End-to-end solutions for driving high-value care
Health plans and providers want to enable better outcomes through appropriate care to help reduce preventable costs. Challenges arise from increasing patient complexity, inefficient workflows, fragmented technologies and rising healthcare costs.
Optum clinical decision support tools combine deep clinical and industry expertise with advanced proprietary capabilities. Evidence-based clinical criteria help enhance patient outcomes and support appropriate utilization.
From strengthening clinical operations to enhancing revenue integrity, our flexible solutions seamlessly integrate into your workflows to meet you where you are.
Clinical decision support solutions
Utilization and care management
AI-enabled solutions and evidence-based content help facilitate appropriate care, lessen administrative burden and streamline processes.
Solution suite
InterQual
Our evidence-based clinical decision support solution for payers, providers and government agencies.
Software
Case Intelligence
Drive proactive and efficient utilization management with AI-enabled case stratification.
Software
Case Advisor
Artificial intelligence (AI) and evidence-based content are combined in this comprehensive utilization management (UM) workflow solution.
Service
Integrated Utilization Management
A comprehensive outsourced solution that combines expert operations with powerful AI-enabled technology to conduct timely, accurate nurse and physician reviews.
Software
InterQual Coordinated Care
An integrated, cloud-based care coordination solution for complex care management.
Real-time decision support
Whether it’s at the point of care or point of order, Optum provides evidence-based guidance to help you make informed clinical decisions.
Solution suite
CareSelect
Point-of-order clinical decision support solutions to increase appropriate ordering and drive high-value care across the enterprise.
Software
Clinical Assistant
An EHR-integrated solution that delivers advanced clinical decision support for guideline-directed, patient-specific medication recommendations.
Software
Prescription Adherence and Clinical Management
Medication adherence products that can help to identify at-risk patients and intervene early.
Analytics and technology
Optum provides technology consulting expertise with robust data analytics and business intelligence tools that help measure the cost of care.
Solution suite
Crimson AI
Unlock healthcare data and transform it into robust business intelligence using AI-enabled feedback and suggested interventions.
Service
Technology Consulting
Our solutions improve efficiency, lower costs and deliver value across the healthcare ecosystem.
Related healthcare insights
On-demand webinar
Explore market conditions driving the outpatient shift, considerations for patient selection and current opportunities in the ambulatory space.
Article
Learn how the InterQual® team developed objective frailty criteria through a process that ensured clinically applicable content.
