Skip to main content

Case study

Optum Serve: Protecting taxpayer dollars

Eliminate fraud, waste and abuse in healthcare spending.

Success of public-private partnerships

The federal government spends more than $1 trillion annually on healthcare through programs like Medicare, Medicaid and Veterans Affairs. Protecting taxpayer dollars is a challenge — but one that Optum Serve is dedicated to addressing.

For more than two decades, we've worked with Centers for Medicare and Medicaid Services (CMS) and other federal agencies to establish and maintain program integrity across healthcare initiatives. Three case studies detail how we leverage our industry expertise and IT capabilities to mitigate risk and stop fraud, waste and abuse.

Find out how Optum Serve can help you to improve the health and well-being of the people you serve

Related healthcare insights

View all

Article

Beyond payment integrity: An AI-driven approach to affordability

Medical costs are rising, and health plans need solutions. See how an AI-driven, enterprise-wide approach may be the key to affordability.

Article

Upstream partnerships that maximize payment integrity strategies

Find out how aligning payment integrity with other complementary functions at health plans reduces unnecessary spend and provider abrasion.

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.