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

Reduce worries with sustained financial risk management.

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Market Performance Partnership

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

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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

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Improving transparency in payer-provider connections

Explore how real-time connections can enable more accurate claim submission to create a more efficient healthcare payment system.

Article

Streamlining real-time eligibility and claims

Discover how real-time eligibility, benefits and claim status inquiries can improve accuracy and efficiencies for payers and providers.

Article

Strengthening risk adjustment with payer and provider collaboration

Learn how Optum utilizes scale, innovation and strong partnerships to optimize risk adjustment services for both providers and payers.

Case study

How cloud-native PACS transformed a rural hospital

In this case study, learn how cloud-native technology can unlock efficiency.

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

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