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
Clinical operations
Enterprise imaging
Network connectivity
Pharmacy Technology Solutions
Program Operations
Revenue cycle management
Risk adjustment, quality and engagement
Enterprise Performance Partnership
Payment integrity
Value-based care and provider enablement
Related healthcare insights
Infographic
Intelligent automation quickens determinations, improves submissions and gives real-time status visibility, helping reduce burden, delays and denials.
Article
Arati Swadi, VP of Risk Adjustment at Optum, shares how Prospective Solutions are paving the way for value-based care.
Case study
We offer analytics, consulting insights and real-world application for states to improve maternal health care for women enrolled in Medicaid.
![5 AI Use Cases in Payment Integrity [White Paper]](/content/dam/optum-dam/images/business/insights/man-sitting-at-desk-using-computer-1080x720.jpg)
White paper
A strategic blueprint to modernize your payment integrity program through intelligent, AI-driven health plan operations.