Simpler systems lead to better outcomes
Deliver better experiences
Give real-time visibility into coverage, cost and care decisions to streamline experiences. This helps people stay engaged in their care.
See infographic on provider engagement
Lower total costs & manage risk
Bring clarity to payments and plan operations so you can see where dollars are going and reduce waste. Plus improve accuracy and manage your financial performance.
Help members live healthier
Connect clinical teams, benefits and support services together to better support members with chronic and complex conditions with more coordinated care.
Analyst recognition
Optum continues to be a proven leader across a wide range of services and solutions.
Frost & Sullivan
Optum has been recognized as a best practices leader in Gen AI bringing greater efficiency to payers.
Everest Group
Optum was recently recognized by Everest Group as Leader in Utilization Management Operations PEAK Matrix® Assessment.
Everest Group
Everest Group positions Optum in the highest Leader position for Care Management Platforms for Payer in PEAK Matrix® Assessment.
Everest Group
Optum is the highest-designated Leader in Payment Integrity Solutions in PEAK Matrix® Assessment.
Consulting services
We help healthcare leaders and organizations create change and drive growth.
Analytics performance
Drive growth, financial performance and clinical excellence with actionable data and analytics through technology and managed services.
Financial solutions
Explore our tailored healthcare solutions to help you strengthen financial health, reduce complexity and achieve operational excellence.
Home & Community
We deliver personalized, whole-person care to older adults in the comfort of their home or community, supporting aging in place through various coordinated care options.
Health benefits
We empower employees and members to take control of their health and well-being.
Ancillary Benefits Management
Reduce the burden of managing ancillary benefits programs separately across the care continuum. Our solutions leverage an affordability framework to close gaps for better care with lower costs.
Epic Payer Platform Managed Services
Payer and provider collaboration supporting member care and quality outcomes.
Pharmacy technology solutions
We support the entire pharmacy claims life cycle, with unparalleled data and insights to optimize pharmacy operations.
Risk adjustment, quality and engagement
We go beyond risk adjustment to help drive better health outcomes for your members.
Home Delivery Pharmacy for Payers
Our digital pharmacy is designed to meet your needs, simplify the medication delivery experience for patients, and grow alongside your business.
Pharmacy benefits
We offer clear drug pricing and aligned scale and insights that guide decision-making, helping you navigate change with confidence.
Network connectivity
Enhance connectivity and streamline EDI transactions for health care providers, health plans and pharmacies through our nationwide network.
Optum Frontier Therapies for Payers
We partner with payers to support advanced therapies through a clinical framework focused on quality, transparency and lasting outcomes.
What's next for health plans
Explore ideas, guidance and “worth-your-time” reads for people making real decisions.
White paper
A strategic risk adjustment analytics framework guide for health plans.
Article
On average, Optum Infusion nurses spend approximately 1,300 hours per year providing care to patients. Hilary, an Optum Infusion nurse, knows this firsthand.
E-book
A step-by-step guide for health plans to optimize payment integrity software, maximize cost savings and increase payment accuracy.
White paper
This white paper offers expert perspectives on leveraging AI to optimize health plan operations efficiency, growth and member experiences.