For more than 20 years, Optum Serve® has partnered with federal health customers to mitigate fraud, waste and abuse (FWA) and improper payments. We combine IT capabilities with commercial, private and state FWA experience.
We partner to establish a modernized, ﬂexible framework for risk management. This includes advanced tools like artiﬁcial intelligence and machine learning, based on best practices we’ve established in our commercial health care division.
We also establish customer-speciﬁc frameworks for tailored program integrity (PI) use cases, including predictive analytics and integrating diverse data sets.
- Policy analytics
- Prepay claims editing
- Data analytics and visualization
- Payment integrity and recovery
- Artificial intelligence and machine learning for FWA
- Benefit eligibility and provider screening automation
Fraud, waste and abuse in health care
Protect government programs with risk management solutions.
Automate fraud, waste and abuse
Speed up workflows for federal agencies through artificial intelligence (AI).
Utilize technology to harness disparate data
Invest in long-term fraud prevention.
With our combined capabilities we can manage any PI platform
We bring advanced IT services in cloud modernization, GitOps/DevSecOps, data management and robotic process automation.
Visualizing fraud, waste and abuse
Graph analytics and machine learning drive the future of program integrity.
Deliver program integrity efficiencies
Curb fraud, waste and abuse for federal agencies.
Leveraging commercial health care technologies
Apply AI and program integrity practices in government.
Optum Serve: Protecting taxpayer dollars
Eliminate fraud, waste and abuse in health care spending.
- Optum book of business as of Q1 2022.
- Optum. Machine Learning and Advanced Technology. August 2019. Accessed October 26, 2021.