Skip to main content

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.

Market Performance Partnership

Discover how we're accelerating health system performance and mission achievement.

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

Article

Data collection for risk adjustment compliance

Learn the 4 core pillars of a strong data collection process — a strategic imperative for improving healthcare outcomes. 

Article

Patient education: The secret to success in risk adjustment and VBC

Effective patient education fosters adherence to medical treatments and promotes healthy patient behaviors, in turn facilitating successful risk adjustment and value-based care.

White paper

Reduce length of stay and enhance resource efficiency

Learn more about how Optum Enterprise Intelligence Suite (EIS) enables best practices for achieving operational excellence.

Article

Navigating the challenges of outpatient evaluation for patients with acute coronary syndrome

Learn how the InterQual level of care team tackled a content development challenge following updated societal guidelines for acute coronary syndrome.

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