Healthcare Operations & Technology | Optum Business

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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.

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Clinical operations

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

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Enterprise imaging

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

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Network connectivity

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

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Pharmacy technology solutions

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

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Program Operations

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

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Revenue cycle management

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

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Risk adjustment, quality and engagement

We go beyond risk adjustment to help drive better health outcomes for your members.

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Enterprise Performance Partnership

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

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Payment integrity

Improve payment accuracy across the claim lifecycle.

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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.

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Related healthcare insights

The AI-Driven Health Plan [White Paper]

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The AI-driven health plan

This white paper offers expert perspectives on leveraging AI to optimize health plan operations efficiency, growth and member experiences.

Future‑Ready Infrastructure: The Path to Modernization [E-book]

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Future-ready infrastructure: The path to modernization

Practical steps to strengthen platforms, operations and readiness for what’s next.

Automation's Next Chapter in the Healthcare Revenue Cycle

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Automation's next chapter in the healthcare revenue cycle

Leaders from Banner Health and Optum lay out a bold, multiyear vision for automation and AI in health care revenue cycle management.

Technology as the Catalyst for Sustainable Value-Based Care

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Technology as the catalyst for sustainable value-based care

Real-time insights and unified data are helping organizations reduce unnecessary utilization, close care gaps and improve patient outcomes.

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

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