All solutions
Optum Integrated Eligibility Services
Simplify eligibility and enrollment for your HHS programs.
Optum State Insurance Exchanges
Simplify access to care with a state-based exchange that meets all your marketplace needs.
Optum Maintenance and Operations Services
Help reduce costs and system instability by outsourcing M&O.
Behavioral health services for state government
Helps improve outcomes for high-risk populations.
Integrated Solutions for I/DD Populations
Ensure predictable costs while supporting positive outcomes.
Behavioral Programs for the Justice-Involved
Optum helps direct people with behavioral health disorders in the criminal justice system to appropriate clinical and support services.
Peer Support Services for Behavioral Health
Our peer services help people move from treatment to daily life and reduces re-admission.
Optum COVID-19 Vaccine Billing Services
Quit Services
Learn how Optum is providing fresh insights for states to modernize tobacco cessation programs.
Optum Center for Wellbeing Research
A Trusted Partner in a Time of Crisis
We're taking action to support state governments. Find the resources you need to predict, respond and recover from the pandemic.
Optum Maintenance and Operations Services
Help reduce costs and system instability by outsourcing M&O.
Medicaid management
Take an efficient, services-based approach to your Medicaid enterprise.
Optum Interoperability and Patient Access Services
Analytics for state government
Get insights to improve decision-making and program outcomes.
Policy Research, Analytics and Consulting
Understand program results to deliver more value.
Optum Program Integrity Solutions for Medicaid
Protect taxpayer money by decreasing improper payments.
Automated Health Care Claims Triggers & Notifications
We help state agencies maximize auditing capabilities.
Performance Analytics for HHS
Improve program performance and member outcomes with Optum® Performance Analytics for Health and Human Services (OPA for HHS).
Specialty Pharmacy Management for state government
We take an integrated approach to controlling specialty costs by managing across both benefits and creating a seamless patient experience.
Pharmacy care services for public sector
We help you provide affordable pharmacy benefits.
Infusion Pharmacy
Specialty and Infusion Support for Hospitals
Specialty Pharmacy
At Optum Specialty Pharmacy we make patient referrals, enrollment processes and online prescriptions easy for providers.
Pharmacy solutions and services
Drive better engagement, adherence and outcomes for your patients.
Medication therapy management
The Medication Therapy Management Program (MTMP) improves outcomes for Medicare Part D/Optum Rx members who meet specific medical criteria.
Prior authorizations
Electronic Prescribing (eRx) to Optum Rx
Enable accurate and efficient electronic prescribing to send prescriptions directly to the pharmacy.
Optum Rx Home Delivery
Increase medication adherence and satisfaction while providing patients a cost-effective and easy way to receive prescriptions at home.
Utilize real-time benefit check
Get patient-specific prescription costs, lower-cost options and coverage details right at the point of care through your ERM platform.
Optum Virtual Care
Physician Practice Performance
Solve challenges in ambulatory operations related to population health management (PHM), value-based care (VBC), patient engagement and revenue cycle.
IT Performance
We enable partners with the technology, expertise, secure operations and economics to digitally transform health care for improved outcomes.
Optum Pay
Accelerate progress toward a healthier future with a platform that helps expedite payments and streamlines access to historical claims data.
Optum Pay Advance
A digital-first cash flow solution provides easy and fast access to funds for health care practices
Capacity Planning
Engage Physicians in Care Transformation
Analytics Managed Services
Performance Analytics
Health care operations
We offer a full range of technology services, including applications and infrastructure design, development and operations.
Provider Data and Network Management
Improve provider data quality; enhance network strategies.
Claims Editing Services
We use data and powerful editing technology to maximize auditing for government, commercial, Medicaid and Medicare claims.
Claims and Billing Solutions
Expansive claims and billing solutions help preempt denials, send cleaner claims, automate workflows, and improve efficiencies and payments.
Behavioral Health Solutions for Federal Programs
Connect members to effective services to improve outcomes.
Complex Medical Conditions Solutions for Federal Agencies
Improve outcomes, reduce costs and enhance experiences.
Program Integrity Services
Our solution enhances and modernizes program integrity to combat fraud, waste and abuse by working to support the federal government.
Health policy research, analytics, consulting
Our consulting helps to create and manage the best strategy to maximize federal agency services and make informed policy choices.
Oncology and Immunology Research
Primary Data Collection
Central Nervous System and Behavioral Health Research
We offer insightful, real-world research in CNS and BH.
Diabetes and Other Endocrine Diseases Research
Respiratory Disease Research
Infectious Disease Research
Leaders
Engage Payers with Value-Based Contracts
Assess the fit, develop metrics and track outcomes over time.
Digital Research Network for Providers
Data and technology combine to help providers enroll patients in clinical trials for better outcomes.
Enhance Clinical Trial Design and Performance
Modernize your approach to protocol design and patient finding.
"Design, Pilot and Scale Engagement Programs"
Take advantage of our connections to all parts of the health system.
Health Care Claims Data and Analysis
Integrating and linking deep patient data from multiple real-world sources helps clarify market dynamics.
Generate Evidence with Real-World Data
Derive evidence from the unmatched depth and scale of our data assets.
Market Clarity: Linked EHR and Claims Data
Unlock insights using the industry’s largest and most trusted repository of longitudinal clinical and claims data.
Optum Enriched Oncology EHR Data for Life Sciences
Dynamic Assessment of Pregnancies & Infants (DAPI)
Drive informed decisions about maternal and infant health.
Partner with Our Epidemiology Consultants
Advance public health and safety with our trusted experts and data.
Empower Commercial, Brand and Access Teams
Reveal market opportunities using our data assets and expertise.
Employee Nutrition Services
Provide employees safe, realistic and maintainable nutrition solutions for improved health, regardless of where they are working.
Workplace Wellness and Fitness
With well-being solutions customized for your population’s needs, we’ll help increase employee participation in all your wellness programs and services.
Design for Fitness and Well-being
With over 30 years' experience and 500 design projects, we know how to bring your fitness and well-being vision to life.
Corporate Fitness Center Management
Attract and retain talent with fitness center programming.
Military and Veteran health services
We provide high-quality and reliable health services.
Coronary Artery Disease Management
Improve health and lower costs for those living with the most common form of heart disease: CAD.
Diabetes Management
Help your employees living with diabetes by providing one-to-one support.
Asthma Management
Help your employees living with asthma make positive changes to improve their health.
Heart Failure Management
Our dedicated nurses help empower healthier choices to manage heart failure.
Chronic Kidney Disease Stage 4–5
Provide comprehensive, cost-effective disease management.
Bariatric Resource Services
Support your employees before and after weight-loss surgery to improve their potential for success.
End-Stage Renal Disease Management
Providing comprehensive, cost-effective disease management.
Solutions for Health Care Providers
Increase employee engagement and control medical plan costs.
Transplant Resource Services
See significant savings and statistically superior outcomes.
Workplace Well-Being
See how you can bring your organization's wellness strategy to life with health promotion specialists, wellness coaches, digital fitness apps and more.
Employee Assistance Program (EAP) Solutions
Build a resilient, productive workforce, and mitigate risk.
Substance Use Disorders
We offer resources and support to help individuals achieve stabilization, build resiliency and sustain recovery.
Prioritizing Employee Mental Health
Evidence-based solutions for employees and their dependents.
Creating a Safe Return-to-Worksite Strategy
What types of COVID-19 resources suit your worksite needs?
Return Better
Find comprehensive solutions for employers and employees throughout the COVID-19 pandemic and beyond.
Support a Return to Routine Care
Find accessible care to reduce risks and close critical gaps in care.
Address Mental Health Challenges from COVID-19
Attend to the explosion of need due to COVID-19.
Pharmacy care services for TPAs
We provide dedicated support to help you grow your business.
Specialty Medication Management for Employers
We take an integrated approach to controlling specialty costs by managing across both benefits and creating a seamless patient experience.
Pharmacy care services for employers
As a pharmacy benefit manager, our goal is to improve the cost of health care and prescription drugs for both plan sponsors and members.
Stop Loss Insurance
Protect your self-funded employer benefit plan from excessive expenses related to increased health care utilization.
Medical Record Review
Discover more about our comprehensive Medical Record Review solution that includes retrieval, abstraction, program management and audit support.
AI-Enabled risk adjustment solution
How smart is your retrospective risk adjustment solution?
Retrospective Risk Adjustment Solutions
We offer comprehensive strategies for health plans.
Medicaid Risk Adjustment
Optum has the expertise, breadth and scale to help optimize and support your Medicaid risk and quality programs.
Risk management and quality performance
We go beyond risk adjustment to drive better outcomes.
Claims Pricing Solutions
Drive prospective payment system pricing accuracy and efficiency with Optum® EASYGroup™.
Claims and payment accuracy
Optum® Payment Integrity strengthens accuracy at every touch point in the billing lifecycle.
Coordination of Benefits
Identify critical administrative coordination of benefits issues.
Behavioral health solutions for health plans
Building a better future for behavioral health care with capabilities to support health plans, members and providers across the entire health continuum.
Neonatal Support
Help improve outcomes for infants in the NICU, and assist families in caregiving.
Women’s Health Solutions for Health Plans
Support women and families with integrated solutions.
Oncology Care Management Programs
Manage cancer costs, improve outcomes and quality of care.
Stars/HEDIS Strategy and Operations
Strengthen quality initiatives to boost Stars ratings and improve performance.
Member health and care management
We strive to shape a health system that works best for the member's whole health and provide care as needed.
Health and Wellness Portal Solutions
Reduce health risks and help prevent chronic disease.
Disease and Condition Management Programs
Identify at-risk individuals and help resolve health care gaps.
Care Coordination for Chronic Conditions
Provide support and advice a member needs to restore their health.
Biometric Screening Solutions
Offer biometric screening options for your whole population.
PCPs and the Optum ISNP Care Model in SNFs
Close gaps in care and reduce fragmentation by participating in a cross-functional, team-based care experience.
The Optum Care Model
Improve quality and maintain census stability by bridging care for senior living residents.
The Optum ISNP Care Model for SNFs
Break the high-cost cycle by increasing care and benefits to Institutional Special Needs Plan (ISNP) members.
Symmetry
The Optum® Symmetry® suite produces standard units of analysis to help health plans manage costs, mitigate risk and measure quality.
Impact Pro
Optum® Impact Pro® helps you identify individuals who will benefit most from population health management programs.
Targeted cost of care management
Better manage high-spend areas like lab testing or emergency department with solutions that integrate analytics, technology and services.
Pharmacy care services for health plans
We help health plans navigate their toughest challenges.
Specialty Pharmacy Management
We take an integrated approach to controlling specialty costs by managing across both benefits and creating a seamless patient experience.
Pharmacy care support
We prioritize patient care through proactive insights that empower informed decisions and control costs — without compromising excellence.
Optum Virtual Care
Health care payment delivery solutions
We're creating a better payment experience for health plans and their members and health care providers.
Population health
IT Consulting and System Integration
Security and Privacy Services
Software and Cloud Application Engineering
Managed Business Services
Software Quality Assurance
Biometric Screenings and Vaccinations
Engage employees with biometric screenings and vaccinations.
Employee Benefits Brokers
Neonatal and NICU Support Programs
We help improve clinical outcomes for infants admitted to the NICU, and assist families in preparing for their new caregiver roles.
Obstetric (OB) Homecare Programs
Help improve high risk pregnancy outcomes and patient experience.
Women's Health Solutions for Employers
We offer help from preconception through baby's first year.
Commuter Benefits
Support your employees with a pre-tax account that saves them money on qualified expenses for their individual commute to work.
ePrescribe and ePA
Support for oncology providers
Provider Network Management and Performance
CES Facility
CES Application Managed Services
CES Professional
Advanced Communication Engine
Quit For Life
Fraud, Waste and Abuse Services
Health care data and analytics
Population health services
Comprehensive kidney solution for employers
Optum uses a proactive approach to managing different stages of renal disease. Find information on comprehensive kidney solutions for your employees here.
Health Reimbursement Arrangements
Use a health reimbursement arrangement (HRA) to help offset employees’ health care costs while providing tax savings to the organization.
Health Savings Accounts
Accelerate progress toward a healthier future with an HSA that helps employees take control of their care, payments and overall health.
Financial solutions
Empower your employees to take control of their health and lead them toward greater financial wellness.
Flexible Spending Accounts
Help your employees budget and save for qualified expenses during the benefit plan year through pre-tax contributions to FSAs.
Healthy food benefits
Make fresh produce and healthier food a realistic option for all of your employees with instant rewards for purchasing nutritious products.
Lifestyle Spending Accounts
Attract and retain talent in a competitive market, connect your benefits to your culture and show you care for your employees.
Submission Services
We provide end-to-end management of submissions, direct errors and remediation. Insights promote continual improvement to maximize accuracy.
Transform Specialty Medication Management
Eliminate the burden of managing specialty medications separately across the medical and pharmacy benefit.
Optum Pay Resources
Optum Virtual Care
Condition Management
Telehealth Services
Payments and banking
Utilization Management (UM) Changes
Pharmacy eServices
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