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Healthcare finances and payments insights

From digital payment processing to employee health benefit accounts, gain deeper insights to help improve processes and lower costs.

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Latest featured insights

The Next Chapter in Revenue Cycle Management [Webinar]

On-demand webinar

The Next Chapter in RCM

Discover expert insights to transform revenue cycle management with the latest in AI and healthcare technology.

Break Down Silos in Claims Processing

Article

Break down silos in claims processing

Fragmented payer-provider communication fuels denials, delays and rework. Learn how real-time insight can help address root causes earlier in the claims process.

Steps to Smarter Prior Authorization

E-book

Steps to smarter prior authorization

Healthcare organizations face challenges with prior authorization. Learn how automation can help save resources and improve patient care.

Modernize Prior Authorization With Intelligent Automation

Infographic

Modernize prior authorization with intelligent automation

Intelligent automation quickens determinations, improves submissions and gives real-time status visibility, helping reduce burden, delays and denials.

 

 

Latest articles

Break Down Silos in Claims Processing

Article

Break down silos in claims processing

Fragmented payer-provider communication fuels denials, delays and rework. Learn how real-time insight can help address root causes earlier in the claims process.

Q&A: How Optum Financial is Modernizing Healthcare Payment Delivery

Article

Q&A: How Optum Financial is modernizing healthcare payment delivery

Explore how Optum Financial payment solutions streamline operations for healthcare organizations in this Q&A with Senior VP Brian Andrews.

Optum Recognized as RCM Leader Report

Article

Optum Recognized as RCM Leader Report

Optum is honored to be recognized as a Leader in the Everest Group RCM Platforms PEAK Matrix Assessment for 2025, highlighting our comprehensive RCM solutions.

Data-driven AI: Transforming RCM Performance

Article

Data-driven AI for RCM transformation

AI and clean data are helping change healthcare for the better. Discover how teamwork and smart tech can help payers and providers work together.

 

 

Latest case studies and testimonials

Chargemaster Consolidation and Optimization

Case study

Chargemaster consolidation and optimization

Learn more about improving charge capture and revenue assurance for EHR implementation.

Transforming Coding Compliance and Efficiency with Automation

Case study

Transforming coding compliance and efficiency with automation

Our computer-assisted coding (CAC) solution provides the essential tools for professional coding operations and appropriate revenue capture.

Moving to Lower-Cost Electronic Payments [Case Study]

Case study

Moving to lower cost electronic payments

Partner with Optum Financial to increase ACH payments.

 

 

Latest e-books

Steps to Smarter Prior Authorization

E-book

Steps to smarter prior authorization

Healthcare organizations face challenges with prior authorization. Learn how automation can help save resources and improve patient care.

Patient Access Starts Before the Appointment [E-Book]

E-book

Patient access starts before the appointment

New research reveals how access, transparency and digital tools shape patient satisfaction long before care begins.

Automating Success: A Smarter Path to Revenue Cycle Transformation

E-book

Automating success: A smarter path to revenue cycle transformation

Learn how health systems are using revenue cycle automation to provide better patient experience, financial outcomes and operational resilience.

 

 

Latest white papers

Navigating the Next Era of Medicaid [White Paper]

White paper

Navigating the next era of Medicaid

Major Medicaid policy changes are coming fast. Learn how smarter tools, better data and strong partnerships can reduce risk and support patients.

Tech and VBC Models: Enhancing Payer-Provider Partnerships

White paper

Payer-provider collaboration: Improving patient outcomes

Tech and value-based care can improve payer-provider collaboration, reduce admin burden and enhance patient outcomes through data sharing.

RCM Priorities for 2025

White paper

RCM essentials for 2025

From process re-design to automation with advanced technology, learn how healthcare finance leaders optimize their RCM operations for the future.

 

 

  

 All finances and payments insights

Chargemaster consolidation and optimization

Learn more about improving charge capture and revenue assurance for EHR implementation.

Transforming coding compliance and efficiency with automation

Our computer-assisted coding (CAC) solution provides the essential tools for professional coding operations and appropriate revenue capture.

Validating short-stay hospital bills

Prevent inpatient billing errors for outpatient encounters.

Bridge the payment gap between payers and providers

Our innovative healthcare payment delivery platform simplifies processes, saves time and lowers costs for all involved.

Enhancing fraud investigations with AI

Learn how AI is changing the fraud case review process.

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.

Empowering providers with AI innovation

Generative AI is reshaping healthcare — boosting efficiency, easing documentation and empowering providers across the system.

Boost efficiency with payment optimization

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

Data-driven AI for RCM transformation

AI and clean data are helping change healthcare for the better. Discover how teamwork and smart tech can help payers and providers work together.

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.

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.

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.

Achieve claim pricing accuracy and efficiency

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

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.

Optimizing your payment integrity program

Discover payment integrity best practices to help you achieve your in-year cost savings goals.

Moving to lower cost electronic payments

Partner with Optum Financial to increase ACH payments.

Optum Recognized as RCM Leader Report

Optum is honored to be recognized as a Leader in the Everest Group RCM Platforms PEAK Matrix Assessment for 2025, highlighting our comprehensive RCM solutions.

Generative AI’s role in modern healthcare delivery

Discover how generative artificial intelligence (AI) is reshaping healthcare by boosting speed, precision and care.

Navigating AI in Healthcare

Watch this on-demand webinar for expert insights on AI capabilities, business challenges and robust governance in healthcare.

Automating success: A smarter path to revenue cycle transformation

Learn how health systems are using revenue cycle automation to provide better patient experience, financial outcomes and operational resilience.

Best practices for reducing provider abrasion

Find out what is driving abrasion and what health plans can do to alleviate pain points.

RCM essentials for 2025

From process re-design to automation with advanced technology, learn how healthcare finance leaders optimize their RCM operations for the future.

Navigating the future of healthcare financial growth

Explore expert-led strategies to boost financial resilience and long-term growth in today’s evolving healthcare landscape.

Payer-provider collaboration: Improving patient outcomes

Tech and value-based care can improve payer-provider collaboration, reduce admin burden and enhance patient outcomes through data sharing.

Engaging and transforming patient experiences

Healthcare leaders share strategies to improve patient outcomes by addressing friction points, emphasizing empathy and valuing staff.

Optum revenue cycle solutions

Improve financial outcomes, decrease operational costs, improve efficiency and elevate the patient experience with our revenue cycle solutions.

Adapting to the changes in Medicaid policies

The upcoming changes to Medicaid policies are set to significantly impact organizational operations.

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.

Q&A: How Optum Financial is modernizing healthcare payment delivery

Explore how Optum Financial payment solutions streamline operations for healthcare organizations in this Q&A with Senior VP Brian Andrews.

Exploring the evolving landscape of autonomous coding

This panel will address autonomous coding trends, challenges and innovations within the middle revenue cycle.

Revolutionizing prior authorization solutions

Modernize prior authorization with intelligent automation

Intelligent automation quickens determinations, improves submissions and gives real-time status visibility, helping reduce burden, delays and denials.

Navigating the next era of Medicaid

Major Medicaid policy changes are coming fast. Learn how smarter tools, better data and strong partnerships can reduce risk and support patients.

Steps to smarter prior authorization

Healthcare organizations face challenges with prior authorization. Learn how automation can help save resources and improve patient care.

The Next Chapter in RCM

Discover expert insights to transform revenue cycle management with the latest in AI and healthcare technology.

Patient access starts before the appointment

New research reveals how access, transparency and digital tools shape patient satisfaction long before care begins.

Break down silos in claims processing

Fragmented payer-provider communication fuels denials, delays and rework. Learn how real-time insight can help address root causes earlier in the claims process.