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Enabling transformative change

Health plans are juggling seemingly competing priorities. They need to reduce total cost of care, improve and document quality, and keep pace with changing regulations.  At the same time, they strive to enhance the member experience. 

Our ambition is to help them succeed in today's and tomorrow's environment. We do this by developing and implementing strategies that both align and address these priorities.

We serve payers across all market segments who are:

  • Focused on securing and improving market position, achieving and maintaining financial sustainability
  • Looking to identify and implement (new) and profitable growth strategies
  • Seeking analytical and operational rigor to improve performance, and may be time, resource, or talent constrained

What makes us different

    

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Frontline and consulting experience

Consulting expertise and extensive operational background

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Unparalleled data assets

Curated data, leading analytics and applied expertise

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End-to-end partnerships

Integrated, outcomes-driven solutions

 

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Explore our solutions

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Actuarial Services

We help clients create financial transparency and understand the "why" behind finances through superior reporting, forecasting and modeling.

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Government Programs Advisory Services

We help health plans compete in a changing regulatory environment, stay agile and build for the future.

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StepWise and Underwriting

Our underwriting software, capabilities and expertise help health plans simplify the design, deployment and distribution of products.

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Payer Technology Services

Technology solutions to help health plans achieve their growth goals.

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Articles and blogs

Transform underwriting with cutting-edge technology

Learn how to leverage automation, technology and scalable staffing to drive growth.

Read the article

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Video

Navigating government programs

Learn about the application and RFP process for state-sponsored Medicaid programs and about steps health plans can take when entering into government programs.

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Video

Preparing for new market expansion

Amy Jensen is VP of RFP Services and Business Development at Optum Advisory Services. In this video, she outlines a new market strategy roadmap and how vendor partners can help health plans to prepare for expansion.

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White Paper

Member experience is a winning strategy

For 2023 Star Ratings, performance on the CAHPS measures will be the key differentiator between high-performing and low-performing plans. Read about why focusing on the member experience is a winning strategy for high-performing plans.

Download now

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White paper

The path to 4+ Star performance

Focus on member centricity to impact 2023 Star Ratings.

Read the white paper

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Articles and blogs

The customer experience trap

Learn why customer loyalty is decreasing while innovation in member experience is increasing.

Read the article

Learn how Optum Advisory Services can help you determine and reach your organization's goals.