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Operations and technology

Clinical Operations

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

Deliver high-quality, cost-effective care

Optum® Clinical Operations Services enables real-time documentation and process improvements while the patient is in the facility.

Our approach uses a variety of technologies and services that produce highly predictable processes to help improve the case management function, efficiently engage clinicians and improve the quality of care provided.

Keep your patients and your business healthy

Management Consulting

We help health care organizations examine and enhance their strategies to meet and exceed evolving member needs and expectations.

Hospital Case Management Optimization

We offer real-time data and analytics, applied innovation, and expert guidance and investment in case management to optimize performance.

Hospital Case Management Managed Service

Our service blends people, process and technology to deliver unparalleled value across key case management functions.

Risk Identification and Capture

Our holistic approach is designed to make it easy for clinicians to accurately document chronic conditions at the point of care.

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Value dex z codes

Optum and Palmetto experts partner in discussing how to solve genetic lab challenges in legacy solutions.

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Innovative approaches to collaborate with PCPs

Understanding the challenges confronting Medicare Advantage plans and their Medical Loss Ratio.

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Causes of medical necessity denials

Learn two critical indicators causing these denials, and how to account for them effectively.

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Health leaders share IT transformation stories

Hear John Muir Health and Bassett Health’s observations on digital transformation, modernizing infrastructure and strategic automation.