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Data and analytics | Finances and payments | Mental health | Patient and member engagement | Pharmacy care | Pharmacy management | Technology and automation | Value-based care | View all
Latest featured insights
Create meaningful change for the women in your workforce. Learn steps to help close the gap in health equity, improve health and lower costs.
![A Quarter-Century of Pharmacy Benefit Changes [E-Book]](/content/dam/optum-dam/images/business/pharmacy/hand-with-vial-1080x720.jpg)
E-book
Explore the dramatic changes in the years since 2000 — in drug performance and design, and especially affordability.
Article
Explore how evidence-based tools like The ASAM Criteria® Navigator and InterQual® Substance Use Disorders Criteria are helping payers and providers efficiently and effectively navigate the complex substance use disorder landscape today.
![Automation Strategies for Empowering Staff and Patients [Webinar]](/content/dam/o4-dam/images/professionals/company-meeting-1080x720.jpg)
On-demand webinar
Learn how to help transform hospital revenue cycle operations with healthcare automation.
Data and analytics
Article
Understand how routine clinical practice impacts information captured in real-world data (RWD).
On-demand webinar
Hear from experts in this Endpoints News webinar on the increasing importance of clinicogenomic data, including diverse phenotypic and genotypic profiles.
Video
Optum Life Sciences leaders break down common missteps when using RWD and how to create practical strategies to overcome them. Watch the video from STAT Summit.
Article
Providers collect data about patients every day. But what should they be considering — and doing — to put their clinical data to good use?
Finances and payments
Article
Discover 4 ways health plans can save money today — and in the future — by engaging with a digital claim payment partner.
Article
Learn how AI is changing the fraud case review process.
Article
The connection between money and health runs deeper than just costs — your employees rely on your benefits strategy for overall wellness.
Article
Learn how payment delivery optimization can improve the healthcare financial cycle and bridge the gap between payers and providers.
Mental health
Article
The collision of chronic conditions and behavioral health challenges can’t always be stopped, but healthcare leaders can work to mitigate its impact.
Article
Learn more about the current research on mobile crisis teams (MCTs), how to build an MCT as well as envision a future for them.
Article
See how employee mental health benefits are evolving to support workforce wellbeing.
Case study
Learn how we support the unique workplace needs of content moderators with a tailored wellbeing strategy.
Patient and member engagement
Article
Learn how Optum Serve is helping to advance the health and well-being of Veterans and spouses in the trucking and cybersecurity workforce.
Guide
Learn how Optum Serve helped Veterans achieve health and wellness goals, promoted well-being, prevented illness and reduced the burden of chronic conditions.
White paper
Learn how Optum Serve supports Veterans through a whole-health approach to work and life.
Guide
HEALS is a data analytics solution that highlights where and how inequities occur within a community, state or a health plan’s member population.
Pharmacy care
Article
Learn how a holistic model enhances multiple sclerosis care.
Article
Optum tackles the many issues infusion pharmacy care faces as it serves vulnerable patients with acute needs and complex conditions.
![Quick and Safe Digital Specialty Pharmacy Service [Video]](/content/dam/optum-dam/resources/videos/business/digital-pharmacy-video/digital-pharmacy-video-1080x720.jpg)
Video
Optum Specialty Pharmacy leverages specialized expertise and resources with flexibility, delivering personalized care that drives better outcomes.
White paper
Learn about the impact on catheter lock therapy for home infusion patients with a central venous access device (CVAD).
Pharmacy management
![New Drugs for Alzheimer's, Multiple Sclerosis & More [Report]](/content/dam/optum-dam/images/business/insights/notable-new-drugs-booklet-1080x720.jpg)
Report
First self-administered Alzheimer's therapy shifts costs to pharmacy plans, plus first treatments for MS and bronchiectasis.
Article
From predicting drug trend to earlier fraud protection, see how we’re leveraging AI to improve operations for clients and members.
Article
We know about the high prices for new drugs, but drug companies make most of their money from repeated small price increases on older drugs.
Article
In this conversation, get a peek into upcoming solutions and technologies designed to address high-cost medications.
Technology and automations
Case study
Using digital integration to ease administrative burdens can help you spend more time with patients and deliver positive patient outcomes.
White paper
Read the white paper for strategies on controlling fixed costs, efficiency and organizational flexibility.
Case study
See how Lima Memorial improved efficiency with advanced technology.
On-demand webinar
Watch the webinar to learn actionable strategies on tackling decreased hospital margins, increased labor costs and staffing shortages.
Value-based care
Article
New cancer treatments can transform patients’ lives — but they also create costs that demand a new kind of cancer guidance program.
Article
To ensure that well-being benefits drive results, employers must let go of strategies built around one-and-done health tasks. Here’s how.
![Women’s Health is Far More than Reproductive Care [E-book]](/content/dam/optum-dam/images/business/insights/group-of-diverse-women-walking-together-smiling-1080x720.jpg)
E-book
Discover 5 areas of focus for payers and employers looking to improve women’s health outcomes, costs and member satisfaction.
Article
Learn how health plans can fill care gaps by offering greater support and personalized solutions for women experiencing menopause.
All healthcare industry insights
The challenge of managing rising neonatal costs
NICU-related claims are becoming more costly. For payers, a comprehensive benefit management strategy, including focused claims review, is crucial.
The big picture on pharmacy
Meet Dr. Wig, Chief Clinical Officer for Optum Rx, and hear how we’re addressing cost and clinical trends in pharmacy.
Payer-provider interoperability to enhance prospective risk management
Payers and providers are using advanced technology in healthcare to create efficient processes that capture chronic conditions and deliver better health outcomes .
How patient-first care helps women with cancer
A growing number of women are navigating cancer care. Targeted supports can make a difference in patient experience, outcomes and costs.
The state of value-based care in 2025: Growth and challenges
Unpack the state of VBC in early 2025 and see where it’s going next. Learn how specialty care will fit into the future VBC landscape.
Best practices for efficient medical record retrieval
Medical record retrieval is an essential task for healthcare providers and insurers, but it can often be a complex and time-consuming process.
Digital MSK tools: 5 important features
Digital MSK can improve outcomes while reducing costs. Learn how payers and employers can choose a program that delivers on health benefits and savings.
Extracting value-based care insights from claims data
Actionable insights for health plans and providers to adopt a data-driven approach and achieve value-based care goals.
Maximizing CareSelect Imaging for value-based care
Discover how to transform your approach to clinical decision-making and advance your organization’s value-based care goals.
How organizations can support neurodiversity in the workplace
Recognizing the unique perspectives of neurodivergent individuals and creating an inclusive workplace can enrich and empower your teams.
Patient education: The secret to success in risk adjustment and VBC
Effective patient education fosters adherence to medical treatments and promotes healthy patient behaviors, in turn facilitating successful risk adjustment and value-based care.
Streamline clinical value analysis processes in a growing surgical market
Access resources on how to reduce surgical costs for your health system.
Can a holistic approach help with UM challenges?
Learn how acute care organizations can address UM challenges with a holistic, comprehensive approach.
Innovations in contact center efficiency
Hear from our experts as they discuss the role of AI and other trends in a well-connected system.
Viewpoints on the 2026 CMS Final Rate Announcement
Learn how the 6 key final changes may impact your organization in 2026.
A new way to treat acute pain
A long-sought non-opioid painkiller has arrived. But will the benefits outweigh the cost?
The high price we pay when seniors lack access to health care
Challenges around affordability and access to quality health care are far more prevalent than one might think. In fact, about half of Medicare Advantage members live on an annual income of less than $25,000.
How cloud-native PACS transformed a rural hospital
In this case study, learn how cloud-native technology can unlock efficiency.
Better drugs? Maybe. Higher cost? Definitely.
New drugs for myasthenia gravis and hereditary angioedema will be easier to take, more effective, and add competition.
How Medicare Advantage leaders can thrive in the D-SNP market
We discuss the growth potential and the imperative for integrated care coordination and enhanced benefits for the dual-eligible population.
What to expect from pharmaceutical tariffs
New tariffs on imported drugs are expected soon, which could mean higher prices and potential shortages.
How do pharmacy benefit managers work?
Hear how PBMs negotiate to deliver the lowest possible cost, benefiting plan sponsors and members alike.
The role of imaging decision support in VBC
See how tools like CareSelect® Imaging can help providers enhance clinical decision-making, improve patient outcomes and reduce administrative burden.
3 key steps to building an effective annual wellness visit program
Empowering growth through Working Capital
Discover how partnering with Optum Financial can help providers overcome industry challenges and expand services.
Transforming care through payer-provider collaboration
Discover the key elements to creating a positive, mutually beneficial relationship.
Increasing potential of genomic data
Hear from experts in this Endpoints News webinar on the increasing importance of clinicogenomic data, including diverse phenotypic and genotypic profiles.
Teaming up with task force movement
Learn how Optum Serve is helping to advance the health and well-being of Veterans and spouses in the trucking and cybersecurity workforce.
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.
Digital claim payments can save you money
Discover 4 ways health plans can save money today — and in the future — by engaging with a digital claim payment partner.
Human-centered design in healthcare
This Optum white paper shows how human-centered design builds technology and programs that are easy and intuitive for consumers to use.
Health Equity Vision into Action Report
Learn how identifying and addressing disparities in healthcare allows everyone to live their healthiest life.
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.
Addressing pharmacy issues that matter to you
From specialty pharmacy to drug affordability, our experts tackle your biggest pharmacy challenges.
Telephone Lifestyle Coaching for Veterans
Learn how Optum Serve helped Veterans achieve health and wellness goals, promoted well-being, prevented illness and reduced the burden of chronic conditions.
Supporting Veteran truckers
Learn how Optum Serve supports Veterans through a whole-health approach to work and life.
Evidence-based clinical practice guidelines for DoD and VA
Improve continuity of care by reducing variation in practice for service members transitioning to Veteran status.
Online scheduling covid 19 vaccinations
Learn how Southwest Medical Associates (SMA) used the Optum platform to automate vaccine scheduling and reminders for both shots at once.
Consumer care preferences survey
Optum surveyed more than 1,200 consumers to understand their experiences when accessing care. Download this e-book to read our findings.
Provider telehealth use experience survey
Learn the telehealth features and frustrations providers say impact their virtual care experiences.
Remove roadblocks to behavioral health
Enhance patient access to mental health services online.
Digital scheduling at a rural health system
Learn how a rural health system achieved an ideal patient experience and increased bookings with digital scheduling.
US military entrance processing command
Optum Serve conducts physical and mental examinations for military applicants.
Payer channel scheduling St. Luke's case study
St. Luke’s Health dramatically increased volumes and decreased costly no-shows with Optum digital scheduling. Learn how your health system can, too.
Financial case connected care
Get thought starters for assessing how a connected care model can strengthen your financial position.
The Physician Liaison Outreach Playbook
Learn how proactive planning is the key to successful physician-to-physician marketing.
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.
Self scheduling boosts access
Learn how ProHealth Physicians used self-guided online scheduling to ease administrative burden and rebound patient volume after COVID-19.
Enhancing fraud investigations with AI
Learn how AI is changing the fraud case review process.
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.
Patient engagement leader
Everest Group recognizes Optum in its 2023 Patient Engagement Platforms PEAK Matrix® Assessment.
Virtual urgent care scheduling for telehealth
Optum Patient Access and Engagement connects consumers to virtual urgent care through a national telehealth platform.
Webinar: Trends and challenges in telehealth
Explore new ways of doing business that allow you to meet shifting customer expectations, workforce challenges and emerging business goals.
The connection between money and health
The connection between money and health runs deeper than just costs — your employees rely on your benefits strategy for overall wellness.
Innovative approaches to collaborate with PCPs
Understanding the challenges confronting Medicare Advantage plans and their Medical Loss Ratio.
Toward outcomes-based payments
Learn from industry leaders about the push to generate evidence and demonstrate healthcare provider value.
Behavioral health provider digital access survey
Get insights on how patients access and schedule mental health services online in this e-book, based on original research by Optum.
Benefits of artificial intelligence reach the revenue cycle
The use of NLP makes the revenue cycle work smarter, not harder.
Easier access to mental health services
Learn how Refresh Mental Health used online scheduling to simplify consumer access to mental health care.
Insights in claims payment processing
Thinking about going paperless for claims payments? We commissioned a study of senior health plan executives to hear what’s on their minds.
Causes of medical necessity denials
Learn two critical indicators causing these denials, and how to account for them effectively.
Health leaders share IT transformation stories
Hear John Muir Health and Bassett Health’s observations on digital transformation, modernizing infrastructure and strategic automation.
Closing the diagnosis gap in CKD
Most people with chronic kidney disease (CKD) don’t know they have the condition. These payer strategies can help turn the tide.
Tackle the workforce crisis with human innovation
Explore human-focused innovations for solving healthcare workforce challenges while reaping benefits for all.
Supporting providers in the transition to VBC
Learn how value-based care (VBC) partnerships between payers and providers are more important than ever.
NEJM Catalyst Q&A: Value-based care
Dr. Wyatt Decker discusses the path forward for value-based care, including implementation challenges, benefits and keys to success.
Using data to monitor behavioral health services
See how Optum helped one state visualize utilization and demographic data around behavioral health programs.
Ways digital movement reshaping member experiences
As digital fitness, physical therapy and virtual musculoskeletal care surge in popularity, they’re yielding benefits for health plans and members alike.
Impacting SDOH for patients and communities
CNO Kristy Duffey discusses the benefits of home-based care, opportunities in value-based care and how digital tools can overcome barriers.
Connected communities
A panel discussion examines how to use data-driven, virtual and automated technologies to advance and refine population health strategies.
Managing risk in value-based care delivery
Watch as Erik Johnson explores models for risk in delivering value-based care (VBC).
Fitness for a generation that never gets old
With baby boomers rapidly aging into Medicare, health plans must take an informed approach when marketing fitness benefits. Here’s how.
What employers should know about a hub benefits strategy
A fresh approach to benefits is easing leaders’ administrative burden and connecting employees to better care.
Global Nurse Advice Line
We support mission-critical programs for federal health agencies.
Bassett Healthcare network blazes bold path forward
Optum helped Bassett achieve independence and financial resilience while maintaining outstanding care delivery. See how the partnership came together.
Bassett Healthcare partnering insights
Tommy Ibrahim, MD, CEO of Bassett Healthcare Network, shares insights on reinventing a health system for success.
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.
Boulder Community Health and Optum
Optum partnership insights and strategies enable near- and long-term success for provider organizations.
Best practices for identifying overpayments
Learn how a multi-tiered approach to data mining helps maximize savings and achieve payment accuracy earlier in the claim lifecycle.
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.
Claim review: How to adopt best practices
Learn how a comprehensive claim review strategy can help you stop repeat errors and increase payment accuracy across the claim lifecycle.
Staying current in your core admin platform
Get current, stay current and leverage the newest platform capabilities with ongoing release management.
Best practices for reducing provider abrasion
Find out what is driving abrasion and what health plans can do to alleviate pain points.
Pharmacy benefit managers add value lower costs
PBMs don’t cause high drug costs — they’re part of the solution. Our drug prices beat the “low cost” vendors.
Optimizing your payment integrity program
Discover payment integrity best practices to help you achieve your in-year cost savings goals.
Moving to lower cost electronic payments
Partner with Optum Financial to increase ACH payments.
8 ways to make drugs more affordable
Discover what plan sponsors need to know to help remove or limit cost as a barrier to medication access.
Validating short-stay hospital bills
Prevent inpatient billing errors for outpatient encounters.
StepWise Application Migration to the Cloud
Learn from health plan leaders on how to accelerate and optimize your cloud-adoption journey.
Automation and workforce strategies in healthcare
Get 6 key takeaways from a C-suite panel discussion.
Pharmacy Insights Podcast
Listen to our resident experts discuss critical industry challenges and the solutions you need to control rising drug costs.
Drug pricing spotlight: Wound care
Combat against brand name products costing 125 times more.
How health data can improve msk care
Here’s how payers can harness the power of data to bring more effective — and timely — musculoskeletal (MSK) care to their members.
Collaborating to advance maternal health
Learn how leaders, communities and institutions can work with Optum to promote safe pregnancies and childbirth.
Wellbeing shifts with meaningful impact
Results from the 8th annual Wellbeing in the Workplace study from Optum highlight how over 400 global employers are winning at wellness.
Reimagine your employee assistance program
Help employees feel mentally, physically and financially well with Emotional Wellbeing Solutions.
Future ready claims review automation not enough
As claims grow more complex, many automation methods aren't sophisticated enough for the job. See how payers can take claims review to the next level.
How employers can make better benefits decisions
Assessing vendors is daunting enough. But for many employers, limited data, contract variations and employee confusion add complexity.
Case study: Investing in employees' success
Tailored financial wellbeing support eases employee stress and boosts productivity for global telecommunications company.
Mitigating maternal care deserts
For some mothers-to-be, healthcare options are disturbingly limited — or even nonexistent.
Targeted care, lower costs
One state achieved both aims in delivering home health services.
Elevating employee engagement
Data-driven, targeted strategies help successfully increase employee use of mental health, financial and legal services.
Optimize member engagement through collaboration
A health plan increased in-home assessment rates for their Medicare Advantage members by working with Optum to increase member engagement.
Addressing high-cost of musculoskeletal care deferral
With musculoskeletal (MSK) incidence rates and costs rising, connecting members with the care they need is more urgent than ever.
Success stories in connected care
See how health organizations are creating new ways to deliver care.
Kidney care breakthroughs: What payers should know
Explore the most promising innovations in renal care for people with chronic kidney disease.
How VBC can work for manufacturers
Value-based contracts can present challenges that must be overcome to bring gene therapies to market.
Are employees checked out mentally present
Keys to investing in wellbeing programs that meet employees where they are and offering solutions for everyday life.
Supporting employee wellbeing after a loss
Learn how Optum helped a member find support after a loss.
New dimensions in life sciences research
Proving the impact on clinical outcomes as well as costs.
Working together to help end the opioid epidemic
Opioids are powerful drugs with a high risk of misuse and dependence. A comprehensive solution can help address this complex problem.
State M&O innovations: Robotics process automation
Robotics process automation can improve maintenance and operations of state Medicaid systems.
The costs and benefits of cloud-based imaging
Understand the seen and unseen costs of migrating your enterprise imaging to the cloud.
Costs for unrecognized kidney disease
A new study published by The American Journal of Managed Care highlights health care costs associated with unrecognized progression to late-stage kidney disease.
Find immediate ROI with cloud-native enterprise imaging
Learn how artificial intelligence (AI) can support patient care, improve workflows and more.
Optum Serve: Protecting taxpayer dollars
Eliminate fraud, waste and abuse in healthcare spending.
Optum, FDA collaborate on vaccine and biologic research
FDA reaches agreement with life sciences segment of Optum to provide data and expertise to evaluate and research biologics and vaccines.
Senior brain health and social interaction
Medicare Advantage plans can differentiate supplementary programs by addressing cognitive health and social interaction.
Improve members' health with Optum HouseCalls
Medicare Advantage members receiving in-home assessments saw fewer emergency department visits and inpatient hospital stays across 4 conditions.
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.
How to achieve more inclusive MSK care
Musculoskeletal conditions are costly, common and fraught with health inequities. Here’s how a more holistic approach can help.
Extending an independent lifestyle for seniors
The Optum differentiator helps communities attract and retain residents.
The HouseCalls difference: Kim's story
Kim, a HouseCalls advanced clinician practitioner, believes a good day is when she’s helped someone. Watch the video to see her story.
More inclusive MSK care: How can employers help?
Discover what employers can do to support all employees who may be coping with costly and common musculoskeletal conditions.
Improving underwriting results with automation
Machine learning coupled with software features and cost-tuning delivered significantly improved predictive value and underwriting results.
Care Pathways study
Mental health specialists serve a critical role in reducing total cost of care for plan sponsors.
6 thoughts: Shipping refrigerated medications
See how temperature-sensitive medications are protected in transit with Optum Rx.
Fitness needs across generations
Fitness needs vary across generations. Here’s how to make sure your offerings are serving each age bracket.
NASPO ValuePoint streamlines procurement
Streamline enrollment and admin activities with the Optum Provider Services Module, a self-service gateway for Medicaid providers and agency staff.
Increasing at-home dialysis for ESRD patients
See why home-dialysis patients tend to fare better than in-clinic patients, and how patient-centric kidney care management helps them make informed choices.
Emotional wellbeing solutions for health care workers
Support healthcare workers, who put others first every day.
Emotional wellbeing support
Help your workforce take charge of their health, so they can be more resilient and present every day.
How holistic programs improve senior health
Medicare Advantage plans need to rise above the competition by going beyond traditional fitness offerings.
Challenges when financing your EHR
Key themes and insights that can guide your organization toward a successful electronic health record (EHR) transformation.
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.
Key considerations when updating provider management modules
Explore 6 key factors when updating, streamlining and coordinating provider management modules with other Medicaid functions.
Strategies for incremental modernization
States can build on a step-by-step approach to modernization, incrementally transforming the user experience without disruption.
Opening digital doors for all consumers
Digital gateways are the new social determinant of health. Read this strategy guide on expanding access and health equity.
The fight for techquity
Get ideas for how to fundamentally change your approach to building technology and incorporate techquity into your organization.
Call centers and AI technology
Transform state contact centers into 24/7 problem solvers.
Speed up the claims process with AI
Read about our Claims Automated Rules Engine (CARE).
Modernize your revenue cycle workforce
New staffing challenges require new approaches. Learn how to optimize your workforce to increase productivity and retention.
Provider report cards help emergency medicine groups
Learn more about how provider report cards can help emergency medicine groups thrive.
Building a connected care model
People feel the disconnect of a siloed healthcare system. Get insights on how to build more holistic care through connected care models.
The impact of in-home health assessments
Learn about the benefits of HouseCalls assessments with these 5 fast facts.
HouseCalls: Fewer ED visits, hospital stays
A Yale Medicine study shows how in-home health assessments can help Medicare Advantage members get the care they need.
Reimagining senior care to meet changing demands
Learn about the holistic care that Medicare Advantage Plans can offer your residents. Plans with the Optum Care Model are available.
Boulder community health partners employee success
Explore how Boulder Community Health partnered with Optum to continue elevating its most critical component of success — its workforce.
5 provider strategies to improve margins
Discover how healthcare organizations are prioritizing a path to improved financial sustainability and margins.
Strategies to reduce administrative costs
Strategies to fix payer-provider collaboration, streamline patient financial experience and apply AI technologies for better cost savings.
Improve medicaid risk adjustment accuracy
Explore Medicaid best practices for health plans and learn three actions to take and when to take them.
Improving UR effectiveness with Case Advisor
Learn how Optum helped Regional One Health alleviate staffing pressure, multiply the value to the organization and raise its credibility among physicians.
Electronic Health Records (EHR): Implement and Operate
Maximize your EHR investment through partnership.
The impact of CAPs on Stars ratings
Learn more about the impact and implications of a Corrective Action Plan and how Stars and these corrective actions are interconnected.
How health equity can be a catalyst for growth
Providing better care for the underserved is vital for healthier communities. It can also be a wise strategy to unlock organizational growth.
HouseCalls: Helping to care for members where they are
As demand for home and community care grows, Optum® HouseCalls can reach your Medicare Advantage members and assess members’ health needs.
Why quality fitness benefits are crucial for employers
Whether you offer exercise classes, fitness equipment or nutritious snacks, investing in your employees’ movement and health will always be smart.
Defragment care with in-home assessments
In-home assessments can help to improve mental health and other social determinants for seniors. Read about the HouseCalls approach.
Symmetry EBM Connect
Increasing compliance with evidence-based standards to enhance care.
Orphan drug market: Rare diseases, large costs
Orphan drugs offer hope to people with rare diseases. They also add large costs. Our Orphan Drug Program is a targeted strategy to help control costs.
Critical steps to navigating change management
See how an effective change management strategy can help people adapt to change more quickly and nimbly.
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.
Antiracism and inclusion
Optum saw the value in a project for a community cohort, Leadership for Racial Equity, and quickly worked to create a national strategy.
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.
Cost breakthroughs in complex care management
Not every complex care management program is built equally. Here's how to optimize them for maximum benefits.
Workplace fitness benefits: What to know
Employers must adjust their fitness programs to meet employees' evolving fitness needs. Here’s how to bring your offerings into the new era.
New mandatory CMS reporting rules will impact states
To meet the requirements, states should consider focusing on five key areas.
Digital equity across the healthcare system
Remove gaps and improve digital access for everyone.
Regulations to watch: Spring 2024
Get the latest on legislation impacting PBM operations.
9 ways to modernize the Medicaid experience
Read our 9 key takeaways for states to modernize the provider management experience.
3 ways to beat vaccine fatigue
Learn about researched vaccine messaging themes and important steps you can take to promote critical vaccinations for members.
How to make most of your fitness benefits
Get a step-by-step guide for employers to maximize ROI, design the best offering and keep their workforce engaged in essential offerings.
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.
Preserving talent and enabling career growth insights
The Optum Market Performance Partnership is designed to help health systems achieve strategic, operational outcomes while preserving talent.
Trends and perspectives for health plans
Together, we are driving toward the same things for our healthcare system — better quality, lower cost and higher consumer and provider satisfaction.
Innovation help healthcare workforce crisis
Harvard Business Review Analytic Services and Optum leaders examine human-focused innovations for the health care workforce.
"No regret" IT investments
Learn which tech investments can benefit providers most today.
Fighting breast cancer with early detection
Early detection is critical to fighting breast cancer; advances in technology are helping.
NEJM Catalyst Q&A: Care delivery innovation
Optum Health CEO discusses care delivery innovation within value-based care and the role of alignment, partnership and analytics.
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.
Path to techquity
New research explores how to use technology to advance health equity.
Creating a health equity strategy
Watch this 15-minute Q&A on building a health equity strategy. Explore the role of partnerships and how to make a sustainable impact.
Supporting care for at-risk minors
Learn about a lightweight, scalable foster-family placement system developed for one Northeastern state.
Can automation cure workforce challenges
Rethink how to support workers, while simplifying and improving care.
Key learnings for modernizing your state’s legacy system
Dr. Garry Choy, CMO, discusses the pros and cons of using automation and clinical decision support to meet today’s workforce challenges.
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.
Why you should prioritize digital payments
Digital payment processing doesn’t have to be a daunting task. Here's why it should be at the top of your priority list.
Wellbeing in the Workplace Study
Explore the latest insights and trends shaping workplace wellbeing from our global employer survey.
The road to modernization: What’s next for your contact center?
Today’s constituents and stakeholders expect to interact with state agencies quickly, effortlessly and through their preferred communication channel.
What Gen Z wants in employer fitness benefits
The pricey weight management drugs work well, but users need coaching and support to maintain the benefits.
The latest PBM regulations: Summer 2024
Get your guide to the evolving health care regulatory landscape and see what’s coming as lawmakers debate 600+ new bills impacting PBMs.
Specialty drugs: Not just set and forget?
For optimizing specialty drug therapy, monitoring patients throughout their care is key to cost-effective use of high-cost drugs.
Taking the paper out of member communications
Discover how digital communications can increase member engagement and lower the cost of care.
New innovative treatments for hemophilia B, RSV and COPD
Cutting-edge research in gene therapy, mRNA editing and blood enzymes pays off with powerful new advances for these drug classes.
Top 4 drug spend categories
Many patients combined with expensive drugs leads to top spending classes.
Patient engagement platform checkboxes
Learn how a platform that covers the full patient journey, from scheduling care to payment and follow-up, can streamline operations and costs.
Market for patient engagement webinar
View the public launch of Optum Patient Access and Engagement on demand.
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.
How CAPs directly impact your Stars performance
Stars performance is in your control. Learn how you can take action now.
Transforming CDI and coding with advanced analytics
Banner Health partnered with Optum to pair AI-powered technology with advanced analytics, enabling an expanded focus on quality and risk-adjustment initiatives.
Best practices utilization review
Learn best practices of utilization review to help your health system maintain clinical, compliance and revenue integrity.
Middle RCM tech
Artificial intelligence (AI) and automation are having a major impact on improving the middle RCM for healthcare providers.
Trends for health plan quality performance
Learn how health plans can stay ahead of the curve and prepare for key trends likely to impact their quality programs in 2025 and beyond.
How to ease the emotional toll of caregiving for members
Learn how plan sponsors can support caregivers and their loved ones' mental health with resources and tools.
Diagnosis and care recommendations for rare congenital anomaly
Rigorous work-up leads to conservative CHD (congenital heart disease) treatment approach.
Holistic msk improves care
Our holistic approach can help payers better fight against rising musculoskeletal care costs while better serving members.
Asia pacific culture of health
By engaging region-specific expertise, your company can strategically improve the well-being of its employees.
Drive wellbeing programme utilisation
Strengthen your international wellbeing programme with an integrated health promotion specialist.
Bring wellness strategy to life
Discover how partnering with a health promotion specialist can help you unlock creative ways to engage your employees with wellness programs and initiatives.
Reimagining fraud prevention
Find out how modernization of emergency relief programs can detect and prevent fraud.
Hub and advocacy solutions work together
Navigating a complex healthcare environment is challenging. Using hub and advocacy solutions together helps employers and employees alike.
Coding audits: Why and how to do them
Discover how regular coding audits can streamline audit and compliance efforts, boost hospital reimbursements, and improve patient financial experiences.
Design an exceptional physician review strategy
Optimize your physician review process to help save time, reduce costs and improve care quality.
The Health Equity Alignment Solution (HEALS)
HEALS is a data analytics solution that highlights where and how inequities occur within a community, state or a health plan’s member population.
Consumer centric health care research report
Examine the acceleration toward consumer-centric care with insights and perspective from healthcare leaders.
Enterprise transformation services
Health systems continue to face many challenges. Do you have the flexibility and focus to deliver on strategic goals or transform your business?
The new digital landscape
Explore the 5 key components of a good digital health care experience to meet rising consumer expectations.
Get immediate savings on specialty drugs
Specialty drug spend is a “top threat” to employer-provided benefits. Discover sustainable savings with your existing Optum Rx plan.
Avoid surprises in pharmacy spend
Old strategies and new challenges don’t mix. Future-proof your plan and get better predictability with new pricing models and risk management tools.
Building the PBM of the future
The solutions plan sponsors need today to tackle the pharmacy challenges of tomorrow.
Advanced Pharmacy Audit Services
See how a health plan used advanced audit services to prevent and detect pharmacy fraud, saving over $1 million.
Empowering clients with choice and transparency
Helping make prescription drugs more affordable for plan sponsors and the members we serve is a universal focus.
Smart formulary management
Develop and manage formularies that bring clinical and financial value.
4 myths: Carving out specialty pharmacy
Integrating specialty pharmacy means better care, lower costs.
Biosimilars to save billions in this decade
Prices for popular brand-name biologics drop up to 60% with generic-equivalent biosimilars.
3 ways to deal with escalating drug costs
Explore innovations custom built for today’s specialty challenges.
A young patient’s hemophilia story
See how Optum Rx helped change a patient’s life with access to life-altering medicines.
3 steps to slash medication costs
This is your employer guide to reducing your healthcare spending.
Winter: First big drugs of 2024
New treatments for NASH, schizophrenia and more are on the way.
What makes a meaningful health advocacy program?
A great health advocacy program helps employees get the most out of their benefits while fostering strong health outcomes and savings.
Establishing trust to improve value-based care outcomes
Gain insights into how supporting providers can help increase engagement and reduce administration burden for better patient care.
Make your pharmacy benefit plan work better
Learn 4 key questions you should be asking.
Gene therapies: Can we afford the future of medicine?
Learn how to manage financial risk as gene therapies become more commonplace.
How to contain GLP-1 costs
Get strategies for handling the new anti-obesity medications.
Alternative funding: Real savings or problems?
See how much "free" drugs will actually cost you.
Creating connections through partnership
Hear from an Optum Rx client on how we're partnering together for everyone we serve.
The secret to lowering the total cost of care
Rising pharmacy costs concern everyone. Managing the underlying health conditions behind each prescription is key to addressing these high costs.
Optum Rx customer obsession
Watch how one Optum Rx employee made the system work better for everyone.
How to manage blockbuster anti-obesity drugs
The pricey weight management drugs work well, but users need coaching and support to maintain the benefits.
4 key forces shaping the future of pharmacy
These emerging trends will help define the road ahead.
How to eliminate prescription waste
Achieve savings by targeting expensive, low-value drugs.
How to manage medication overload
Hear from a leader's perspective on how to manage polypharmacy.
Alzheimer's treatment: Time for a level-set?
See success rates, risks and costs of the new Alzheimer’s treatments.
The new drugs plan sponsors need to watch for
See which trends to consider when assessing the pharmacy benefit, which new drugs may be flying under the radar and what's coming.
Orphan drugs market: Can we afford them?
We examine key questions around orphan drugs such as why they're so expensive, how they're being used and what plan sponsors should do next.
Maximize digital mammography reading efficiency
Learn how an all-in-one workstation for mammography and radiology increased study volume and accelerated turnaround.
Access point-of-care ultrasound imaging data
Discover how centrally stored point-of-care ultrasound images can help your organization increase efficiency and improve revenue.
Strategic planning for imaging in the cloud
Learn what health IT and imaging leaders need to do before moving their enterprise medical imaging to the cloud.
Reduce risk and capture lost revenue
Learn how Change Healthcare Imaging Actionable Findings can help, solve complex care needs.
Improve your radiology performance
Learn how Change Healthcare Radiology Solutions™ 14.2.1 can help your department improve diagnostic confidence.
Explore our AI-enabled radiology portfolio
Learn how our Radiology Solutions use AI to rapidly identify relevant radiology images.
Intelligent workflow case study
Learn how intelligent workflow can help improve efficiency and patient care.
Change Healthcare Workflow Intelligence
Learn about our vendor neutral, flexible medical imaging workflow rules engine.
Re-examining radiology with Optum
Explore the transformative changes happening in the field of radiology and their impact on advancing healthcare.
Using the cloud for medical imaging
Learn how to unlock the power of cloud migration in your medical imaging.
The AI technology transforming imaging
Learn how artificial intelligence (AI) can support patient care, improve workflows and more.
The role of AI in enterprise imaging
Learn how AI is being used to improve imaging workflow management and help care providers collaborate more efficiently.
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.
Why workforce wellness programs must reward more than health tasks
To ensure that well-being benefits drive results, employers must let go of strategies built around one-and-done health tasks. Here’s how.
Developing evidence-based tools for accessible and quality care
Explore how evidence-based tools like The ASAM Criteria® Navigator and InterQual® Substance Use Disorders Criteria are helping payers and providers efficiently and effectively navigate the complex substance use disorder landscape today.
Pharmacy legislative rules fall 2024
An assessment of the latest rules impacting PBMs from state and federal legislation.
Adventist West’s success through redesigning and automating UM
Discover how to leverage automation for centralized, exception-based utilization management.
How to transform imaging with behavioral science
Behavioral science is being applied to unique methods of enterprise imaging product design.
New treatments for rare and common conditions
Our report emphasizes new, next-gen and first-in-class treatments for cystic fibrosis, non-opioid treatment and GLP-1 drugs.
Transform underwriting technology
Automation, technology and scalable staffing drive growth.
Advancing dme benefits management
Learn how DME Navigator can help streamline durable medical equipment (DME) benefits management.
Star ratings are important to Medicare plans
Learn how health plans can improve Star ratings through high-touch strategies.
Rethinking the healthcare payment process
Explore ways to create a more seamless and transparent payment experience for healthcare consumers.
Engage providers impact member outcomes
Download our infographic to learn how Optum can take the burden off payers to impact provider performance.
Improving performance at Excel Medical Center
Empower provider success and improve member care through digital integration.
Spend more time with members
See how prospective assessment programs can reduce administrative burden. Physicians spend less time on paperwork, so they can focus on what matters most: member care.
4 steps to optimizing value-based care
Learn how combining these steps can help power a holistic workflow between payers and care delivery.
Proactively renew dual eligibles for Medicaid
Learn how Optum uses AI, state-specific logic and robust workflows to help with proactive dual eligible Medicaid renewals.
Risk adjustment Star ratings success
Discover 5 strategies that will help your health plan be prepared to factor risk adjustment data into Star Ratings.
Improve provider engagement mobile query
Respond to query opportunities in real time and get access to clinical and coding decision-making information with our secure mobile app.
Driving healthcare innovation
Matthew Kinney, growth and innovation leader at Optum, describes how to create holistic strategies for meaningful impact.
Reassessing the Inflation Reduction Act with real-world evidence
Cut through the noise of the Inflation Reduction Act of 2022 with key points aimed to help life sciences leaders leverage impactful data.
Addressing social determinants of health
Create solutions to eliminate barriers to care and support members.
Combating the opioid epidemic
Medication interventions save lives — more people need access to them.
Understanding students' mental health needs
Read about the realities of campus behavioral healthcare and how we can make things better for college students.
When healthcare works better for everyone
See how building an outcomes-based model for behavioral healthcare can benefit both clinicians and patients.
Personalized support for members with autism
Optum is breaking barriers in supporting members and families who are diagnosed with autism spectrum disorder (ASD).
Support for substance use disorders
Expand access to evidence-based support to help individuals achieve stabilization and sustain recovery.
Supporting the unique needs of firefighters
When the Minnesota Fire Service needed emotional well-being support for their firefighters, Optum stepped in to help.
Behavioral healthcare made better
We help people find care and support that’s easy to understand and access.
Help members access behavioral health care
Guide members to quality, affordable behavioral health care.
Strategies for centering patients and staff
Learn how to help transform hospital revenue cycle operations with healthcare automation.
Insights on GLP-1s: Costs and coverage
Balancing the risks and the benefits of GLP-1 drugs.
Biosimilars: Hard to make but lower costs
Biosimilars compete with expensive biologic drugs by offering the same safety and effectiveness, but at a lower cost.
Transparency helps medicaid providers
See how technology can be used to reduce complexity, administrative rework and improper claims denials.
New options to treat schizophrenia, COPD
A clever combination drug offers new help for schizophrenia with reduced side effects, while Dupixent expands its footprint to COPD.
CMS quality measure rules 2024
Upcoming changes in federal quality measures for Medicaid and CHIP will impact state governments.
SDOH solutions: Transforming health care for all
Learn from experts how to transform health care by addressing the social and economic factors that impact health outcomes.
SDOH solutions: Improving population health outcomes
See how to use technology to understand and implement effective health interventions.
Everest Group guide to selecting RCM services
Buyer’s guide helps hospital leaders evaluate and select RCM services partners with the future in mind.
Achieving equitable care: The shift to race-neutral equations
Discover how the InterQual team facilitated the timely adoption of new industry guidance for promoting health equity in clinical practice.
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.
Viewpoints on the 2025 CMS Final Notice
Download this executive summary to learn how these changes may affect your Medicare Advantage plan.
The state of pharmacy regulations
In this conversation, learn the implications of new pharmacy legislation and rulemaking, and how you can manage your benefits effectively.
Aging workforce and the impact on drug spend
An estimated 23% of the workforce will be over age 65 by 2050 – but what does that mean for my drug plan?
Automating the prior authorization process
Discover our latest innovation to the PA process — PreCheck Prior Authorization — which reduces approval times, appeals and denials.
How to push back on 3 key pharmacy headwinds
Innovative formulary structures and clinical programs can help plan sponsors meet the challenge of expensive orphan, biologic and GLP-1 drugs.
Automating success revenue cycle transformation
Set the foundation for synchronized and connected revenue cycle management.
2024 in review
Another busy year in pharmacy is coming. Read about top stories in GLP-1s, biosimilars, top spend classes, key regulations and innovations.
Health plans system modernization
Learn how technology and infrastructure investments enable growth and help with evolving regulatory requirements and increasing competition.
Key new drugs help close out 2024
New biologics for breast cancer, hemophilia, and a rare form of heart disease are poised to add competition and choice in these classes.
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.
Automate your front office to address the staff pinch
Learn how automating appointment scheduling, eligibility verification and communications, and more eases pressure on staff.
Social Care Assistance helps member assessment
Optum helps health plans address member needs through screening and community-based organization (CBO) referral services.
Continuous insurance coverage discovery
Learn how our two-stage approach to eligibility coverage links pre- and post-service analysis in near real time.
Revenue cycle ripple effect
Streamline your patient experience, enhance satisfaction, reduce costs and improve your financial performance with our digital tools.
How to build a mobile crisis team
Learn more about the current research on mobile crisis teams (MCTs), how to build an MCT as well as envision a future for them.
Viewpoints on the 2026 CMS Advance Notice
Go inside the latest changes to the 2026 program.
Optum Recognized as RCM Leader Report
Optum is honored to be recognized as a Leader in the Everest Group RCM Platforms PEAK Matrix Assessment for 2025, highlighting our comprehensive RCM solutions.
An Employee Benefits Strategy that Balances Cost and Care
Learn how to develop an efficient benefits strategy that helps your people be well — while balancing your budget and achieving value.
Packaging your employee benefits experience
Use best practices to build a gift-wrapped benefits experience that engages your people and optimizes your employees’ well-being.
Exploring the health savings pathways series
A 3-part series to help guide your employee benefits strategy, balance care costs and enhance employee well-being.
Improving the provider experience
Learn about a modern and proactive approach to payment integrity for health plans.
Discover 8 capabilities to power your EHR
Learn how Optum solutions can enhance your EHR for better patient engagement and financial data integrity.
Alma simplifies access to in-network mental health providers with digital self-scheduling
Learn how Alma partnered with Optum to offer frictionless patient access to care through digital-first channels.
C-suite Insights
Explore actionable resources for healthcare executives including peer-to-peer insights, dialogue, perspectives and analysis.
Preparing your plan for the GLP-1 era
After revolutionizing care for diabetes and weight loss, GLP-1 drugs are being eyed for more. Can we afford it?
2023 trends shaping life sciences strategies
Life sciences market experts from Optum and Advisory Board offer their bold predictions and insights in 2023 for the industry.
HouseCalls: Reach members where they are
Help manage members’ health through in-home or virtual assessments.
Boost engagement with personalized benefits communication
Learn how personalized employee communications can help meet benefit strategy objectives
The heart behind the business
People are at the heart of all we do at Optum. Meet the people behind the business at Optum and learn why they put you at the center of everything we do.
Guide to 5 types of vendors and partners
Advisory Board experts describe types of nonclinical partners and vendors, their benefits and their use cases.
How AI is delivering efficiencies for radiologists
Learn how AI solutions can boost your organization’s return on investment (ROI).
Time to outsource workers compensation payments
Learn how outsourcing payments could help you stay competitive and compliant.
Impacting provider engagement
Step into the shoes of Richard Solomon, a Health Care Advocate, who goes above and beyond to support providers in risk adjustment programs.
The role of navigation to simplify health care
An active approach to advocacy can help improve member experiences while driving down costs. Read our e-book to learn how.
Reduce claim errors with front-end RCM solutions
Cut down on claim mistakes by collecting accurate data and refining your workflows.
Which growth strategy path is right for you?
Discover which growth strategy path is right for your health system.
Supporting members through life’s challenges
See how mental health support from Optum helped a member navigate grief.
Are your pharmacy benefits working hard enough?
Pharmacy benefits should be transparent, affordable and easy to use. Get clear on your pharmacy benefit manager’s value with these 3 questions.
Making informed care decisions with accessible health plan data
Learn about a health plan STAR ratings tool that provides residents with clear, interactive comparisons of health plans.
Digital integration and the path to interoperability
Creating a connected system to improve risk and quality outcomes.
Social determinants of health in urban America
Learn more about addressing social determinants of health in Brooklyn, NY.
How small and emerging biopharma can generate real-world evidence
Here are questions small and emerging biopharma need to ask to generate meaningful evidence and be competitive.
A quarter-century of pharmacy benefit changes
Explore the dramatic changes in the years since 2000 — in drug performance and design, and especially affordability.
RCM essentials for 2025
From process re-design to automation with advanced technology, learn how healthcare finance leaders optimize their RCM operations for the future.
Advancing infection prevention in senior communities
Discover proactive practices for protecting residents from both the common and the unexpected.
Reduce the risks of polypharmacy in nursing homes
Learn 5 tips for effective deprescribing to improve resident quality of life.
How senior care facilities can elevate dementia care
Learn how multi-layered, proactive interventions can help reduce hospitalizations.
Transform your pharmacy benefits with end-to-end transparency
Pharmacy benefits should be clear and simple. Are they? In this latest e-book, see how true transparency drives better outcomes.
New pharmacy benefit solutions to help bend the cost curve
In this conversation, get a peek into upcoming solutions and technologies designed to address high-cost medications.
Making inroads with maternal health
Learn how Indiana and Washington, D.C., are tackling critical maternal health equity disparities.
Integrated risk and quality programs: A strategic approach
Unlock new efficiencies with a digital-first, AI-powered approach to empower value-based care and enhance health plan performance.
Innovating risk adjustment strategies
Read this blog to learn how Renown Medical Group empowers clinicians and improves patient outcomes.
Help enhance coding accuracy with the HCC Tearsheet 2025
Accurate HCC codes are essential for effective care management and compliance.
The future of quality reporting
Learn how AI, interoperability and ECDS are transforming healthcare quality reporting and the solutions that can help you stay ahead.
Small price hikes make for big drug prices
We know about the high prices for new drugs, but drug companies make most of their money from repeated small price increases on older drugs.
Meet consumer expectations while addressing provider frustrations
Learn how Patient Access and Engagement streamlines the end-to-end care journey.
Survey: How Healthcare Costs Can Influence the Patient Journey
Regulations to watch: Spring 2025
Learn what’s at stake for pharmacy benefits sponsors as federal oversight changes and state legislative sessions begin.
5 things a claims review program does that you might not realize
Learn more about how an all-in, centralized claims review can contain costs while boosting consumer and provider experiences.
See how an Optum care coordinator works
Supporting care, reducing stress, and serving as a point-of-contact are just a few of the benefits care coordinators offer.
The foundational forces affecting pharma today and beyond
Learn about the 3 key trends manufacturers should consider when planning for 2025 from Advisory Board and Optum Life Sciences experts.
RCM essentials for 2025 and beyond
Learn how digital and self-service strategies can help improve patient experience and financial outcomes.
Is your pharmacy benefit manager delivering value?
Learn 4 key questions you should be asking.
Navigating the future of addiction treatment with The ASAM Criteria® Fourth Edition
Explore the development of The ASAM Criteria® Fourth Edition and discover tools and programs available to support your transition.
Advancing clinical access to whole genome sequencing
Learn how Optum and Illumina are working together to help patients with genetic testing for rare diseases.
Health loyalty rewards programs
Learn how employers can tap best practices to ensure their health rewards and loyalty programs make a meaningful difference.
Navigating the two-midnight rule in the Medicare Advantage world
Watch this on-demand webinar to hear top insights and an analysis of the latest trends impacting the utilization management function since the latest changes became effective.
New hope for neurological conditions
Learn how a holistic model enhances multiple sclerosis care.
Specialty vs. retail pharmacy
Specialty medications require high-touch support. Learn more about what sets specialty pharmacy apart from retail.
Outlook on oncology 2024
See how emerging trends, including a global pandemic, are reshaping the landscape of oncology care and medication.
Supporting family mental health
See how the Child and Family Behavioral Coaching program helped a family find support for their child’s ADHD.
How payers can prepare for the next wave of cellular therapy patients
CAR T-cell therapies have been remarkably successful and may become more widely available. Here’s how to get ready for a rise in these expensive treatments.
Rising expectations among health care consumers
Learn about the growing expectations people have for their healthcare experience and how to improve the consumer journey.
Reduce length of stay and enhance resource efficiency
Learn more about how Optum Enterprise Intelligence Suite (EIS) enables best practices for achieving operational excellence.
Improve well-being engagement and usage
Learn 5 critical factors that can help you successfully engage employees in your wellness strategy.
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.
Fecal transplant to treat recurrent urinary tract infection
Learn how leveraging a microbiome approach helped one patient with von Willebrand disease and multiple antibiotic allergies.
Access to mental health care within 48 hours
Optum expands care options while reducing crisis events and costs.
Site-of-care: A longitudinal review
Gain insights into the site-of-care landscape, what market data reveals and how outmigration could affect your hospital.
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.
Tailoring Medicare plans for specific populations
Learn some of the best practices and strategies for serving your members effectively through special needs planning and beyond.
How our medication packaging helps the planet
Our eco-friendly, fully sustainable prescription packaging eliminates polystyrene and reduces CO2, water and plastic waste.
Helping a member find support
See how one mother found in-the-moment support during a family crisis.
A new standard for objective frailty criteria
Learn how the InterQual® team developed objective frailty criteria through a process that ensured clinically applicable content.
What is a copay card? Making sense of copayments in healthcare
Learn how drug maker copay cards can disrupt your benefit strategy and how the suite of Optum Rx Copay Card Solutions can help.
Understanding the transition to cloud-native imaging
Imaging center uses cloud-native technology to future-proof operations.
Unblocking the digital access journey
View this infographic to learn how to create a friction-free patient access journey.
Payer-provider collaboration: Improving patient outcomes
Tech and value-based care can improve payer-provider collaboration, reduce admin burden and enhance patient outcomes through data sharing.
Going Beyond Risk Adjustment in Provider Engagement
Learn innovative techniques for risk adjustment workflows that help emphasize pre-visit chart prep and clinical suspect identification.
The cost of inaccurate data: An overview of risk adjustment audits
As CMS moves to increase RADV audits, payers must understand the implications of RADV and find the right support for a smooth audit process
From data collection to intervention
Learn how you can leverage analytics to address social determinants of health.
Opportunities in the DSNP market: Essential insights for MA leaders
Join speakers Cori Leech and Jared Landis as they discuss how to meet the challenges facing health plans in the D-SNP market right now.
The impact of AI on today's pharmacy benefits
In our latest podcast, two AI experts discuss how Optum Rx is leveraging artificial intelligence while prioritizing privacy and security.
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.
Debunking revenue cycle myths: The path to financial health
Discover how partnering with a managed services partner can help improve financial operations.
Filling revenue cycle resource shortfalls
Learn how to identify and overcome common revenue cycle challenges despite current labor market issues.
Monitoring COVID-19 vaccine safety
Discover insights from Dr. John Seeger’s recent participation at the Duke-Margolis Thirteenth Annual Sentinel Initiative Public Workshop.
Using clinicogenomics to advance research
Rich, longitudinal clinicogenomics data can fuel all stages of drug development.
Viewpoints on the 2025 CMS Advance Notice
Don't miss this exclusive webinar and the chance to learn how your Medicare Advantage plan can better prepare for the 2025 changes.
The keys to revenue cycle transformation
Gain expert insights into strategies to decrease costs, unlock new sources of growth and improve patient experiences.
Focus on patients, not paperwork
Watch the webinar to learn actionable strategies on tackling decreased hospital margins, increased labor costs and staffing shortages.
Helping emergency services practice streamline accounting
A busy emergency services practice gets help to ensure its financial health and allow physicians more time and confidence to do their jobs.
Anesthesiology group improves rcm physician practices
How one anesthesiology medical group increased profitability, efficiency and stability with physician group management services from Optum.
How Optum supports value-based goals with powerful products
See how Optum’s products help hospitals succeed with value-based contracts, earning appropriate incentives and avoiding penalties.
Developing a best-in-class middle revenue cycle for hospitals
Explore the six focus areas for improving performance to create a best-in-class middle revenue cycle for your hospital.
A case study on Excel Medical Center
Using digital integration to ease administrative burdens can help you spend more time with patients and deliver positive patient outcomes.
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.
Improve price transparency
Deliver a better patient experience through price transparency.
Improve physician practice revenue
Learn key strategies to strengthen the financial performance of your physician practice.
Mental health: Optum addresses the great information divide
Explore the challenges and opportunities in using mental health data to understand prevalence, risk, impact and treatment in patients, members and communities.
Decrease denials strategy
Understanding the reasons for your claim denials is the first step to preventing them from happening in the future.
Patient access to gene therapies for rare disorders
Optum Life Sciences experts discuss value-based contracts at the 5th Annual Gene Therapy for Rare Disorders Conference.
Maximize Your Real-World Data Strategy
Optum Life Sciences leaders break down common missteps when using RWD and how to create practical strategies to overcome them. Watch the video from STAT Summit.
Clinical exchange eprescribe enhances care delivery
Streamline workflow and increase accuracy with Clinical Exchange ePrescribe and Surescripts Real-Time Prescription Benefits.
Doubling down on the cloud
Learn how technology is advancing imaging workforce challenges and revenue.
Redefining the prior authorization process
Learn how we are revamping the prescribing process.
Get competitive with CDI and coding analytics
Watch the demo to learn how our analytics platform provides custom, value-added reports with the data insights you want.
Navigating the pandemic
Learn how Optum revenue cycle management services helped Santa Fe Pathology Services maintain financial stability throughout the COVID-19 crisis and position the practice for growth.
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.
6 workforce strategies for healthcare leaders
Strengthen and inspire your healthcare workforce. Our actionable toolkit offers new strategies to reconnect with talent, simplify workflows and more.
2024 Stars preview: A path forward
Perform key actions to manage your Stars performance with a focus on member engagement. Learn how to take control of your Star ratings now.
Women's health: Susan's story
Learn how OB Homecare and advanced analytics can help manage at-risk pregnancies.
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.
The ASAM Criteria® Navigator, 4th edition
Learn how to streamline efficiency and consistency of the utilization review process.
What to know about managing rising transplant costs
What payers need to know about transplants and other high-cost care.
Volume 1: Better financial health and improved operations
Read the white paper for strategies on controlling fixed costs, efficiency and organizational flexibility.
Clinical exchange eprescribe self service tool speeds enrollment
Healthcare systems need new systems to better facilitate enrollment despite staffing shortfalls.
RCM services allow laboratory navigate difficult waters
Learn how Optum implemented comprehensive revenue cycle management procedures to help Meridian Laboratory Physicians bill for clinical pathology, increase reimbursement and support practice growth.
2023 3rd Annual C-suite Research Report
How are market dynamics impacting decision-making across healthcare? Research report examines progress, challenges and priorities in 2023.
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.
Achieving health equity: Strategies for payers
Learn more about a comprehensive solution for health payers to address health disparities and achieve health equity.
Informing FDA best initiative
As a key FDA collaborator, Optum Epidemiology generates reproducible results that inform regulatory decisions for COVID-19 vaccines.
Regulations to watch: Summer 2025
As legislation impacting PBMs ramps up again at the state level, the Trump administration signs drug pricing executive order in Washington, D.C.
The future of payment integrity
Unpack key trends shaping the future of payment integrity and discover steps you can take to get started on your path to payment precision.
Trends shaping the future of payment integrity
Explore the market trends that are shaping the future of payment integrity and learn what they will mean for health plans.
Fighting fraud, waste and abuse in pharmacy
How one plan sponsor realized more than $128,000 in savings and recoveries in one year.
Youth mental health research findings
In our new report, you'll learn key findings about the mental health needs of young people and their caregivers, and discover opportunities for intervention.
Revolutionizing cardiology
Discover how Boulder Community Health and Optum Advisory worked together to achieve smart growth and sustainable change.
Fire department boost collections forty percent
Our case study shows how the Cincinnati Fire Department recovered missing revenue with Optum billing and collection systems.
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.
How to implement patient-centered oncology care
Patient-focused care is becoming the highest aspiration in cancer care. Here’s what payers should know to embrace this beneficial approach.
Guidance along fertility journey
Discover how health plans can set aside ad hoc solutions and adopt a comprehensive approach to improve health outcomes and accessibility of fertility care.
Create a best-in-class front-end revenue cycle
Learn six ways to take your operations from good to great.
A single database cardiology platform that drives efficient workflow
Read our case study.
Addressing burnout with cloud PACS solutions
Health care leaders share how cloud-native solutions can help ease risks and improve efficiency for radiologists.
How the revenue cycle and leaders are evolving
Find out how to shift your revenue cycle left, focusing on front-end revenue cycle management (RCM) capabilities.
Using clinical intelligence for revenue cycle
Our white paper shows how investing in smart technologies, such as clinical intelligence, supports the revenue cycle from patient registration through full reimbursement.
Things to know about new landscape fertility benefits
More and more, benefits leaders see the value of reproductive health — and it’s changing how they approach offerings. Here are 5 things to know.
Emergency department performance metrics
Learn about the key metrics that should be monitored within your emergency department to improve financial performance and optimize efficiency.
Optum wins 2023 enabling technology leadership award
Optum won the 2023 North American Enabling Technology Leadership Award.
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.
Hospital employed anesthesiologists and RCM
Dive deeper into the market shift transforming the modern anesthesia employment market.
Using epidemiological data build public confidence
See how the FDA and Optum use real-world evidence to monitor the safety and effectiveness of COVID-19 vaccines in our youngest populations.
Establish renewed priority on revenue loss
In volume 2 of this white paper, discover 3 strategies to improve revenue performance from proper levels of reimbursement to writing off bad debt and expanding into new service areas.
Strengthen ED visit-level determinations with these key elements
Learn how to strengthen your ED visit-level determinations, and identify areas for improvement.
The benefits of cardiovascular structured reporting
Discover the key features of cardiovascular structured reporting that drive adoption, EHR integration and customization.
We follow the science and defend against bias
See how Optum follows the science where it leads, validating the research we find to uphold the clinical integrity of InterQual content.
Structured cardiovascular reporting
Learn how structured cardiovascular reporting can reduce late charges.
A/R recovery services provide continuity
Provider maintains A/R revenue continuity during HIS conversion.
How AI accelerates workflows and patient cancer care
Discover the potential of AI and how it helps save thousands of lives each year.
Cancer costs are rising — are you ready?
As experts forecast a steep climb in already-expensive oncology costs, payers must prepare for the big changes ahead.
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.
Delivering on promise of fertility care
As a highly specialized area of care, fertility treatment is a significant cost driver for health plans and employers.
Promises and pitfalls: AI and clinical decision-making
Learn more about why evidence-based criteria and clinician insight are needed for informed and trustworthy decisions while leveraging AI.
Is poor market visibility compromising your growth?
Optum offers an infographic to help hospitals better understand true growth potential and the potential impact of physician outreach.
Clinical Exchange Orders and Results tool
Streamline the implementation process of healthcare lab operations and enhance enrollment control with our self-service tool.
Value dex z codes
Optum and Palmetto experts partner in discussing how to solve genetic lab challenges in legacy solutions.
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.
Aligning with CMS: Medicare Content Navigator and InterQual Transparency
Discover how to meet the latest regulatory requirements for Medicare Advantage plans.
Outsourcing medicaid eligibility enrollment
Discover how one client outsourced Medicaid eligibility and enrollment to drive patient satisfaction and higher reimbursement levels.
Denials index
Learn about the latest trends in medical claim denials and find out how to decrease them.
Navigating growth in the healthcare industry
Learn how to overcome challenges and achieve scalability with your medical practice.
Inventory management solutions made simple
Discover inventory management solutions that guide the decision-making process for efficiency gains, better practices, cost savings and safer care delivery.
Understanding artificial intelligence for radiologists
Learn why implementing artificial intelligence in the radiology department shouldn't lead to panic.
The No Surprises Act
Get an overview of the Act with recommendations for physician practices.
Forging a new frontier in mental and behavioral health
Overcome today's barriers with leadership, collaboration and investment strategies that proactively address mental and behavioral health.
Youth-centered mental health
Find new ways to address youth mental health and how health care leaders and communities can come together to achieve long-lasting impact.
Five priorities improve financial performance
This E-book will help you master five fundamentals for a sound financial future.
Shift-of-site care is a win for women
With unique needs, women benefit greatly from a wider array of care options. Payers and employers can reap big rewards by providing them.
Digital front door strategy improves patient experience
Discover how a digital patient engagement strategy can provide easier access, reduce cancellations, and enhance front-end collections.
2024 Annual Healthcare Trends Report
Get expert analysis for C-suite healthcare leaders on the forces driving change. Explore challenges, what to watch and how to move forward.
10 hurdles to reimbursement
Focus on the specific hurdles that hinder your claims and cause most of your denials. We'll walk you through how to clear each obstacle.
Addressing the Root Causes of Mental Health Disparities
Discover steps and strategies to reduce disparities among vulnerable populations and remove barriers for more equitable mental health care.
Cloud-based upgrades
Learn how cloud-based imaging solutions can speed upgrades and reduce maintenance.
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?
Maintain operational and financial viability
Read this white paper to learn strategies that can help critical access and independent hospitals remain viable in their communities.
Move your enterprise imaging to the cloud
Learn how to highlight the immediate cost and efficiency gains of cloud adoption.
The benefits of outsourcing medical billing
Discover a step-by-step strategy for gaining administrative buy-in.
Improve fertility treatment efficiencies and outcomes
Whether for personal or professional reasons, many couples today are delaying starting a family. However, waiting to conceive can lead to fertility issues — for one partner or both.
Five step InterQual evidence-based development process
The InterQual Criteria is developed through a rigorous, five-step process by our clinical development team.
The benefits of microservice imaging architecture
Our cloud-native solutions use dynamic load balancing to optimize resource use across all applications.
Five things your denial rate isn't telling you
Learn 5 ways to make changes that will prevent and remediate denied claims.
Five ways to improve your cardiovascular workflow
Learn how to improve productivity with a workflow solution that innovates in five key areas.
Reducing administrative variation with artificial intelligence
Infuse technology into your medical necessity process.
Addressing challenges with CDI and coding
Read the success story to hear how Optum technology helped increase John Muir Health's monthly CDI case review average by 22%.
Understanding the benefits of single-database cardiology
Learn about our single-database cardiology solution that integrates with your EHR and VNA to help create a complete, unified cardiovascular record.
Defining the future of alternate-site infusion pharmacy care
Optum tackles the many issues infusion pharmacy care faces as it serves vulnerable patients with acute needs and complex conditions.
Leveraging data-driven heat maps
The Optum network gives transparency to customized potential connections, helping boost revenue.
Real-world data centralized teams
Expanding the use of RWD requires expertise and leadership. Learn how to maximize the success of a centralized RWD team.
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.
Business intelligence delivers financial insights lab
Learn how BI can improve operational performance, provide access to key financial indicators and support compliance.
Lowering cardiovascular disease risk
An innovative program involving patient awareness and provider outreach improves patient use of lipid-lowering therapies.
Enterprise imaging cloud strategy webinar
Learn about the differences between “cloud-based” and “cloud-native” image hosting.
Closing gaps in pain management
More than half of nursing home residents suffer from chronic pain. Read the white paper to learn how we can make a difference in their lives.
Improving CDI efficiency
See how Lima Memorial improved efficiency with advanced technology.
Change Healthcare Stratus Imaging Share
Learn how much you could save by eliminating CD burning.
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.
Exploring possibilities cdi metrics
Watch the panel-style webinar with Banner Health CDI and analytics leaders to discuss business intelligence analytics and health information management.
MIPS program recommendations physicians
Traditional MIPS plans concluded in 2023. Understand MIPS reporting types and get help navigating the changes.
Four ways to strengthen your practice
Strategies to help provider groups maintain independence, support long-term stability and drive success.
Maternal and infant health insights
Optum Advisory uncovers disparities in maternal and infant outcomes — commercial vs. Medicaid — identifying key factors.
Achieve claim pricing accuracy and efficiency
Learn how to create a framework that drives payment accuracy on the first pass.
Making cardiovascular data work for the future
What can technology leaders do today to facilitate future advancements in cardiovascular data and analytics?
Specialty Pharmacy 101
Specialty pharmacies deliver high-touch services to help patients stay adherent to treatment plans and live healthier lives.
7 strategies for meeting more mental health needs
Discover how to create an interconnected network of services that help people get properly diagnosed, access support and sustain progress.
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.
New billing system improves financial performance
Radiology Associates of Nevada made a smooth transition to Optum as its new billing vendor. This significantly improved its financial performance.
Cyberthreat webinar
Learn practical steps you can take to safeguard your enterprise imaging data.
Optimizing UM with InterQual AutoReview
An Optum expert explains how hospital systems can transform their UM programs and drive efficiency with InterQual AutoReview.
Breast density: Research for Radiologists
New research on breast density is changing the way radiologists approach mammography.
Improving SGLT2i therapy guideline adherence
A manufacturer worked with Optum Life Sciences to help increase guideline adherence for patients with diabetes and cardiovascular disease.
How Cardiology IT solutions can solve workflow issues
Learn how new reporting features within cardiology IT solutions helped one medical center build an innovative user experience and workflow.
Real-world data fills rare disease data gaps
Read how you can fill the data divide to develop effective treatment options.
Enhance system security with cloud-native imaging solutions
Learn about the in-depth security capabilities of cloud-native imaging.
Develop your growth strategy
Optum Market Advantage helps you choose your own path forward.
Choosing an accounts receivable partner
Selecting a strategic accounts receivable partner requires careful evaluation.
Imaging, data reporting and the cardiology user experience
How can cardiovascular imaging departments leverage user experience design to address the challenges of fragmented data?
How to maximize ROI real world data
Optum experts give a snapshot of commonly encountered pitfalls when using RWD and recommendations to help avoid them in this PMSA webinar.
Using behavioral science to inform hemodynamics product design
Learn how behavioral science can improve the hemodynamics solution in vital ways for physicians and technicians.
Solving clinical trial recruitment challenges
Watch clinical trial leaders from Optum and Biogen discuss how to address trial recruitment struggles by unlocking real-world data (RWD).
Strong financial future through partnership
See how Boulder Community Health partnered with Optum to continue to successfully fund its mission.
Taking aim at the U.S. maternal mental health crisis
New and expectant mothers are facing an epidemic. Here’s what they need, not only to withstand pregnancy and early parenthood but to thrive.
Buck denial trends
Learn about the latest national denial trends to help you avoid rework and future denials.
Help your bottom line through UM optimization
An efficient utilization management (UM) program is a must to deliver high-quality patient care while managing costs.
3 pillars of physician revenue cycle management
How cultivating a combination of people, processes and technology is a critical driver of RCM success.
Support risk adjustment with CDI technology
Clinical documentation integrity programs are expanding to support risk adjustment initiatives. Integrated CDI technologies are needed to support revenue and integrity.
Making risk adjustment programs work
Learn how three care delivery organizations reduced administrative burden to spend more time with patients and improve outcomes.
Take action maximize impact real world data
We design programs between life sciences companies, payers, providers and patients to improve care and patient and provider satisfaction.
Physician outreach toolkit
Get tools for applying data-driven outreach to develop a successful growth strategy.
The unifying power of integrated data
Read how the integration of EHR and claims data can change what we can collectively learn about outcomes.
Migrate your enterprise imaging to the cloud
Watch our webinar on migrating your enterprise imaging to the cloud.
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.
Analytics answer compliant coverage identification
Using advanced analytics and rich data resources can help boost providers’ ability to screen the self-pay patient.
Optimizing physician reimbursement
Learn how physician groups can leverage automation and incorporate advanced analytics to help ensure they’re collecting every dollar.
The 6 trends shaping pharma strategies in 2024
Life sciences market experts from Optum and Advisory Board share perspectives on trends that will influence the future drug value chain.
Designing cardiac training programs through innovation
Learn how we’re training the next generation of cardiac clinicians with advanced technology.
Boost efficiency with payment optimization
Learn how payment delivery optimization can improve the healthcare financial cycle and bridge the gap between payers and providers.
Smart revenue cycle investments
These two targeted investments will strengthen your revenue performance more than deep cost cutting.
Improve efficiency with Optum CAC and CDI 3D
See how one health system partnered with Optum to transform their coding and CDI program.
Supporting women beyond the reproductive years
Learn how health plans can fill care gaps by offering greater support and personalized solutions for women experiencing menopause.
Safeguard the mental health of content moderators
Learn how we support the unique workplace needs of content moderators with a tailored wellbeing strategy.
Challenges and opportunities with clinicogenomic data
Genomic data linked to the longitudinal health record hold great insight. How should researchers think about and use these powerful data?
Slowing specialty pharmacy carve out stampede
Discover specialty medication management strategies to help you slow carve-out and stop member attrition.
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.
Women’s health is more than reproductive care
Discover 5 areas of focus for payers and employers looking to improve women’s health outcomes, costs and member satisfaction.
Trends shaping the future of clearinghouses
Discover 5 key trends that can help healthcare organizations streamline processes, minimize errors and deliver faster, more reliable services.
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.
Streamline Medicaid eligibility and enrollment processes
The rise of healthcare consumerism has prompted many hospitals and health systems to rethink their patient satisfaction strategies.
How to manage organ transplant costs
There’s a lot at stake with organ transplant claims. Learn the importance of selecting an effective payment integrity approach.
Driving innovation with new revenue cycle services
One organization decreased uncompensated care, increased loyalty and patient satisfaction, and connected patients with more funding sources.
Navigating the challenges of outpatient evaluation for patients with acute coronary syndrome
Learn how the InterQual level of care team tackled a content development challenge following updated societal guidelines for acute coronary syndrome.
Interqual autoreview efficient proactive
A cloud-based solution designed to increase utilization management efficiency and review accuracy.
Revolutionizing specialty medication management
Get an in-depth assessment of the ways Specialty Fusion™ is revolutionizing specialty drug management.
4 shifts shaping the future of oncology
An evolution in cancer prevention and treatment promises to forge a new path for patients, physicians and health plans alike.
How payers can improve maternal care in the 4th trimester
Learn how payers can drive meaningful impact through preconception care, postpartum coaching and managing chronic conditions early.
Building a better oncology managed care program
New cancer treatments can transform patients’ lives — but they also create costs that demand a new kind of cancer guidance program.
The importance of workforce mental health maintenance
See how employee mental health benefits are evolving to support workforce wellbeing.
Addressing the loneliness epidemic and cognitive decline in seniors
To tackle this problem, payers need to take a holistic approach to delivering connection while addressing seniors’ mental and physical needs.
When chronic conditions and behavioral health collide
The collision of chronic conditions and behavioral health challenges can’t always be stopped, but healthcare leaders can work to mitigate its impact.
Improving hospital quality and utilization
Learn how data insights helped 4 organizations transform their operations.
Utilizing patient access contact center
See how a hospital streamlined scheduling for about 700 providers and strengthened customer service for over 65,000 patient calls monthly.
Bridge the payment gap between payers and providers
Our innovative healthcare payment delivery platform simplifies processes, saves time and lowers costs for all involved.
Quick and safe digital specialty pharmacy service
Optum Specialty Pharmacy leverages specialized expertise and resources with flexibility, delivering personalized care that drives better outcomes.
Delivering a deeper connection to infusion care
Our infusion care ecosystem is based on a commitment to clinical innovation and providing consistent, convenient and compassionate care.
How technology supports staff and empowers patients
We surveyed front office staff to learn how patient engagement technology streamlines their jobs and improves access to care.
Diagnose the health of your health plan
Learn 8 advantages of an end-to-end risk adjustment platform.
Reprioritizing growth: Differentiate and deliver
Learn about nuanced growth strategies focusing on service differentiation, targeted patient acquisition and integrated care delivery.
A systemic transformation is needed to fix clinician burnout
One Optum expert explains how value-based care offers a way to address the clinician burnout crises.
Better outcomes with value-based care versus fee-for-service Medicare
A first-of-its-kind evidence-based study indicates the positive impacts of value-driven reimbursement and care delivery on patient outcomes.
Getting back to the joy of clinical practice through value-based care
Daniel Frank, MD, experienced firsthand the frustrations of not being able to dedicate enough time to patients.
Marrying clinical results and financial stability in value-based care
In this Q&A with an Optum expert, get some key insights about the clinical and financial impacts of value-based care.
Injecting humanity back into patient care
Hear firsthand how the help of extended team clinicians can offer patients better care.
How value-based care helps physicians work at the top of their license
Learn about the value-based care strategies changing the definition of productivity.
Prioritizing social determinants of health is a must in value-based care
How one practicing physician learned that addressing the social and economic challenges of patients was crucial.
Can larger systems change how they provide care?
One expert explains that even larger organizations can make a successful leap to value-based care.
One doctor’s journey as an Optum provider
Dr. Benito Calderon, a provider in Nevada, explains how working within the Optum Network transformed his practice.
Three tips to help providers transition to value-based care
Some quick insights on how to make a VBC model work for your organization.
How Optum supported one practice in its transition to value-based care
Dr. James Corcoran shares his experience as a member of the Optum Network in Arizona, focusing on how the organization supported his practice’s transition to value-based care.
Dr. Tony Alamo on the strategic advantages of value-based care
An Optum expert shares his perspective on the advantages of value-based care for healthcare providers looking to achieve both clinical excellence and financial sustainability.
Improving financial performance through education
See how educational programs at Optum are designed to improve a providers’ financial performance while maintaining top-tier patient care.
How Optum works alongside you
Go inside the collaborative partnership Optum offers to providers who are transitioning to value-based care.
Creating shared success with Optum
See how Optum is committed to being your value-based care partner.
Delivering actionable data insights for better care
See how our actionable data insights empower providers to deliver better, more efficient care.
Expanding patient support for holistic care
Our value-based care model can expand patient support by enabling providers to deliver holistic care.
How the Optum support system reduced one doctor’s workload
In this video, Dr. Peter DeSilva shares a detailed account of his experience working with the Optum Network in California.
Succeeding at Optum with value-based care
Learn how Optum provides value-based care resources which enable providers to succeed.
Driven to bring care to those in need
Optum Nevada’s mobile medical clinic helps promote health and break down transportation barriers for patients in Nevada.
The criticality of evidence-based medicine
Evidence-based medicine improves quality of care while reducing the cost of care.
Beyond the hype: Real AI use cases to drive payment accuracy
Explore real use cases for using AI to drive payment accuracy and the effective ways health plans are leveraging these emerging technologies.
Quality innovation: A member-first approach
Learn how Optum uses a member-first digital approach, advanced analytics and AI to enhance quality for clients and health plan members.
How AI is powering new pharmacy innovations
From predicting drug trend to earlier fraud protection, see how we’re leveraging AI to improve operations for clients and members.
New drugs for Alzheimer’s multiple sclerosis, more
First self-administered Alzheimer's therapy shifts costs to pharmacy plans, plus first treatments for MS and bronchiectasis.