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Data and analytics | Finances and payments | Mental health | Patient and member engagement | Pharmacy care and management | Technology and automation | Value-based care | View all
Latest featured insights
Article
Thought leaders discuss the intentional vigilance needed to overcome obstacles impeding better access to healthcare for all.
Video
Learn about the in-depth security capabilities of cloud-native imaging.
Article
Learn from Optum Rx thought leaders how access, affordability and transparency have become imperatives for pharmacy benefit management.
Article
Helping make prescription drugs more affordable for plan sponsors and the members we serve is a universal focus.
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
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
Video
When the Minnesota Fire Service needed emotional well-being support for their firefighters, Optum stepped in to help.
Article
Discover steps and strategies to reduce disparities among vulnerable populations and remove barriers for more equitable mental health care.
Article
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
Article
Learn how Optum Serve is helping to advance the health and well-being of Veterans and spouses in the trucking and cybersecurity workforce.
Article
Optum Serve is proud to recognize female Service Members and Veterans.
Guide
Optum Serve can help Veterans achieve health and wellness goals. Promote well-being, prevent illness and reduce the burden of chronic conditions.
White paper
Learn how Optum Serve supports Veterans through a whole-health approach to work and life.
Pharmacy care and management
Article
Optum tackles the many issues infusion pharmacy care faces as it serves vulnerable patients with acute needs and complex conditions.
Article
Specialty pharmacies deliver high-touch services to help patients stay adherent to treatment plans and live healthier lives.
Article
Learn how a holistic model enhances multiple sclerosis care.
White paper
See how emerging trends, including a global pandemic, are reshaping the landscape of oncology care and medication.
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.
White paper
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.
Article
Read the article from Nick Howell and Chris Pass to learn the successes and lessons of the partnership between John Muir Health and Optum.
Value-based care
White paper
Learn how Optum is streamlining care delivery with insights from patients and providers to improve outcomes and drive down costs.
E-book
Discover specialty medication management strategies to help you slow carve-out and stop member attrition.
Article
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
Patient-focused care is becoming the highest aspiration in cancer care. Here’s what payers should know to embrace this beneficial approach.
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.
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.
Unraveling complexity specialty care
Learn how Optum is streamlining care delivery with insights from patients and providers to improve outcomes and drive down costs.
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.
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.
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.
Clinicogenomics advances discovery and treatment
Watch Dr. Ashley Brenton, VP, real-world evidence and genomics, Optum Life Sciences, discuss patient journeys and cohort building.
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.
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.
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.
The power of partnerships
Read the article from Nick Howell and Chris Pass to learn the successes and lessons of the partnership between John Muir Health and Optum.
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.
5 questions: Optum Rx Chief pharmacy officer
Michael Einodshofer addresses the risks, challenges and opportunities facing the industry.
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 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.
How to manage medication overload
Hear from a leader's perspective on how to manage polypharmacy.
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.
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.
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 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.
Optum Rx Drug Pipeline Insights Reports
Read the most recent quarterly reports on new drugs coming down the pipeline.
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.
5 trends that defined pharmacy in 2023
See which trends are shaping the present and future of pharmacy care services.
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.
How to manage blockbuster anti-obesity drugs
The pricey weight management drugs work well, but users need coaching and support to maintain the benefits.
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.
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.
Pharmacy Insights Podcast
Listen to our resident experts discuss critical industry challenges and the solutions you need to control rising drug costs.
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.
Gene therapies: Can we afford the future of medicine?
Learn how to manage financial risk as gene therapies become more commonplace.
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 of operations, 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.
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.
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.
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.
Mental health support for youth and families
Youth are struggling more than ever before with their mental health and well-being. We can help.
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.
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.
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 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.
Maximizing clinical trial enrollment using precision patient finding
To overcome the obstacles of patient recruitment and enrollment, Optum is using clinical and claims data to maximize the patient-finding process.
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.
Strategies to 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.
Steps 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.
How our medication packaging helps the planet
Our eco-friendly, fully sustainable prescription packaging eliminates polystyrene and reduces CO2, water and plastic waste.
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.
Drug pricing spotlight: Wound care
Combat against brand name products costing 125 times more.
Regulations to watch: Fall 2023
Learn what's at stake as the PBM legislation advances on Capitol Hill.
Follow science 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?
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.
SNFs improve care and business outcomes
The Optum care model helps skilled nursing facilities meet strategic goals.
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.
Caring for clinicians: From burnout to wellness
CEO of Optum Care Solutions Dr. Patrick Conway explores how to move beyond burnout and focus on clinician wellness.
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.
Empowering healthcare workers
Find out how leaders can design an intentional, positive environment that can attract, retain and engage your healthcare 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 healthcare
Guide members to quality, affordable behavioral healthcare.
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.