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Healthcare industry insights

Explore thought leadership and gain unique perspectives from experts on advancing healthcare and making the health system work better for everyone.

Latest featured insights

Article

Advancing health equity: How Optum Rx is overcoming challenges

Thought leaders discuss the intentional vigilance needed to overcome obstacles impeding better access to healthcare for all.

Video

Enhance system security with cloud-native imaging solutions

Learn about the in-depth security capabilities of cloud-native imaging.

Article

What’s changing the PBM industry?

Learn from Optum Rx thought leaders how access, affordability and transparency have become imperatives for pharmacy benefit management.

Article

Empowering clients with choice and transparency

Helping make prescription drugs more affordable for plan sponsors and the members we serve is a universal focus.

 

 

Data and analytics

All data and analytics insights

Article

Reconcile your RWD expectations to maximize your investment

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

On-demand webinar

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.

Video

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.

Article

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?

 

 

Finances and payments

All finances and payments insights

Article

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.

Article

Enhancing fraud investigations with AI

Learn how AI is changing the fraud case review process.

Article

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.

Article

Boost efficiency with payment optimization

Learn how payment delivery optimization can improve the healthcare financial cycle and bridge the gap between payers and providers.

 

 

Mental health

All mental health insights

White paper

Support state Medicaid goals members

Find out how a person-centered approach can help.

Video

Supporting the unique needs of firefighters

When the Minnesota Fire Service needed emotional well-being support for their firefighters, Optum stepped in to help.

Article

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.

Article

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.

 

 

Patient and member engagement

All patient and member engagement insights

Article

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.

Article

Gratitude for heroism

Optum Serve is proud to recognize female Service Members and Veterans.

Guide

Telephone lifestyle coaching for veterans

Optum Serve can help Veterans achieve health and wellness goals. Promote well-being, prevent illness and reduce the burden of chronic conditions.

White paper

Supporting Veteran truckers

Learn how Optum Serve supports Veterans through a whole-health approach to work and life.

 

 

Pharmacy care and management

All pharmacy care and management insights

Article

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.

Article

Specialty Pharmacy 101

Specialty pharmacies deliver high-touch services to help patients stay adherent to treatment plans and live healthier lives.

Article

New hope for neurological conditions

Learn how a holistic model enhances multiple sclerosis care.

White paper

Outlook on oncology 2024

See how emerging trends, including a global pandemic, are reshaping the landscape of oncology care and medication.

 

 

Technology and automations

All technology and automation insights

Case study

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.

White paper

Volume 1: Better financial health and improved operations

Read the white paper for strategies on controlling fixed costs, efficiency and organizational flexibility.

White paper

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.

On-demand webinar

Adventist West’s success through redesigning and automating UM

Discover how to leverage automation for centralized, exception-based utilization management.

 

 

Value-based care

All value-based care insights

E-book

Slowing specialty pharmacy carve out stampede

Discover specialty medication management strategies to help you slow carve-out and stop member attrition.

Article

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.

Article

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.

Article

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.

 

 

All healthcare industry insights

Slash medication costs three steps

This is your employer guide to reducing your healthcare spending.

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.

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.

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?

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.

Utilize technology to harness disparate data

Invest in long-term fraud prevention.

Partnering to reduce fraud, waste and abuse

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

States achieve health equity with actionable analytics

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

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.

Lowering cardiovascular disease risk

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

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.

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.

Taking aim maternal mental health crisis

As digital fitness, physical therapy and virtual musculoskeletal care surge in popularity, they’re yielding benefits for health plans and members alike.

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.

Make your pharmacy benefit plan work better

Learn 4 key questions you should be asking.

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.

Expanding health equity in clinical trials

Jamie Freedman, MD, PhD, and Shalini Mohan, MD, discuss challenging assumptions about expanding diversity and representation in clinical trials.

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.

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.

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.

Deliver program integrity efficiencies

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

Slowing specialty pharmacy carve out stampede

Discover specialty medication management strategies to help you slow carve-out and stop member attrition.

Alzheimer's treatment: Time for a level-set?

See success rates, risks and costs of the new Alzheimer’s treatments.

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.

GLP-1 agonists: A new class of weight loss medications

In this conversation, discover how new weight loss drugs like Wegovy are changing obesity management and their connection to diabetes.

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.

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.

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.

Volume 1: Better financial health and improved operations

Read the white paper for strategies on controlling fixed costs, efficiency and organizational flexibility.

Gratitude for heroism

Optum Serve is proud to recognize female Service Members and Veterans.

Addressing pharmacy issues that matter to you

From specialty pharmacy to drug affordability, our experts tackle your biggest pharmacy challenges.

Sickle cell obesity alzheimers advances

See potential cures for sickle cell and new help for chronic obesity and Alzheimer’s, along with how they work and how much they cost.

Telephone lifestyle coaching for veterans

Optum Serve can help Veterans achieve health and wellness goals. Promote well-being, prevent illness and reduce the burden of chronic conditions.

A seamless pharmacy benefit change?

We guarantee it. And it's easier than you think.

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.

Supporting Veteran truckers

Learn how Optum Serve supports Veterans through a whole-health approach to work and life.

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.

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.

Empowering clients with choice and transparency

Helping make prescription drugs more affordable for plan sponsors and the members we serve is a universal focus.

Positive future working in healthcare

Sarah King, chief client officer, highlights how we can work together to overcome workforce challenges and forge a new path forward.

Adventist West’s success through redesigning and automating UM

Discover how to leverage automation for centralized, exception-based utilization management.

Improving CDI efficiency

See how Lima Memorial improved efficiency with advanced technology.

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.

Focus on patients, not paperwork

Watch the webinar to learn actionable strategies on tackling decreased hospital margins, increased labor costs and staffing shortages.

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.

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.

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.

3 ways to deal with escalating drug costs

Explore innovations custom built for today’s specialty challenges.

Remove roadblocks 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.

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%.

US military entrance processing command

Optum Serve conducts physical and mental examinations for military applicants.

Winter: First big drugs of 2024

New treatments for NASH, schizophrenia and more are on the way.

Smart formulary management

Develop and manage formularies that bring clinical and financial value.

Leveraging data-driven heat maps

The Optum network gives transparency to customized potential connections, helping boost revenue.

Strengthen ED visit-level determinations with these key elements

Learn how to strengthen your ED visit-level determinations, and identify areas for improvement.

Payer channel scheduling stluke 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.

The ASAM Criteria® Navigator, 4th edition

Learn how to streamline efficiency and consistency of the utilization review process.

Five step InterQual evidence-based development process

The InterQual Criteria is developed through a rigorous, five-step process by our clinical development team.

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.

Improve efficiency with Optum CAC and CDI 3D

See how one health system partnered with Optum to transform their coding and CDI program.

Self scheduling boosts access

Learn how ProHealth Physicians used self-guided online scheduling to ease administrative burden and rebound patient volume after COVID-19.

Real-world data fills rare disease data gaps

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

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.

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.

Race ethnicity data bridge gap in health equity

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

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).

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.

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.

Physician outreach toolkit

Get tools for applying data-driven outreach to develop a successful growth strategy.

Making sense of copay cards

Discover how copay cards can disrupt your benefit strategy.

How to control drug costs without compromising care

Explore three principles driving better pharmacy benefit decisions.

Enhancing fraud investigations with AI

Learn how AI is changing the fraud case review process.

200,000 independent assessments and counting

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

Clinical exchange eprescribe self service tool speeds enrollment

Healthcare systems need new systems to better facilitate enrollment despite staffing shortfalls.

Patient engagement leader

Everest Group recognizes Optum in its 2023 Patient Engagement Platforms PEAK Matrix® Assessment.

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.

Virtual urgent care scheduling for telehealth

Optum Patient Access and Engagement connects consumers to virtual urgent care through a national telehealth platform.

A young patient’s hemophilia story

See how Optum Rx helped change a patient’s life with access to life-altering medicines.

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.

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.

Filling revenue cycle resource shortfalls

Learn how to identify and overcome common revenue cycle challenges despite current labor market issues.

Smart revenue cycle investments

These two targeted investments will strengthen your revenue performance more than deep cost cutting.

Create a best-in-class front-end revenue cycle

Learn six ways to take your operations from good to great.

Develop your growth strategy

Optum Market Advantage helps you choose your own path forward.

Toward outcomes-based payments

Learn from industry leaders about the push to generate evidence and demonstrate healthcare provider value.

Biosimilars to save billions in this decade

Prices for popular brand-name biologics drop up to 60% with generic-equivalent biosimilars.

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.

Decrease denials strategy

Understanding the reasons for your claim denials is the first step to preventing them from happening in the future.

A/R recovery services provide continuity

Provider maintains A/R revenue continuity during HIS conversion.

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.

Optum wins 2023 enabling technology leadership award

Optum won the 2023 North American Enabling Technology Leadership Award. 

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.

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.

Advanced Pharmacy Audit Services

See how a health plan used advanced audit services to prevent and detect pharmacy fraud, saving over $1 million.

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.

Optimize patient access with automation

This webinar shares best practices for optimizing patient access with automation and consumer-centric technology strategies.

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.

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.

Boost efficiency with payment optimization

Learn how payment delivery optimization can improve the healthcare financial cycle and bridge the gap between payers and providers.

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.

Latest takes in-life sciences industry

Discover what’s on the minds of innovative life science leaders with thought -provoking insights and discussions.

Denials index

Learn about the latest trends in medical claim denials and find out how to decrease them.

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.

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.

The keys to revenue cycle transformation

Gain expert insights into strategies to decrease costs, unlock new sources of growth and improve patient experiences.

Improving SGLT2i therapy guideline adherence

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

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.

Choosing an accounts receivable partner

Selecting a strategic accounts receivable partner requires careful evaluation.

Buck denial trends

Learn about the latest national denial trends to help you avoid rework and future denials.

Managing diabetes gains an 8:1 ROI

Learn how a third-party administrator’s client improved health outcomes and lowered costs.

Easier access to mental health services

Learn how Refresh Mental Health used online scheduling to simplify consumer access to mental health care.

Reducing administrative variation with artificial intelligence

Infuse technology into your medical necessity process.

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.

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.

Analytics answer compliant coverage identification

Using advanced analytics and rich data resources can help boost providers’ ability to screen the self-pay patient.

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.

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.

Informing FDA best initiative

As a key FDA collaborator, Optum Epidemiology generates reproducible results that inform regulatory decisions for COVID-19 vaccines.

Advancing health equity: How Optum Rx is overcoming challenges

Thought leaders discuss the intentional vigilance needed to overcome obstacles impeding better access to healthcare for all.

What’s changing the PBM industry?

Learn from Optum Rx thought leaders how access, affordability and transparency have become imperatives for pharmacy benefit management.

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.

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.

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.

Health equity in kidney disease management

Learn 5 strategies for health plans to address inequities in the kidney care landscape and create more equitable access, treatment and outcomes for all.

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.

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.

Using data to monitor behavioral health services

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

Strong financial future through partnership

See how Boulder Community Health partnered with Optum to continue to successfully fund its mission.

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.

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.

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.

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.

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.

C-suite Insights

Explore actionable resources for healthcare executives including peer-to-peer insights, dialogue, perspectives and analysis.

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.

Specialty Pharmacy 101

Specialty pharmacies deliver high-touch services to help patients stay adherent to treatment plans and live healthier lives.

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.

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.

Disruption and risk in healthcare

Dr. Wyatt Decker discusses how innovation can be the upside of disruption and the importance of value-based care in changing the status quo.

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).

4 key forces shaping the future of pharmacy

These emerging trends will help define the road ahead.

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.

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.

Hub benefits strategy employers

A fresh approach to benefits is easing leaders’ administrative burden and connecting employees to better care.

How to eliminate prescription waste

Achieve savings by targeting expensive, low-value drugs.

Connected care

See the whole picture for whole-person health.

Achieving health equity: Strategies for payers

Learn more about a comprehensive solution for health payers to address health disparities and achieve health equity.

Making risk adjustment programs work

Learn how three care delivery organizations reduced administrative burden to spend more time with patients and improve outcomes.

New hope for neurological conditions

Learn how a holistic model enhances multiple sclerosis 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.

Optum Rx customer obsession

Watch how one Optum Rx employee made the system work better for everyone.

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.

Achieve claim pricing accuracy and efficiency

Learn how to create a framework that drives payment accuracy on the first pass.

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.

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.

Improving care coordination with analytics: Part 1

Optum Advisory actuarial expert Jeremiah Reuter advises providers to use data to adapt to the constant changes in healthcare.

Outlook on oncology 2024

See how emerging trends, including a global pandemic, are reshaping the landscape of oncology care and medication.

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.

Comprehensive payment integrity savings

Learn how to reduce costs and improve relationships throughout the claim lifecycle with a comprehensive approach to payment integrity. 

Improving care coordination with analytics: Part 2

Optum Advisory expert Aaron Jurgaitis shares his perspective on how providers can more creatively leverage data to help advance care.

Staying current in your core admin platform

Get current, stay current and leverage the newest platform capabilities with ongoing release management.

Redefining the prior authorization process

Learn how we are revamping the prescribing process.

How to contain GLP-1 costs

Get strategies for handling the new anti-obesity medications.

Achieving success in claim editing

Learn how a flexible editing program can help your plan solve editing challenges, enforce policies, improve accuracy and increase savings.

Best practices for reducing provider abrasion

Find out what is driving the recent increase in abrasion and learn what health plans can do to alleviate provider pain points.

Changes to risk adjustment are coming. Are you prepared?

Learn how your practice may need to evolve to proactively anticipate the MA and Part D changes announced in April 2023.

What is subrogation?

Identify, investigate and recover medical and disability payments related to accidents.

Fighting fraud how plan sponsor recovered funds

How one plan sponsor recovered $315,000 in six months.

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

Learn best practices to help health plans achieve 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.

Is your pharmacy benefit manager delivering value?

Learn 4 key questions you should be asking.

Validating short-stay hospital bills

Prevent inpatient billing errors for outpatient encounters.

Personalized care focusing on the member

Hear from Jon Mahrt, Optum Rx chief growth officer, on the role pharmacy plays in our members’ healthcare experience.

Community Connector helps member assessment

Optum helps health plans address member needs through screening and community-based organization (CBO) referral services.

Alternative funding: Real savings or problems?

See how much "free" drugs will actually cost you.

StepWise Application Migration to the Cloud

Learn from health plan leaders on how to accelerate and optimize your cloud-adoption journey.

Creating connections through partnership

Hear from an Optum Rx client on how we're partnering together for everyone we serve.

An employee benefits strategy that balances cost and care

Health savings pathways, part 2: Optum delivers insight on how employers can develop more balanced employee benefits strategies. Read the full series here.

Automation and workforce strategies in healthcare

Get 6 key takeaways from a C-suite panel discussion.

Optum Serve health technology and consulting solutions

We’re improving health across the nation to serve our federal customers.

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 role of navigation to simplify healthcare

An active approach to advocacy can help improve member experiences while driving down costs. Read our e-book to learn how.

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.

How our medication packaging helps the planet

Our eco-friendly, fully sustainable prescription packaging eliminates polystyrene and reduces CO2, water and plastic waste.

Transforming the pharmacy industry with transparency

Hear how the industry’s most transparent and independent Pharmacy & Therapeutics Committee evaluates drugs for the Optum Rx formulary.

The dangers of polypharmacy

Millions of workers at risk due to overprescribed drugs.

5 questions: Optum Rx Chief pharmacy officer

Michael Einodshofer addresses the risks, challenges and opportunities facing the industry.

Pharmacy Insights Podcast

Listen to our resident experts discuss critical industry challenges and the solutions you need to control rising drug costs.

Gene therapies: Can we afford the future of medicine?

Learn how to manage financial risk as gene therapies become more commonplace.

How to manage medication overload

Hear from a leader's perspective on how to manage polypharmacy.

Drug pricing spotlight: Wound care

Combat against brand name products costing 125 times more.

How to manage blockbuster anti-obesity drugs

The pricey weight management drugs work well, but users need coaching and support to maintain the benefits.

5 trends that defined pharmacy in 2023

See which trends are shaping the present and future of pharmacy care services.

Optum Rx Drug Pipeline Insights Reports

Read the most recent quarterly reports on new drugs coming down the pipeline.

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.

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 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.

How AI is delivering efficiencies for radiologists

Learn how AI solutions can boost your organization’s return on investment (ROI).

Personalized support for members with autism

Optum is breaking barriers in supporting members and families who are diagnosed with autism spectrum disorder (ASD).

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.

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.

Using behavioral science to inform hemodynamics product design

Learn how behavioral science can improve the hemodynamics solution in vital ways for physicians and technicians.

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.

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.

Collaborating to advance maternal health

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

Tackling youth mental health crisis

A board-certified adult, child and adolescent, and addiction psychiatrist discusses how to connect children and families to needed behavioral health solutions.

Improve your radiology performance

Learn how Change Healthcare Radiology Solutions™ 14.2.1 can help your department improve diagnostic confidence.

Top employer wellbeing challenges

The Optum 2023 Wellbeing in the Workplace benchmark study reveals current health and wellbeing trends across 405 global companies.

Combating the opioid epidemic

Medication interventions save lives — more people need access to them.

Structured cardiovascular reporting

Learn how structured cardiovascular reporting can reduce late charges.

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.

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.

Reimagine your employee assistance program

Help employees feel mentally, physically and financially well with Emotional Wellbeing Solutions.

Designing cardiac training programs through innovation

Learn how we’re training the next generation of cardiac clinicians with advanced technology.

The benefits of cardiovascular structured reporting

Discover the key features of cardiovascular structured reporting that drive adoption, EHR integration and customization.

Value-based care in behavioral health

Learn strategies to equip mental health clinicians for success in making the transition to value-based care.

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.

Maximize digital mammography reading efficiency

Learn how an all-in-one workstation for mammography and radiology increased study volume and accelerated turnaround.

AI-powered study prioritization

Read our case study.

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.

Reduce risk and capture lost revenue

Learn how Change Healthcare Imaging Actionable Findings can help, solve complex care needs.

Change Healthcare Workflow Intelligence

Learn about our vendor neutral, flexible medical imaging workflow rules engine.

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.

Re-examining radiology with Optum

Explore the transformative changes happening in the field of radiology and their impact on advancing healthcare.

Explore our AI-enabled radiology portfolio

Learn how our Radiology Solutions use AI to rapidly identify relevant radiology images.

Mitigating maternal care deserts

For some mothers-to-be, healthcare options are disturbingly limited — or even nonexistent.

Guided help mental health support

We’re making it easier for people to access care.

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 musculoskeletal care deferral

With musculoskeletal (MSK) incidence rates and costs rising, connecting members with the care they need is more urgent than ever.

When healthcare works better for everyone

See how building an outcomes-based model for behavioral healthcare can benefit both clinicians and patients.

Success stories in connected care

See how health organizations are creating new ways to deliver care.

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.

Making cardiovascular data work for the future

What can technology leaders do today to facilitate future advancements in cardiovascular data and analytics?

A single database cardiology platform that drives efficient workflow

Read our case study.

Kidney care breakthroughs: What payers should know

Explore the most promising innovations in renal care for people with chronic kidney disease.

Five ways to improve your cardiovascular workflow

Learn how to improve productivity with a workflow solution that innovates in five key areas.

How to transform imaging with behavioral science

Behavioral science is being applied to unique methods of enterprise imaging product design.

Enhance system security with cloud-native imaging solutions

Learn about the in-depth security capabilities of cloud-native imaging.

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.

Breast density: Research for Radiologists

New research on breast density is changing the way radiologists approach mammography.

Addressing burnout with cloud PACS solutions

Health care leaders share how cloud-native solutions can help ease risks and improve efficiency for radiologists.

Improve physician practice revenue

Learn key strategies to strengthen the financial performance of your physician practice.

Migrate your enterprise imaging to the cloud

Watch our webinar on migrating your enterprise imaging to the cloud.

Support state Medicaid goals members

Find out how a person-centered approach can help.

Behavioral healthcare made better

We help people find care and support that’s easy to understand and access.

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.

Helping members achieve goals

See how the right mental healthcare makes a difference.

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.

Understanding artificial intelligence for radiologists

Learn why implementing artificial intelligence in the radiology department shouldn't lead to panic.

Doubling down on the cloud

Learn how technology is advancing imaging workforce challenges and revenue.

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.

Emotional Wellbeing Solutions

Invest in your organization’s most valuable asset — the people — with solutions for everyday life.

How VBC can work for manufacturers

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

Using Cloud PACS for radiology practices

Watch our webinar with Eric Lacy on adopting the cloud for medical imaging.

The ROI Potential of Cloud-Native Imaging

Migrating your medical imaging to the cloud can provide immediate return on investment (ROI) potential.

Intelligent Workflows Transform Radiology Practices

Learn how Roper Radiologists used intelligent workflow orchestration functionality provided by Optum to improve efficiency.

Cloud-based upgrades

Learn how cloud-based imaging solutions can speed upgrades and reduce maintenance.

Change Healthcare Stratus Imaging Share

Learn how much you could save by eliminating CD burning.

Optimizing physician reimbursement

Learn how physician groups can leverage automation and incorporate advanced analytics to help ensure they’re collecting every dollar.

Are employees checked out mentally present

Keys to investing in wellbeing programs that meet employees where they are and offering solutions for everyday life.

Change Healthcare Stratus Imaging Viewer Video

Watch this video about the Change Healthcare Stratus Imaging Viewer, which allows you to view medical images at any moment from any location.

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.

Supporting employee wellbeing after a loss

Learn how Optum helped a member find support after a loss.

Hospital employed anesthesiologists and RCM

Dive deeper into the market shift transforming the modern anesthesia employment market.

Public vs. private clouds for enterprise image hosting 

Learn about the benefits of public cloud hosting for your organization.  

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.

Cyberthreat webinar

Learn practical steps you can take to safeguard your enterprise imaging data.

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.

Navigating growth in the healthcare industry

Learn how to overcome challenges and achieve scalability with your medical practice.

Supporting the unique needs of firefighters

When the Minnesota Fire Service needed emotional well-being support for their firefighters, Optum stepped in to help.

The AI technology transforming imaging

Learn how artificial intelligence (AI) can support patient care, improve workflows and more.

Find immediate ROI with cloud-native enterprise imaging

Learn how artificial intelligence (AI) can support patient care, improve workflows and more.

3 pillars of physician revenue cycle management

How cultivating a combination of people, processes and technology is a critical driver of RCM success.

Optum Serve: Protecting taxpayer dollars

Eliminate fraud, waste and abuse in healthcare spending.

Insomnia treatment research study

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

The No Surprises Act

Get an overview of the Act with recommendations for physician practices.

Monitoring COVID-19 vaccine safety

Discover insights from Dr. John Seeger’s recent participation at the Duke-Margolis Thirteenth Annual Sentinel Initiative Public Workshop.

Move your enterprise imaging to the cloud

Learn how to highlight the immediate cost and efficiency gains of cloud adoption.

Using the cloud for medical imaging

Learn how to unlock the power of cloud migration in your medical imaging.

Support for substance use disorders

Expand access to evidence-based support to help individuals achieve stabilization and sustain recovery.

Supporting youth mental health

Dr. Yusra Benhalim shares insights on the challenges we must overcome to reach youth.

The unifying power of integrated data

Read how the integration of EHR and claims data can change what we can collectively learn about outcomes.

Data insights improve patient outcomes lower costs

Enabling providers and clinical teams with actionable patient data can create effective value-based care behavioral health programs.

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.

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.

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.

Payer-provider collaboration in ESRD care

Kidney disease is complex and disproportionately impacts people with limited financial resources. Here’s how payers can help transform care.

Revolutionizing cardiology

Discover how Boulder Community Health and Optum Advisory worked together to achieve smart growth and sustainable change.

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.

Managing rising transplant costs

Rising costs of transplants and other care is becoming a common challenge. Hear what payers need to know to help manage costs while improving outcomes.

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.

Address health equity barriers in cancer care

Discover the 5 pillars of equity-driven member navigation.

Payers address family building inequities

Read how payers can turn the tide on 5 worrisome statistics.

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.

Addressing social determinants of health

Create solutions to eliminate barriers to care and support members.

Intelligent workflow case study

Learn how intelligent workflow can help improve efficiency and patient care.

Preemptive kidney transplants

Avoiding dialysis in favor of organ transplant can yield better patient outcomes and lower healthcare costs. So why is it still uncommon?

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.

HouseCalls: Reach members where they are

Help manage members’ health through in-home or virtual assessments.

Understanding students' mental health needs

Read about the realities of campus behavioral healthcare and how we can make things better for college students.

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.

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.

Women's health: Susan's story

Learn how OB Homecare and advanced analytics can help manage at-risk pregnancies.

Maternal and infant health insights

Optum Advisory uncovers disparities in maternal and infant outcomes — commercial vs. Medicaid — identifying key factors.

Fitness needs across generations

Fitness needs vary across generations. Here’s how to make sure your offerings are serving each age bracket.

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.

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.

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.

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.

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.

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.

4 myths: Carving out specialty pharmacy

Integrating specialty pharmacy means better care, lower costs.

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.

Five priorities improve financial performance

This E-book will help you master five fundamentals for a sound financial future.

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.

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.

Clinical Exchange Orders and Results tool

Streamline the implementation process of healthcare lab operations and enhance enrollment control with our self-service tool.

The fight for techquity

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

Anesthesiology group improves rcm physician practices

How one anesthesiology medical group increased profitability, efficiency and stability with physician group management services from Optum.

Call centers and AI technology

Transform state contact centers into 24/7 problem solvers.

Emergency department performance metrics

Learn about the key metrics that should be monitored within your emergency department to improve financial performance and optimize efficiency.

Five things your denial rate isn't telling you

Learn 5 ways to make changes that will prevent and remediate denied claims.

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.

The benefits of outsourcing medical billing

Discover a step-by-step strategy for gaining administrative buy-in.

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.

Risk adjustment star ratings success

Discover 5 strategies that will help your health plan be prepared to factor risk adjustment data into Star Ratings.

Health equity and women's health

Create meaningful change for the women in your workforce. Learn steps to help close the gap in health equity, improve health and lower costs.

The impact of in-home health assessments

Learn about the benefits of HouseCalls assessments with these 5 fast facts.

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.

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.

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.

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.

Engage providers impact member outcomes

Download our infographic to learn how Optum can take the burden off payers to impact provider performance.

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.

Improving performance Excel Medical Center

Empower provider success and improve member care through digital integration.

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.

Fire department boost collections forty percent

Our case study shows how the Cincinnati Fire Department recovered missing revenue with Optum billing and collection systems.

4 steps to optimizing value-based care

Learn how combining these steps can help power a holistic workflow between payers and care delivery.

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.

How AI accelerates workflows and patient cancer care

Discover the potential of AI and how it helps save thousands of lives each year.

Business intelligence delivers financial insights lab

Learn how BI can improve operational performance, provide access to key financial indicators and support compliance.

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.

Clinical exchange eprescribe enhances care delivery

Streamline workflow and increase accuracy with Clinical Exchange ePrescribe and Surescripts Real-Time Prescription Benefits.

Value assessment frameworks

This interview with Jason Spangler, MD, MPH, FACPM, is part of the "Let's Talk" conversation series.

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.

Medicare content navigator

Discover how to meet the latest regulatory requirements for Medicare Advantage plans.

Critical steps to navigating change management

See how an effective change management strategy can help people adapt to change more quickly and nimbly.

Navigate the workforce challenge

Identify root causes of workforce upheaval and how to adjust policies, procedures and practices for stability and long-term growth.

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.

Regulations to watch: Fall 2023

Learn what's at stake as the PBM legislation advances on Capitol Hill.

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.

Mental health lessons from COVID-19

COVID-19 has negatively affected many people's mental health, but will anything good come out of it?

Regulations to watch: Winter 2023

Get the latest on legislation impacting PBMs.

Using clinicogenomics to advance research

Rich, longitudinal clinicogenomics data can fuel all stages of drug development.

Cost breakthroughs in complex care management

Not every complex care management program is built equally. Here's how to optimize them for maximum benefits.

Move your medical imaging to the cloud

Learn how our cloud-native Stratus Imaging Archive can eliminate the need for costly on-site data centers.

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.

Optimizing UM with InterQual AutoReview

An Optum expert explains how hospital systems can transform their UM programs and drive efficiency with InterQual AutoReview.

Regulations to watch: Spring 2024

Get the latest on legislation impacting PBM operations.

The benefits of microservice imaging architecture

Our cloud-native solutions use dynamic load balancing to optimize resource use across all applications.

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.

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.

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.

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.

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.

Improve women's health with community-based solutions

Research shows that community-based care is an effective way to lessen the negative effects of social factors that can heavily influence health outcomes.

Leading through disruption

Get insights and data from 150+ leaders and experts from across healthcare on how to succeed amid transformation.

Modernizing the Medicaid experience

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

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.

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.

5 questions: Premium Value formulary

Savitha Vivian, Optum Rx SVP of clinical and formulary services, answers questions about the Premium Value formulary.

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.

Connections that count: Redefining the PBM experience

Hear from experts on better ways to simplify the complex health care experience through impactful innovation.

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.

Healthcare workforce crisis report

We surveyed 150 healthcare leaders on the impact of staffing disruptions, obstacles to progress and how to build for a sustainable future.

Value dex z codes

Optum and Palmetto experts partner in discussing how to solve genetic lab challenges in legacy solutions.

Enterprise imaging cloud strategy webinar

Learn about the differences between “cloud-based” and “cloud-native” image hosting.

"No regret" IT investments

Learn which tech investments can benefit providers most today.

Improve price transparency

Deliver a better patient experience through price transparency.

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.

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.

Help members access behavioral health care

Guide members to quality, affordable behavioral health care.

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.

Outsourcing medicaid eligibility enrollment

Discover how one client outsourced Medicaid eligibility and enrollment to drive patient satisfaction and higher reimbursement levels.

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.

Top 4 drug spend categories

Many patients combined with expensive drugs leads to top spending classes.

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.

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.

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.

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.

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.

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.

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?

Building the PBM of the future

The solutions plan sponsors need today to tackle the pharmacy challenges of tomorrow.

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.

Tech's role in the healthcare workforce

Dr. Garry Choy, CMO, discusses the pros and cons of using automation and clinical decision support to meet today’s workforce challenges.

Wellbeing in the Workplace study

Global employers share insights on their efforts to adapt wellbeing strategies to meet their greatest workplace challenges.

Modernizing the Medicaid experience

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

Debunking revenue cycle myths: The path to financial health

Discover how partnering with a managed services partner can help improve financial operations.

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.

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.

SDOH solutions: Improving population health outcomes

See how to use technology to understand and implement effective health interventions.