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Healthcare provider solutions

Optimize operations, increase efficiencies, improve patient outcomes and create value-based care (VBC) partnerships. We can help.

Transitioning providers from fee-for-service to VBC

As healthcare shifts away from the fee-for-service model, VBC partnerships between payers and providers will become increasingly critical. To remain successful and productive, it’s important to understand how to effectively navigate VBC partnerships.

Review Optum Rx Formulary changes effective 7/1/25

Updated Biosimilars strategies introduced.  View provider eToolkit.

Explore healthcare provider solutions

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.

Pharmacy business intelligence solutions

Data management and analysis tools that let pharmacies analyze store performance in real time.

Payments and lending

Optum Financial® connects you with healthcare payment solutions and to loans powered by Optum Bank.

Patient access and engagement

Improve your digital patient access and engagement while reducing costs and increasing patient satisfaction.

OB Homecare Solutions for Providers

We provide holistic care to patients with specialized equipment and telemetry, unique medication delivery options and expert clinicians.

Operations and technology

Helping organizations evolve through market-leading technology, modernized platforms and unrivaled expertise.

Pharmacy services

Drive better engagement, medication adherence and outcomes for patients.

Related healthcare insights

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Achieving better patient outcomes through medication adherence

Learn about 5 strategies for consistent medication use and how Optum Specialty Pharmacy can help.

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How do pharmacy benefit managers work?

Hear how PBMs negotiate to deliver the lowest possible cost, benefiting plan sponsors and members alike.

Guide

Help enhance coding accuracy with the HCC Tearsheet 2025

Accurate HCC codes are essential for effective care management and compliance.

Article

Risk adjustment coding 101 for providers

Learn actionable strategies and best practices for effective implementation of coding programs for provider organizations.

Support for California providers

Learn how we are supporting California providers affected by the Greater Los Angeles wildfires.