Latest featured insights
White paper
Discover how AI-enabled revenue cycle intelligence helps health systems prevent errors, improve cash flow and drive more predictable outcomes.
Case study
Explore real-world examples of how hospitals are streamlining provider review workflows and supporting quality oversight with Crimson AI.
Article
A policy-oriented perspective on practical pre-payment controls, claims editing and infrastructure-aware modernization.
Report
Address access, capacity and workforce challenges head-on.
All data and analytics insights
Article
Strengthening program integrity in a new federal fraud enforcement era
A policy-oriented perspective on practical pre-payment controls, claims editing and infrastructure-aware modernization.
On-demand webinar
Succeeding under CMS TEAM: an AI‑enabled performance playbook
Hear from Optum experts on how hospitals can successfully manage cost and quality across 5 episodes of care under the new CMS model, TEAM.
Case study
Modernizing provider review for consistency and compliance
Explore real-world examples of how hospitals are streamlining provider review workflows and supporting quality oversight with Crimson AI.
Article
Reconcile your RWD expectations to maximize your investment
Understand how routine clinical practice impacts information captured in real-world data (RWD).
E-book
How are you capitalizing on the power of real-world data?
Maximize your investments with a more coordinated and connected real-world data strategy.
White paper
Social determinants of health in urban America
Learn more about addressing social determinants of health in Brooklyn, NY.
Video
Modernizing the Medicaid experience
How can states and providers use modularity to modernize? Dustin Haisler at GovTech.com interviews Optum product leaders for insights.
E-book
Trends shaping pharma strategy in 2026
How should pharma manufacturers strategically evolve as the industry shifts? Get expert insights from Advisory Board and Optum® Life Sciences.
Article
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.
Article
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.
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?
Article
What real-world data can reveal about weight loss medications
Optum Life Sciences expert provides insights on how manufacturers can build value stories for their stakeholders.
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.
White paper
Symmetry Oncology Analytics
Learn about powerful tools to measure the cost and quality of cancer care.
Case study
Identifying suspicious billing patterns
Learn how a fraud detection algorithm flagged a suspicious vendor, saving States millions for improved program integrity.
E-book
Strengthen your surgical capacity
Learn how to optimize surgical capacity by implementing and sustaining a highly-effective block management process.
On-demand webinar
VBC 5.0: Mastering the 5 pillars of value-based care success
Explore the 5 pillars of value-based care every health system, health plan and provider needs to succeed.
Case study
Transforming maternal health: A roadmap for states
We offer analytics, consulting insights and real-world application for states to improve maternal health care for women enrolled in Medicaid.
Article
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.
White paper
Scaling AI without sacrificing safety, quality or trust
Gain access to a discussion where health leaders across the U.S. share how AI can help transform care delivery and financial sustainability.
Article
CMS quality measure rules 2024
Upcoming changes in federal quality measures for Medicaid and CHIP will impact state governments.
Case study
AI in action: Practical use cases for state health programs
AI transforms state health programs by automating detection, strengthening oversight and driving impact. Get key insights from experts.
Article
Visualizing fraud, waste and abuse
Graph analytics and machine learning drive the future of program integrity.
E-book
Level up your surgical savings
Discover game-style strategies and real-world case studies for reducing surgical costs and standardizing supply use with Crimson AI.
Case study
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.
Article
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.
Case study
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.
White paper
A smarter revenue cycle starts with connected intelligence
Discover how AI-enabled revenue cycle intelligence helps health systems prevent errors, improve cash flow and drive more predictable outcomes.
Article
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.
Infographic
Which growth strategy path is right for you?
Discover which growth strategy path is right for your health system.
Article
Unlock clinical insights with NLP technology
Learn about natural language processing (NLP) challenges and opportunities in the real-world data (RWD) space from Optum® NLP experts.
White paper
AI and API integration for reduced denials
Transform claims with AI and API integration to reduce denials, strengthen transparency and drive more efficient, intelligent operations.
On-demand webinar
Visionary approaches to the OR
Watch experts reveal how leading health systems are using AI-enabled analytics to reduce surgical costs and improve operating room (OR) capacity.
White paper
New dimensions in life sciences research
Proving the impact on clinical outcomes as well as costs.
Article
Developing Medicaid Core Set measures for States
Discover how Michigan and Virginia took different approaches to meet the federal mandate of tracking care quality for Medicaid and CHIP.
Case study
Targeted care, lower costs
One state achieved both aims in delivering home health services.
Case study
DC maternal health homelessness
Learn about our collaborative approach to promoting maternal health in Washington, D.C., with a focus on homelessness and perinatal care.
Video
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.
Article
Rethinking clinical trial recruitment: Adapting to real-world data
Clinical trial recruitment shortfalls are often the result of protocol designs that don’t reflect how care is delivered. Real-world data can make a transformative difference.
Article
How real-world evidence can inform pharma strategies in 2025
Health economics and outcomes research (HEOR) can play a key role in helping the life sciences industry improve patient outcomes.
White paper
Real-world data fills rare disease data gaps
Read how you can fill the data divide to develop effective treatment options.
Infographic
Deliver program integrity efficiencies
We help federal agencies with an effective data strategy and analytic roadmap to predict and prevent fraud, waste and abuse.
Article
Engaging specialists in value-based care
Alternate payment methods (APMs) can boost quality and cut costs by aligning payment and delivery for specialist providers.
Article
Executive insights on accelerating rural health transformation
States face urgent timelines to launch rural health initiatives and show progress. The right analytics and consulting partner can help.
Infographic
5 steps to reduce surgical cost variance
Is your surgical center under cost constraints? Leverage this process that has saved Optum clients millions of dollars in surgical costs.
White paper
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.
Article
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.
Article
9 ways to modernize the Medicaid experience
Read our 9 key takeaways for states to modernize the provider management experience.
Article
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.
Case study
Dashboard streamlines Medicaid SUD program
Virginia’s new Medicaid analytics dashboard centralizes SUD data, improving treatment strategies and reporting for vulnerable communities.
Article
Strategies to reduce administrative costs
Strategies to fix payer-provider collaboration, streamline patient financial experience and apply AI technologies for better cost savings.
Case study
Optum Serve: Protecting taxpayer dollars
Eliminate fraud, waste and abuse in healthcare spending.
Case study
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.
Report
Build a more sustainable provider system
Address access, capacity and workforce challenges head-on.
Article
A lower-risk approach to Community Engagement Verification (CEV)
In a recent demo of the Optum CEV solution, experts covered how states can address requirements under HR1.
Case study
Improved Arkansas Medicaid Outcomes
Optum has completed more than 200K+ assessments in Arkansas, helping coordinate care for people with chronic, high-cost and long-term care needs.
Article
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.
Article
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.
Case study
Supporting care for at-risk minors
Learn about a lightweight, scalable foster-family placement system developed for one Northeastern state.
Article
The value of clinical notes
What more is there to the patient story? Get deeper data insight into patient-clinician interactions with de-identified clinical notes.
Article
Optum a leader in GenAI payer workflow platforms
Optum has been recognized with a Product Leadership Recognition in the North America GenAI payer workflow platform industry by Frost & Sullivan.
Article
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.
Video
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.
Video
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.
Case study
Strategies for incremental modernization
States can build on a step-by-step approach to modernization, incrementally transforming the user experience without disruption.
Article
Utilize technology to harness disparate data
Invest in long-term fraud prevention.
Article
Making inroads with maternal health
Learn how Indiana and Washington, D.C., are tackling critical maternal health equity disparities.
White paper
Symmetry EBM Connect
Increasing compliance with evidence-based standards to enhance care.
E-book
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.
Case study
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.
Article
Collaborating to advance maternal health
Learn how leaders, communities and institutions can work with Optum to promote safe pregnancies and childbirth.
Case study
Using data to monitor behavioral health services
See how Optum helped one state visualize utilization and demographic data around behavioral health programs.
Article
The fight for techquity
Get ideas for how to fundamentally change your approach to building technology and incorporate techquity into your organization.
Video
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.
White paper
Robotic process automation (RPA)
We utilize RPA to advance federal government programs.
White paper
States achieve health equity with actionable analytics
By applying analytics solutions, states can create a comprehensive roadmap to better health equity.
E-book
The provider review playbook
Access a comprehensive guide on how to build a consistent, defensible review cycle for OPPEs, FPPEs and peer reviews.
Article
Optimize employee benefits with healthcare analytics
With the right tools, employers can transform employee benefits data into actionable insights that drive better experiences and add value.
Article
Partnering to close gaps in maternal health
Learn how we can collaborate with your state to use analytics and consulting to address your most important maternal health challenges.
Article
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.
E-book
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.
Article
Race ethnicity data bridge gap in improving health outcomes
The life sciences industry needs robust real-world data. For that data to reflect real-world populations, you need race and ethnicity data.
On-demand webinar
New mandatory CMS reporting rules will impact states
To meet the requirements, states should consider focusing on five key areas.
White paper
Reduce length of stay and enhance resource efficiency
Learn more about how Crimson AI enables best practices for achieving operational excellence.
White paper
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.
Article
Reexamine the effect of the Inflation Reduction Act
Learn how real-world data and evidence can help prepare you for healthcare-related Inflation Reduction Act policies.
White paper
What healthcare leaders really think about AI
For our 2-part series on the future of AI, we surveyed more than 100 healthcare leaders. Part 1 reveals how leaders are approaching AI investments. Part 2 looks at the leadership challenge that executives face.
Video
Partnering with state Medicaid and HHS agencies for over 30 years
See how state teams can turn data, responsible AI, and deep Medicaid expertise into insights that support decision-making and human-centered care.