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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.

System Evolve

Optimize health system performance across blended fee-for-service and value-based care models to improve care delivery with stronger margins.

Value Connect

Our value-based care technology suite supports payer and provider collaboration through population health management solutions.

Information Technology (IT) Performance

Transform information technology, security, operations and economics to improve outcomes and enhance provider and patient experiences.

Related healthcare insights

Article

Proactively manage genetic test spend with DEX Z-Codes

Learn how adopting DEX® Z-Codes® can help health plans create a comprehensive genetic testing coverage, coding and payment policy program.

Article

Why payment integrity needs a new playbook for behavioral health

Behavioral health demands more than traditional claim reviews. Learn how health plans can improve accuracy and reduce risk.

White paper

A smarter revenue cycle starts with connected intelligence

Discover how AI-enabled revenue cycle intelligence helps health systems prevent errors, improve cash flow and drive more predictable outcomes.

Video

Technology as the catalyst for sustainable value-based care

Real-time insights and unified data are helping organizations reduce unnecessary utilization, close care gaps and improve patient outcomes.