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Healthcare operations and technology

We help organizations evolve through market-leading technology, modernized platforms and unrivaled expertise. 

Improve operations management and proactively address challenges

Our healthcare operations solutions connect the technology and platforms needed to deliver care and services that work better for everyone. Our customizable tools and expert teams are ready to help you:

  • Improve overall patient experience
  • Ease provider administrative burdens 
  • Leverage data insights and value-based care models
  • Influence quality-focused metrics, such as CMS Star Ratings, HEDIS® measures and NPS® 
  • Lower costs with efficiencies
  • Enable sustainable growth

Explore our operations and technology solutions

Clinical decision support

We bring together the clinical and financial to drive appropriate, high-value care.

Clinical operations

Bridge the clinical and financial aspects of health care to provide more effective and cost-efficient patient care.

Enterprise imaging

Accelerate your digital transformation and improve patient outcomes in enterprise imaging.

Network connectivity

Enhance connectivity and streamline EDI transactions for health care providers, health plans and pharmacies through our nationwide network.

Pharmacy Technology Solutions

We support the entire pharmacy claims life cycle, with unparalleled data and insights to optimize pharmacy operations.

Program Operations

Transform your state’s operations with modern technology complemented by services.

Revenue cycle management

Solutions to help you strengthen margins, improve efficiency and elevate the patient experience.

Risk adjustment, quality and engagement

Reduce worries with sustained financial risk management.

Enterprise Performance Partnership

Learn how Enterprise Performance Partnership between Optum and health systems can reduce costs, improve operations and empower local talent.

Payment integrity

Improve payment accuracy across the claim lifecycle.

Value-based care and provider enablement

Evolve your value-based care strategy for lasting impact and optimize your provider enablement operations using our advanced tools and capabilities.

Related healthcare insights

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From data collection to intervention

Learn how you can leverage analytics to address social determinants of health.

Article

The cost of inaccurate data: An overview of risk adjustment audits 

As CMS moves to increase RADV audits, payers must understand the implications of RADV and find the right support for a smooth audit process

E-book

Payment integrity strategies that help generate savings quickly

This guide can help you optimize your payment integrity program and achieve savings goals within 12 months.

On-demand webinar

Revolutionizing prior authorization solutions

Discover how healthcare professionals are working toward simplifying the prior authorization process to create easier patient access.

See how our operations and technology solutions can help your organization thrive