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Automate fraud, waste and abuse

Speed up workflows for federal agencies through artificial intelligence (AI).

Apply natural language processing to improve program integrity

Learn the advantages and capabilities of AI and natural language processing (NLP) as an aid to federal agencies aiming to deter fraud while increasing program integrity and cost savings.

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Embedding Advanced Clinical Support in Long-Term Care Settings

Case study

Addressing staffing challenges in senior care

Ongoing staffing shortages are straining senior care facilities. Strategic partnerships and clinician-led support can help bridge the gaps.

Second Opinion & COEs Help Address Avoidable MSK Surgeries

Article

Second Opinion plus COEs can help address avoidable MSK surgeries 

Musculoskeletal surgeries are driving up costs. Payers can bend the curve with digital care, expert second opinions and high-performing surgical centers.

Improving Transplant Outcomes with Case Management

White paper

Managed Transplant Program: Clinical outcomes and cost impact

New research examines how structured, nurse‑led case management influences cost, utilization and outcomes for members undergoing complex organ transplants.

Our Responsible Use of Artificial Intelligence (RUAI) program is inclusive of policies, products, and practices that ensure AI/ML solutions are designed, developed, and maintained following consistent, established standards. Ensuring Responsible Use of AI in Health Care | Optum