application for states to improve maternal health care for women enrolled in Medicaid.

How Are You Capitalizing on the Power of Real-World Data?

E-book

How are you capitalizing on the power of real-world data?

Maximize your investments with a more coordinated and connected real-world data strategy.

Two-Part Series on the Future of AI

White paper

What healthcare leaders really think about AI

For our 2-part series on the future of AI, we surveyed more than 100 healthcare leaders. Part 1 reveals how leaders are approaching AI investments. Part 2 looks at the leadership challenge that executives face.

E-book: Level Up Your Surgical Savings

E-book

Level up your surgical savings

Discover game-style strategies and real-world case studies for reducing surgical costs and standardizing supply use with Crimson AI.

 

 

Latest articles

Optum Recognized as Leader in GenAI Payer Workflow Platforms

Article

Optum a leader in GenAI payer workflow platforms

Optum has been recognized with a Product Leadership Recognition in the North America GenAI payer workflow platform industry by Frost & Sullivan.

Rethinking Clinical Trial Recruitment to Adapt to Real-World Data

Article

Rethinking clinical trial recruitment: Adapting to real-world data

Clinical trial recruitment shortfalls are often the result of protocol designs that don’t reflect how care is delivered. Real-world data can make a transformative difference.

 

 

Latest case studies and testimonials

Maternal Health Transformation: State Strategies & Analytics

Case study

Transforming maternal health: A roadmap for states

We offer analytics, consulting insights and real-world application for states to improve maternal health care for women enrolled in Medicaid.

Customized Reporting Helps States Identify Abusive Behaviors

Case study

Identifying suspicious billing patterns

Learn how a fraud detection algorithm flagged a suspicious vendor, saving States millions for improved program integrity.

Improving Medicaid SUD Treatment with Data-Driven Solutions

Case study

Dashboard streamlines Medicaid SUD program

Virginia’s new Medicaid analytics dashboard centralizes SUD data, improving treatment strategies and reporting for vulnerable communities.

 

 

Latest e-books

How Are You Capitalizing on the Power of Real-World Data?

E-book

How are you capitalizing on the power of real-world data?

Maximize your investments with a more coordinated and connected real-world data strategy.

E-book: Level Up Your Surgical Savings

E-book

Level up your surgical savings

Discover game-style strategies and real-world case studies for reducing surgical costs and standardizing supply use with Crimson AI.

 

 

Latest guides

 

 

Latest on-demand webinars

Mastering the 5 Pillars of Value-Based Care Success

On-demand webinar

VBC 5.0: Mastering the 5 pillars of value-based care success

Explore the 5 pillars of value-based care every health system, health plan and provider needs to succeed.

Medicaid and CHIP Federal Quality Measures

On-demand webinar

New mandatory CMS reporting rules will impact states

To meet the requirements, states should consider focusing on five key areas.

 

 

Latest white papers

Two-Part Series on the Future of AI

White paper

What healthcare leaders really think about AI

For our 2-part series on the future of AI, we surveyed more than 100 healthcare leaders. Part 1 reveals how leaders are approaching AI investments. Part 2 looks at the leadership challenge that executives face.

Reduce hospital stay while improving care quality

White paper

Reduce length of stay and enhance resource efficiency

Learn more about how Crimson AI enables best practices for achieving operational excellence.

Optum Recognized as Leader in GenAI Payer Workflow Platforms

Article

Optum a leader in GenAI payer workflow platforms

Optum has been recognized with a Product Leadership Recognition in the North America GenAI payer workflow platform industry by Frost & Sullivan.

 

 

Latest videos

Applying Robotic Process Automation for Compliance

Video

Applying robotic process automation compliance

See how robotic process automation (RPA) helped saved 9,465 hours and $950,000 over five years in our client use case example.

Upgrade as a Service for Health Plans

Video

Stay current on core claims systems releases

Stay current on core claims systems releases See how upgrade as a service from Optum helps health plans stay up-to-date on admin and core claims platform releases.

  

 All data and analytics insights

Utilize technology to harness disparate data

Invest in long-term fraud prevention.

Partnering to reduce fraud, waste and abuse

We partner with federal agencies to address challenges and support their unique needs through technologies, solutions and best practices.

States achieve health equity with actionable analytics

By applying analytics solutions, states can create a comprehensive roadmap to better health equity.

Deliver program integrity efficiencies

We help federal agencies with an effective data strategy and analytic roadmap to predict and prevent fraud, waste and abuse.

Integrated RWD: The key to accelerating innovation

To maximize the value of clinical innovations, you need dimensional, robust data. Learn about leveraging integrated cost and clinical data.

Applying robotic process automation compliance

See how robotic process automation (RPA) helped saved 9,465 hours and $950,000 over five years in our client use case example.

Improved Arkansas Medicaid Outcomes

Optum has completed more than 200K+ assessments in Arkansas, helping coordinate care for people with chronic, high-cost and long-term care needs.

Using data to monitor behavioral health services

See how Optum helped one state visualize utilization and demographic data around ‌behavioral health programs.

Automate fraud waste abuse improve program integrity

Learn how artificial intelligence (AI) and natural language processing (NLP) can help federal agencies improve program integrity, cut costs and deter fraud.

Robotic process automation (RPA)

We utilize RPA to advance federal government programs.

Visualizing fraud, waste and abuse

Graph analytics and machine learning drive the future of program integrity.

Collaborating to advance maternal health

Learn how leaders, communities and institutions can work with Optum to promote safe pregnancies and childbirth.

Targeted care, lower costs

One state achieved both aims in delivering home health services.

How VBC can work for manufacturers

Value-based contracts can present challenges that must be overcome to bring gene therapies to market.

New dimensions in life sciences research

Proving the impact on clinical outcomes as well as costs.

Optum Serve: Protecting taxpayer dollars

Eliminate fraud, waste and abuse in healthcare spending.

Top stakeholder questions to consider

Ask your life sciences stakeholders what they need early on. Consider these top questions that patients, providers, payers and regulators are looking to answer.

Stay current on core claims systems releases

Stay current on core claims systems releases See how upgrade as a service from Optum helps health plans stay up-to-date on admin and core claims platform releases.

Address the complexity of the claims process

Read the interview for insights into how state leaders can reduce administrative cost and support collaboration with providers.

Strategies for incremental modernization

States can build on a step-by-step approach to modernization, incrementally transforming the user experience without disruption.

The fight for techquity

Get ideas for how to fundamentally change your approach to building technology and incorporate techquity into your organization.

Strategies to reduce administrative costs

Strategies to fix payer-provider collaboration, streamline patient financial experience and apply AI technologies for better cost savings.

Symmetry EBM Connect

Increasing compliance with evidence-based standards to enhance care.

Precision medicine trends: A conversation with Chris Boone, PhD

AbbVie Vice President Chris Boone discusses what the life sciences industry can do to realize precision medicine’s full potential.

Symmetry Oncology Analytics

Learn about powerful tools to measure the cost and quality of cancer care.

Arkansas' new approach to Medicaid management

See how data and analytics help Arkansas manage one of the state's most vital and widely used government programs.

New mandatory CMS reporting rules will impact states

To meet the requirements, states should consider focusing on five key areas.

9 ways to modernize the Medicaid experience

Read our 9 key takeaways for states to modernize the provider management experience.

Modernizing the Medicaid experience

How can states and providers use modularity to modernize? Dustin Haisler at GovTech.com interviews Optum product leaders for insights.

How states can serve members more holistically

Lori Halpern and Dennis Vaughan discuss interoperability, helping communities address the growing mental health crisis and new ways of delivering care.

Healthier outcomes for moms and babies

By using enterprise data to reach out to women earlier in pregnancy, one state is supporting moms and babies and creating healthier outcomes for both with help from Optum.

Supporting care for at-risk minors

Learn about a lightweight, scalable foster-family placement system developed for one Northeastern state.

Reducing avoidable Medicaid claims denials

In this GovTech.com interview with John Campbell of Optum State Government Solutions, see how the right technology can modernize the claims process.

Partnering to close gaps in maternal health

Learn how we can collaborate with your state to use analytics and consulting to address your most important maternal health challenges.

Design an exceptional provider review strategy

Optimize your provider review process to help save time, reduce costs and improve care quality.

The value of clinical notes

What more is there to the patient story? Get deeper data insight into patient-clinician interactions with de-identified clinical notes.

CMS quality measure rules 2024

Upcoming changes in federal quality measures for Medicaid and CHIP will impact state governments.

Unlock clinical insights with NLP technology

Learn about natural language processing (NLP) challenges and opportunities in the real-world data (RWD) space from Optum® NLP experts.

DC maternal health homelessness

Learn about our collaborative approach to promoting maternal health in Washington, D.C., with a focus on homelessness and perinatal care.

Which growth strategy path is right for you?

Discover which growth strategy path is right for your health system.

Social determinants of health in urban America

Learn more about addressing social determinants of health in Brooklyn, NY.

Making inroads with maternal health

Learn how Indiana and Washington, D.C., are tackling critical maternal health equity disparities.

Reduce length of stay and enhance resource efficiency

Learn more about how Crimson AI enables best practices for achieving operational excellence.

What real-world data can reveal about weight loss medications

Optum Life Sciences expert provides insights on how manufacturers can build value stories for their stakeholders.

Optimize employee benefits with healthcare analytics

With the right tools, employers can transform employee benefits data into actionable insights that drive better experiences and add value.

NLP methods for RWD insights

Natural language processing (NLP) systems allow us to draw insights from billions of unstructured medical notes. Learn more about our methodology.

Generating new data voice to claim research

Using our Voice-to-Claim® methodology to better understand the attitudes and behaviors of patients and physicians and their effects on cost and utilization.

Redefining the prior authorization process

Learn how we are revamping the prescribing process.

Catalyze the use of RWE in life sciences

Discover how using real-world evidence (RWE) in the life sciences industry can help catapult learning and drive impact for your company.

Identifying patients' bone fracture risk

Optum Life Sciences experts used real-world data to assist in the testing of an algorithm designed to assess for osteoporosis risk.

Determining treatment safety for pregnancy and infants

Studying the impact of treatments on pregnancy and infants can help patients, providers and pharmaceutical companies make key decisions.

Is your real-world data research ready?

Real-world data can help evaluate the effectiveness of medications and therapies, which is why evaluation should be part of the investment.

Insomnia treatment research study

Optum combined real-world data and primary research to create better understanding of insomnia and help create new treatments.

Tips for selecting a fit for purpose data set

Using real-world data (RWD) that are not fit for purpose can waste time and money. Review 6 simple steps to guide your research towards the right data.

What if pragmatic clinical trials were more practical?

Pragmatic trials look increasingly attractive to researchers, but they’re tough to execute. Learn how to simplify the process.

Break down silos in clinical trial design

Clinical trial protocol design and feasibility often occur in silos. Learn how to make the overall trial design process more effective with RWD and other tools.

Assess drug performance with integrated data

Explore real-world use cases to see how integrated data empowers research and commercial teams to compete in today’s crowded market.

Solve contract challenges for gene therapies

Gene therapies have the potential to be transformative, but there are hurdles to overcome for value-based contracts to become widespread.

What if providers’ clinical data were research-ready?

Providers collect data about patients every day. But what should they be considering — and doing — to put their clinical data to good use?

4 ways small biopharma can harness RWD

Small and emerging biopharma companies are already having an impact on the industry. Learn how RWD can enhance the ability to innovate.

Lowering cardiovascular disease risk

An innovative program involving patient awareness and provider outreach improves patient use of lipid-lowering therapies.

Using the right tools to approach RWD

RWD pitfalls part 1: When working with real-world data, learn from the lessons of others to help maximize your own business return.

Race ethnicity data bridge gap in improving health outcomes

The life sciences industry needs robust real-world data. For that data to reflect real-world populations, you need race and ethnicity data.

Improving SGLT2i therapy guideline adherence

A manufacturer worked with Optum Life Sciences to help increase guideline adherence for patients with diabetes and cardiovascular disease.

Real-world data fills rare disease data gaps

Read how you can fill the data divide to develop effective treatment options.

Analytics in payer-oncologist partnerships

See 4 ways that payers can help healthcare providers unlock the power of real-world data to drive quality and innovation in cancer care.

How real-world evidence can inform pharma strategies in 2025

Health economics and outcomes research (HEOR) can play a key role in helping the life sciences industry improve patient outcomes.

Reexamine the effect of the Inflation Reduction Act

Learn how real-world data and evidence can help prepare you for healthcare-related Inflation Reduction Act policies.

Evidence in Action newsletter

Our quarterly e-newsletter helps you stay up to date with current issues facing life sciences leaders and the role of real-world evidence.

Engaging specialists in value-based care

Alternate payment methods (APMs) can boost quality and cut costs by aligning payment and delivery for specialist providers.

Strengthen your surgical capacity

Learn how to optimize surgical capacity by implementing and sustaining a highly-effective block management process.

Trends shaping pharma strategy in 2026

How should pharma manufacturers strategically evolve as the industry shifts? Get expert insights from Advisory Board and Optum® Life Sciences.

Developing Medicaid Core Set measures for States

Discover how Michigan and Virginia took different approaches to meet the federal mandate of tracking care quality for Medicaid and CHIP.

VBC 5.0: Mastering the 5 pillars of value-based care success

Explore the 5 pillars of value-based care every health system, health plan and provider needs to succeed.

Forging new paths to create a healthier world

Explore how Optum Life Sciences can help you navigate the complexities of drug development and drive measurable outcomes.

Level up your surgical savings

Discover game-style strategies and real-world case studies for reducing surgical costs and standardizing supply use with Crimson AI.

Identifying suspicious billing patterns

Learn how a fraud detection algorithm flagged a suspicious vendor, saving States millions for improved program integrity.

What healthcare leaders really think about AI

For our 2-part series on the future of AI, we surveyed more than 100 healthcare leaders. Part 1 reveals how leaders are approaching AI investments. Part 2 looks at the leadership challenge that executives face.

Reconcile your RWD expectations to maximize your investment

Understand how routine clinical practice impacts information captured in real-world data (RWD).

Dashboard streamlines Medicaid SUD program

Virginia’s new Medicaid analytics dashboard centralizes SUD data, improving treatment strategies and reporting for vulnerable communities.

How are you capitalizing on the power of real-world data?

Maximize your investments with a more coordinated and connected real-world data strategy.

Optum a leader in GenAI payer workflow platforms

Optum has been recognized with a Product Leadership Recognition in the North America GenAI payer workflow platform industry by Frost & Sullivan.

Rethinking clinical trial recruitment: Adapting to real-world data

Clinical trial recruitment shortfalls are often the result of protocol designs that don’t reflect how care is delivered. Real-world data can make a transformative difference.

5 steps to reduce surgical cost variance

Is your surgical center under cost constraints? Leverage this process that has saved Optum clients millions of dollars in surgical costs.

Transforming maternal health: A roadmap for states

We offer analytics, consulting insights and real-world application for states to improve maternal health care for women enrolled in Medicaid.