Resource center
A library of curated content and tools for financial success
Knowledge is invaluable for today’s health care leader, where many financial decisions have a significant impact. Information is critical.
Featured content and trending topics
A collection of industry voices
Experts dive into the five priorities for strong financials.
A fresh perspective
A Q&A on workforce optimization and the Great Resignation.
Insights
Thrive or crumble: Partnerships are a new area of growth
Read the article from Nick Howell and Chris Pass to learn the successes and lessons of the partnership between John Muir Health and Optum.
"No regret" IT investments for health systems
Learn which tech investments can benefit providers most today.
Grow with physician and consumer-driven insights
Support your hospital’s volume and revenue growth goals
Read a report about claims payments opportunities.
Thinking about going paperless for claims payments? We commissioned a study of senior health plan executives to hear what’s on their minds.
Sustainability through partnership
See how Boulder Community Health partnered with Optum to continue to successfully fund its mission.
2022 Analytics and AI survey from Advisory Board Research
ABR surveyed 250 strategy and analytics leaders.
Will these 4 new drugs re-shape the market?
Get the latest in this quarter’s Drug Pipeline Insights Report.
Four myths: Carving out specialty pharmacy
Integrating specialty pharmacy means better care, lower costs.
Drug pricing spotlight: Wound care
Combat against brand name products costing 125 times more.
Inform your employee wellbeing strategy
Global employers share insights into health and wellbeing strategy and programme impact.
Smart formulary management
Developing and managing formularies that bring clinical and financial value
Gaining maximum benefit from your revenue cycle strategy
Learn how innovation can help you achieve financial resiliency and stay competitive in today’s market.
Case study: 5/5 satisfaction on implementation
OptumRx earns 100% implementation score from City of Toledo
Indiana HHS values insightful analytics
Optum helps improve program outcomes and cost control.
A System-Wide Look at Improving Specialty Care
Condition-specific clinical expertise and capabilities necessary for managing complex diseases
Sleep treatment across the ages
Combining real-world data and primary research helps us better understand insomnia.
Optum Dynamic Assessment of Pregnancies and Infants
Assess the impact of medication use during pregnancy and the impact on infant health.
Executive Briefing Series: Military Health
Discover the far-reaching impacts of successful medical digital delivery.
Data Governance Enables Indiana’s Rapid Response to COVID-19
See how the Hoosier state uses data governance and self-service analytics to monitor, prioritize and quickly respond to COVID-19.
Real-world data fills rare disease data gaps
Data removes the barriers to understanding rare disease.
Develop your growth strategy
Our research has uncovered four main reasons today’s planning executives struggle to find the right data to make the best decisions.
Creating connections through partnerships
Hear from an Optum Rx client on how we're partnering together for everyone we serve.
Optum Evidence Engine
Optum Evidence Engine unlocks the power of personalized, precision health care to help advance disease detection and treatment.
Case Study: Advanced Pharmacy Audit Services
How a health plan saved more than $1 million
How will you get to interoperability?
Watch the 10-minute demo to see how Optum Interoperability and Patient Access Services can help your state comply with CmS's final rule
Opening the digital doors to all consumers
A strategy guide for expanding access and health equity.
Evolving clinical trials from paper to digital
Accelerate research through a digitized model.
Dynamic Assessment Of Pregnancies And Infants
We help answer questions about maternal and infant health.
Excela Health & Optum partner for employee retention
In this video, learn how Excela Health and Optum are investing in mission-critical initiatives while also avoiding job eliminations.
Five Things to Know About Every Health Care Consumer
Engage with consumers in meaningful ways as COVID-19 evolves.
Accelerating a future where health care is closer to home
This new era goes beyond the walls of a clinic thanks to advances in digital health tools and approaches.
Data’s powerful influence on hospital growth
A digital health transformation is shaping data trends and shifting the way organizations seek and use information.
Delivering Value-Based Care for Veterans Affairs & DOD | Optum
Best practices to help transition to value-based care.
Clinicians in 2030
Optum CNO Kristy Duffey talks with NEJM Catalyst about health care workforce trends and the changes coming to care delivery.
Modernizing Health Care: Joan's Journey | Optum
The health care system is built on positive intent, but it’s too complex. Joan’s journey illustrates how we’re creating something different.
Curious case of costly complications
How can analytics help tell your cost and outcomes story?
Spotlight report: Landmark Health
An innovative in-home care model extends quality of life while lowering costs for polychronic patients
3 ways CRISPR will change the drug world
Pharmaceutical industry finding novel uses for gene editing tools
Assess drug performance with the power of integrated data
Inform research and commercial strategy with data insights.
Health care network planning & optimization success
Learn how leaders can use data and analytics to make informed decisions on their network and drive actionable conversations with providers.
Smartsourcing healthcare: A perspective
Optum360 shares an e-book on how provider partnerships can help accelerate growth and financial performance as an alternative to traditional models.
Consumer beliefs driving health care growth and retention
Understand the impact of consumer beliefs on everything from growth and clinical outcomes to patient acquisition and satisfaction.
Connecting the dots: Data-driven transformation
Connecting the Dots: Data-driven Transformation | Optum
Evidence-based Clinical Practice Guidelines for DoD and VA
Improve continuity of care by reducing variation in practice for service members transitioning to Veteran status.
Optum COVID-19 Data Quality Services
Improve the accuracy of COVID-19 data to help reopen communities.
Basset Healthcare partnering insights
Tommy Ibrahim, MD, CEO of Bassett Healthcare Network, shares insights on reinventing a health system for success.
Clinicogenomics: The next big leap in real-world data
Optum clinical genomics is positioned to shape a new generation of evidence that accelerates understanding of disease.
Realizing the full potential of clinicogenomics
Join Optum genomics experts as they discuss the progress being made to develop datasets that will aid in drug discovery and development.
Testimonial: Overturning concurrent denials
See how one client strengthened its utilization review.
Subscribe to the Weekly Briefing
Get strategic perspectives for C-suite leaders to help guide the health system forward.
The Curious Case of the Costly Complication
Optum helps a client prove product effectiveness
Smartsourcing healthcare: A perspective excerpt
Optum offers a complimentary excerpt of Smartsourcing Healthcare for practical insights on how to accelerate growth and financial performance.
Data governance propels COVID-19 response
A timely upgrade helped Indiana be better prepared for the pandemic
Case study: Surgical Management Solutions
In-depth analytics combined with patient/provider advocacy recovers millions in savings for common surgical procedures
Managing the rise of people with multiple chronic conditions
Predicting who will develop multiple chronic conditions (MCCs) and intervening early is critical to better care and lower costs
Developing a successful network strategy
Grow business and generate revenue with network planning.
Addressing commercial denials with a clinical perspective
Gain financial integrity and deliver quality care.
A model market-performance partnership
John Muir Health and Optum partner to advance quality of care.
Clinicogenomics: new, linked data is advancing research
Rich, longitudinal clinicogenomics data can fuel all stages of drug development.
Everest Group Recognizes Optum as a Leader
The 2021 PEAK Matrix report maps the RCM Business Process Services market.
4 marketing questions health care leaders should ask
Learn the four essential data-centric marketing questions every health care leader should ask.
Optum Patient Profiles For Life Sciences Video
A more complete view of the patient experience
Maximize Clinical Trial Enrollment
Use clinical and claims data to conduct precision patient finding.
Forward-thinking strategies for 2022
Explore this video series featuring insights for Life Sciences leaders, delivered by experts from across health care.
John Muir Health & Optum: A Model IT Performance Partnership
Learn how John Muir Health advanced patient care through rapid IT integration, modernization and optimization.
5 keys to digital health care transformation
Transform operations, better manage business processes and improve outcomes.
Veterans Benefits Administration
They honored their commitment. It's time to honor ours.
John Muir Health Clinical Operations Video
See how John Muir partnered with Optum to enable a seamless consumer experience.
Market Performance Partnership: John Muir Health & Optum
Our integrated partnership model provides meaningful and measurable results.
Optum middle revenue cycle solutions
Our solutions work together to help patients like Joe.
Leveraging Virtual Care Management During Coronavirus (COVID-19)
Learn strategies to manage the rapid influx of patients.
Newest regulations impacting pharmacy
View the recent activity at both the state and federal level.
Patient-centered growth for your organization
Read how to expand your reach through consumer marketing.
The Physician Liaison Outreach Playbook
The Optum Physician Liaison Outreach Playbook gives physician liaisons best practices, tools and templates for effective physician relationship-building.
SNFs Improve Care & Business Outcomes for Facilities
The Optum Care Model Helps SNFs Meet Strategic Goals
Realize agility through a modern digital infrastructure
A Q&A on digital innovation and how it can help organizations deliver on business and patient care goals
John Muir Health Partnership Insights
Learn how to lean into a partnership and determine the most important things to your organization and how to achieve them.
Opioids: Managing Costs By Managing Risk
Costs associated with abuse have increased dramatically.
Accelerate Performance & Deliver Value for Community Health
John Muir Health and Optum boost local health and wellness.
Connect with Optum at MESC 2021 in Boston, Aug. 9-12
Get a demo of the technologies that enable better health care outcomes, attend our informative speaker sessions and take part in a charitable giving activity.
Optum Provider Services Master Agreement
Optum delivers provider management through NASPO ValuePoint.
Solutions to the maternal care crisis are coming into focus
Solutions to the maternal care crisis are coming into focus
Five Insights to Manage Hospital Administrative Costs
In this Optum article, futurist Tom Koulopolous and John Muir Health's Chris Pass share five strategies to manage administrative costs and improve performance.
Military & Veteran Health Care Journey: Infographic
Delivering and managing health care at key phases of life for Military Service Members and Veterans.
State of Healthcare Technology
Explore disruptive technologies transforming the industry.
"Health plan executives look forward" study and more
Explore top challenges and priorities for health plan leaders as they navigate unprecedented change.
Bassett Healthcare Network and Optum - An Ideal Relationship
Learn how Bassett Healthcare and Optum launched a strategic relationship to advance quality care through IT integration, analytics and revenue cycle management
Center for Health Equity - The Lewin Group, Part of Optum Serve
See how we help public and private health care leaders, policy makers and researchers support equitable individual and community health.
The American Rescue Plan and public health
ARP is an opportunity for state governments to improve public health through investment, infrastructure and innovation.
Addressing health inequities to improve outcomes for all
CMOs play an important role in creating a safe, equitable health system.
Pinpoint asthma, COPD and ACOS with EHR data
Optum study highlights clinical clues in asthma and COPD.
Navigating Forward: C-suite check-in — Research findings state of health care
Find out what 161 C-suite health care leaders think about how COVID-19 has changed the industry — and where we still must make progress.
Impact member care with in-home assessments
Download the infographic to learn more about how in-home assessments can uniquely impact SDOH.
Star ratings are important to Medicare Plans
Learn how health plans can improve Star ratings through high-touch strategies.
Insights on improved care through technology and scale
John Muir Health shares how the organization uses technology to reach those in need of health care services.
Optum Care Model & UnitedHealthcare Assisted Living Plan
Support residents living in a senior living community.
Meeting consumers on their terms
Learn how relationships between consumers and health organizations are transforming.
Reimagining Quit Services for the Future webinar
Create a focused approach to tobacco cessation.
Improved Arkansas Medicaid Outcomes
Helping Arkansas improve Medicaid outcomes, reduce costs.
10 provider growth strategies to advance your mission
Read the webinar recap of the Top 10 Factors to Consider When Developing Your Growth Strategy.
Using Health Data to Predict the Next Wave of COVID-19
By definition, a pandemic is a new disease outbreak. How do you predict its path without any historical data to rely on?
Optum Advanced Practice Clinician (APC) video
Advanced practice clinicians give personal care
COVID-19 Area Vulnerability Index
Prioritize resources and optimize care to fight COVID-19.
Robotic Process Automation (RPA) | OptumServe
We utilize RPA to advance federal government programs.
Address the challenge of Innovation
Ideation Hubs: Address the challenge of Innovation | Optum
Taking the Blinders Off Cancer Through Immunotherapy
Webinar: Taking the Blinders Off Cancer Through Immunotherapy
How AdventHealth leverages precision marketing
Optum Forum 2021: Regional One Health
Case Advisor contributes to utilization review success.
Improving Patient Access and Your Bottom Line
Helping physician groups solve for total patient engagement.
Population Health in the Digital Age
Introducing population health technology of the future
Your roadmap for driving growth
Use data and analytics to form your business development roadmap.
Reimagining health care through a transformative partnership
Listen to leaders from John Muir Health and OptumInsight.
Leveraging Technology in Quit Services for Tobacco Cessation
Technology, tobacco products and who uses tobacco are changing, and Optum Quit Services are evolving to meet those changes.
Home infusion: Health care’s new normal
See how home infusion can help improve outcomes and safety.
Real Talk on Real-World Evidence: Practical Applications in 2021
Virtual fireside chat with Advisory Board and Optum Life Sciences leaders explores the expanded use and next wave of RWE applications
When a Skilled Nursing Facility (SNF) Becomes a Health Plan
This white paper addresses the challenges of launching a provider-owned ISNP.
Self-Direction for State & Local I/DD Programs
This content is presented by Optum and the Spark Initiative.
Applying robotic process automation (RPA) for compliance
See how RPA helped saved 9,465 hours and $950,000 over five years in our client use case example.
New Data Dimensions In Life Sciences Research
Expanded research methods can address cost at the root level.
The Optum care model in your community
Deliver specialized health care benefits to your residents
Benefits of the Optum care model
Learn five fast facts assisted living communities should know.
Bassett Healthcare Network Blazes a Bold Path Forward with Optum
Bassett Healthcare Network Blazes a Bold Path Forward with Optum
Explore five priorities to improve financial performance
Explore five priorities to improve financial performance
Targeted care and lower cost: How one state achieved both
One state achieved both in delivering home health services.
True interoperability adds value
Act on trends, enhance care coordination and much more.
Demonstrating product value with integrated data
A special webinar hosted by MM&M demonstrates how integrated EHR and claims data offers a new foundation for demonstrating product value.
Controlling the unprecedented costs of gene therapies
See how you can leverage cost benefits from gene therapy.
Hemophilia: Extremely rare, extremely expensive
Better management strategies and new treatments emerge
Managing diabetes gains an 8:1 return on investment
Learn how a third-party administrator’s client improved health outcomes and lowered costs.
How to eliminate prescription waste
Achieve savings by targeting expensive, low-value drugs.
Optum Rx customer obsession video
How one Optum Rx employee made the system work better for everyone
How to manage medication overload
Hear from a leader's perspective on how to manage polypharmacy.
Webinar: Slowing the Progression of Chronic Kidney Disease
Explore insights into better care management and cost reduction.
Don't pay 5,000% more for commonly available generic drugs
This widespread practice costs plans millions.
Will diabetes drugs help us tackle obesity?
Discover four things to know about new uses of GLP-1 drugs.
How a client avoided $109M in pharmacy costs
View the Optum Rx Drug Pipeline Insights Report for 2022.
A new approach to rising specialty costs
See how contracting with medical providers can reduce drug costs
The big picture on cancer
How high cost oncology drugs are changing specialty pharmacy.
Specialty drug prices giving you sticker shock?
See how Specialty Compass defuses exploding drug costs.
5 questions: Optum Rx chief pharmacy officer
Michael Einodshofer addresses the risks, challenges and opportunities facing the industry.
4 steps to limit infusion drug costs
Specialty drugs account for over half of all drug spending
Financing your EHR- Electronic Health Records
Health care leaders can forge new paths with EHR systems.
Becoming financially resilient after COVID-19
We surveyed 105 hospital leaders on their strategies for achieving stronger financial health.
Patient-generated health data and the IoT
New wave of connected devices enables continuous care
Personalized care: Focusing on the member
Hear from Optum Rx chief of operations, Jon Mahrt
Driving Hospital and Health System Growth strategy
Explore a collection of best practices for health systems.
Enterprise IT strategies with HIMSS and Optum
Scott Gaydos of Optum shares how enterprise IT strategies provide numerous opportunities to improve and transform health care.
Human Centered Design in Health Care
This Optum white paper shows how human-centered design builds technology and programs that are easy and intuitive for consumers to use.
Automation Drives Success for Health Systems
Discover innovative strategies to improve financial health.
Health Care Interoperability Solutions
Optum Interoperability and Patient Access Services can help your state comply with CMS' final rule. View our overview video to find out how.
Four steps to an enterprise data strategy
Explore the steps for creating a real-world data strategy that helps life sciences companies to maximize their data investments.
Is Your Real-World Data Research Ready?
Real-world data can help evaluate the effectiveness of medications and therapies, which is why evaluation should be part of the investment.
Health Equity & Women's Health
Create meaningful change for the women in your workforce.
Clinical and claims data: A powerful combination
Get a snapshot of the pros/cons of clinical and claims data.
Improve Women's Health with Community-Based Solutions
Improve Women's Health with Community-Based Solutions | Optum
Optum Health Care Interoperability & Patient Access Services
Our solution is fully developed and ready right now to help your state meet compliance.
Gratitude for Heroism
Optum Serve is proud to recognize female Service Members and Veterans.
Electronic Health Records(EHR) Implement and Operate
Maximize your EHR investment through partnership.
How the pandemic has changed pharmacy care
Learn how COVID-19 has accelerated the rise of home and virtual care.
Reducing disparities in care and outcomes
Achieving health equity is a community-wide effort.
Redirecting Specialty Infusion Costs by Redirecting Site of Care
See how you can lower your plan costs by up to 52%.
The new model of personalized care
Predictive analytics improves user experience and outcomes.
Taking the pain out of prior authorization
How we are revamping the prescribing process
Whistleblowers: The hidden auditors within your organization
Dr. Kurt Hopfensperger discusses the laws and impact of whistleblowers, and offers hospitals tips to protect themselves.
Digital scheduling at a rural health system
Learn how a rural health system achieved an ideal patient experience and increased bookings with digital scheduling.
6 growth trends for patient-centric health care
Learn strategies you can use to differentiate your health system from your competitors.
Slowing the specialty pharmacy carve-out stampede
Study reveals costs for unrecognized kidney disease
Health leaders share IT transformation stories
Hear John Muir Health and Bassett Health’s observations on digital transformation, modernizing infrastructure and strategic automation.
Gene therapy: Big potential, big prices
New strategies needed as revolutionary but costly therapies emerge.
Webinar: Trends and challenges in telehealth
Explore new ways of doing business that allow you to meet shifting customer expectations, workforce challenges and emerging business goals.
Using Your EHR to Accelerate Digital Health
Explore how a thoughtful approach to EHR can impact the health care digital journey and help an organization achieve its business goals.
Digital Front Door Strategy Improves Patient Experience
Discover how a digital patient engagement strategy can provide easier access, reduce cancellations, and enhance front-end collections.
Case study: Strategic formulary changes
How a third-party administrator helped clients save $6.49 PMPM.
The Health Equity Alignment Solution (HEALS)
HEALS is a data analytics solution that highlights where and how inequities occur within a community, state or a health plan’s member population.
Priority Identification Vaccine Operating Tool (PIVOT)
PIVOT provides the data analytics and visualization needed to optimize planning, administration and monitoring of vaccines.
4 more psoriasis drugs on the way
Psoriasis costs up 40% in 5 years. Will these drugs help?
Reinventing a health system for success
Learn about the Bassett Healthcare and Optum partnership.
Cost optimization strategies to restore financial health
Watch the webinar for insights on disruptive market forces, the health care economy, cost-management efforts and managing operating costs.
How to control drug costs without compromising care
Explore three principles driving better pharmacy benefit decisions.
Vaccine Outreach - Implementing Community Engagement (VOICE)
VOICE addresses vaccine hesitancy in at-risk and vulnerable populations.
Strategic Growth for Health Systems
This webinar covers topics surrounding disruptive market forces, workforce strategy, competitors growing within the industry and finance.
Driving a frictionless digital patient experience
Watch the webinar to learn how to reduce friction points impacting the digital journey and preventing patients from getting in the door.
Cost optimization strategies to restore financial health
Watch the webinar for insights on disruptive market forces, the health care economy, cost-management efforts and managing operating costs.
Who are the patients in your market?
Get a complimentary custom market assessment to identify high-value patients and vulnerable populations to build meaningful engagements.
Emerging technologies in underwriting
Listen to the on-demand webinar from Becker Healthcare in partnership with Bill Dimmock, VP of Advisory Services at Optum.
Biosimilars to save billions in this decade
Prices for popular brand-name biologics drop up to 60% with generic-equivalent biosimilars.
Clinical intelligence: The smartest revenue cycle investment
Our white paper shows how investing in smart technologies supports the revenue cycle from patient registration through full reimbursement.
Health system boosts reach with payer channel scheduling
St. Luke’s Health dramatically increased volumes and decreased costly no shows with Optum digital scheduling. Learn how your system can, too.
Leverage AI-powered CDI and coding
CDI programs are expanding to support risk adjustment initiatives. Integrated CDI technologies are needed to support revenue and integrity.
Volume 2: Revenue performance for better financial health
Read the white paper for strategies on achieving proper levels of reimbursement, writing off bad debt, and expanding into new service areas.
Trends and perspectives for health plans
Driving toward the same things for our health care system — better quality, lower cost, and higher consumer and provider satisfaction.
Strengthening nursing home partnerships during COVID-19
Optum and Saber worked together to ease the COVID-19 burden.
Open for Business: Is It Best to Test for COVID-19?
In this Optum webinar, learn how COVID-19 testing can help maintain employee health in the workplace. Get resources for your return-to-worksite strategy.
Leverage Care Coordination in Response to COVID-19
Learn how one organization implemented care coordination to improve education, management and tracking of the pandemic in their facility.
'No regret' IT investments health leaders should prioritize
Optum experts share their top three "no regret" IT investment areas that every health care leader should be prioritizing.
5 steps to keep residents in your community longer
Give residents the care and the independence they desire.
Executive series: Health Care Workforce Crisis
Get strategy, insight and resources to create an enterprise-wide health care workforce strategy.
Inflammatory conditions: Trends, pipeline, management strategies
Hear leaders discuss trends for inflammatory conditions and gain insights on how the market is changing with a deep dive on pipeline, biosimilars, and care management strategies.
Filling revenue cycle resource shortfalls
How to improve efficiency and reduce expenses.
Maximizing effectiveness of physician advisors within the hospital
Provide the right support to achieve program goals.
Defending emergency department reimbursement
Learn how to strengthen your ED visit-level determinations.
Improve your ROI with the help of Optum Claims Manager
Flexible claims management tool drives down denials
Five things your denial rate isn't telling you
Learn 5 ways to make changes that will prevent and remediate denied claims.
Expanded scope and efficiency with Optum CAC and CDI 3D
See how one health system partnered with Optum to transform their coding and CDI program.
Improve claims processing with these claims management tips
A/R recovery services revenue continuity
Provider maintains A/R continuity during HIS conversion.
Untangle the causes of medical necessity denials.
Review factors hidden by your denial rate.
Computer-assisted coding helps company with continued growth
See how ACS used Optum CAC Professional for computer-assisted coding to expand medical coding and billing operations and navigate the ICD-10 transition.
Physician group achieves record performance
Optum Ambulatory Services team leads system transition.
AI advances the revenue cycle
The use of NLP makes the revenue cycle work smarter, not harder.
How fully leveraged AI solutions surpass traditional UR systems
Learn four ways AI expands your reach and effectiveness.
Developing a best-in-class middle revenue cycle for hospitals
Explore the six focus areas for improving performance.
Choosing a strategic accounts receivable service partner
Selecting the right recovery partner requires careful evaluation.
Develop a Best-in-class Front-End Revenue Cycle
Learn six ways to take your operations from good to great.
Giving patients a clear look at their care
A better patient experience through price transparency
Smart revenue cycle investments rather than deep cost cuts
Strengthen revenue performance with two astute investments.
Reducing administrative variation with artificial intelligence
Infuse technology into your medical necessity process.
How Optum supports value-based goals with powerful products
Optum supports value-based goals with powerful products.
Disruptive current events make traditional UR models obsolete
Learn five ways to use new processes and technology to improve UR.
Partnering for employee growth and retention
Explore how Boulder Community Health partnered with Optum to continue elevating its most critical component of success — its workforce.
Actionable tips for improving your claims denial process
Develop these six characteristics to effectively manage denials and support your organization's revenue integrity.
Improving clinical documentation improvement (CDI) efficiency
See how Lima Memorial improved efficiency with advanced technology.
Optum CAC offers automatic review of physician selected coding
Coding review module monitors for results.
Artificial intelligence and the changing role of case managers
AI can help manage new responsibilities.
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