Improving healthcare operations
Managing costs and improving quality is essential to financial sustainability, but knowing where to begin and how to scale a successful approach can be a challenge. Our consultants help leaders at health plans and health systems focus on key areas such as:
- Outdated platforms and technology
- Inefficient processes and workflows
- Supply chain performance improvement
- EHR optimization
Key benefits
We’re ready to support your most pressing challenges aligned to your strategic priorities.
Streamline care management
Reduce operational and contracting silos and embed technology into workflows to optimize operational and clinical performance improvement.
Optimize your EHR and IT investments
Enhance EHR and other technology investments while also improving efficiency and care delivery experiences.
Optimize and augment your workforce
Scale, augment and optimize staffing to help achieve more sustainable improvement and care quality via organizational design.
Proactively manage your supply chain
Proactively manage supply chain costs and continuously control spend through optimized, co-managed, or fully managed supply chain services.
Improve revenue cycle management
Pinpoint areas for possible revenue capture and identify opportunities to reduce cost-to-collect and improve administrative services.
Modernize your systems and processes
Develop a modernization roadmap that outlines the steps, timelines and resources needed to transform both systems and workflows.
Our experts are ready to take on your most pressing challenges
And we’re here to help you achieve measurable impact on your mission-critical initiatives. We’ve worked with other leaders to achieve:
- $12M-$18M administrative cost-saving opportunities identified for a multistate health plan (~300K members)
- $4.9M in expected payment recoupments for a regional health plan (≈200K Medicaid/Medicare members) through medical loss ratio (MLR) improvements
- $41M in cost savings for a regional health system*
Industry insights
![System Modernization for Health Plans [E-book]](/content/dam/o4-dam/images/professionals/health-plans/system-modernization-ebook-1080x720.jpg)
E-book
Learn how technology and infrastructure investments enable growth and help with evolving regulatory requirements and increasing competition.
On-demand webinar
Stars performance is in your control. Learn how you can take action now.
Complementary solutions
Solution suite
Sustainable Growth and Margin Consulting
Our experts can help you evaluate how to sustainably grow revenue and manage margins to support a strong financial foundation.
Solution suite
Improving Care Quality
Our care quality experts help you improve quality ratings, reduce care variation, manage the cost of care and improve engagement.
Service
Optum Advisory Experts
We help healthcare leaders with guidance, insights and practical strategies to enable their companies to thrive amid change and uncertainty.
* These figures reflect historical client results but are not a promise of future returns.
All data is used in a manner that is compliant with applicable law as well as pursuant to HIPAA compliant data rights granted to Optum by Covered Entities.