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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.


Helping the health system treat the individual

We're advancing population health management by delivering comprehensive experiences that place people at the center of their care. 

  • Simplify navigation with 24/7 personalized support
  • Reduce complexity and streamline care for better outcomes
  • Apply financial expertise across the health care system
  • Gain strategic insights to improve the bottom line
  • Improve productivity, reduce risks and lower costs

166% more gaps

in care closed by blending AI and human connection1


244,000+ providers

nationally in our behavioral health network


Over 7,000 network centers

providers and programs for the treatment of complex conditions2

Advancing population health management

We can engage your unique population using insights from data and analytics to help lower costs and improve outcomes.


Explore our solutions

Biometric Screening Solutions

Offer biometric screening options for your whole population.

Care Management Solutions

Drive value with improved health outcomes and reduced costs.

Health and Wellness Portal Solutions

Reduce health risks and help prevent chronic disease.

HEDIS Medical Record Review

Streamline HEDIS data collection and medical review process.


Help manage member care and close Star gaps with in-home member assessments.

Women’s Health Solutions for Health Plans

Support women and families with integrated solutions.

Complex care management for payers

Discover simple solutions for complex conditions.

The Optum Care Model

Improve quality and maintain census stability by bridging care for senior living residents.

Stars/HEDIS Strategy and Operations

Strengthen quality initiatives to boost Stars ratings and improve performance.

Specialty Fusion

Experience a specialty drug management solution that does more by bringing medical and pharmacy benefits together at the point of care.

Special Needs Plan (SNP) Solutions

We provide an end-to-end solution for provider-owned ISNPs.

One Pass for Medicare

One Pass™ for Medicare is a proven fitness benefits partner and a total solution for mental, social and physical well-being.

One Pass for Medicaid

Our program offers an extensive fitness network, online classes, personalized exercise content as well as grocery and household delivery.

Home & Community

We deliver personalized care to serve the physical, mental and social needs of people according to their preferences, across care settings.

naviHealth Post-acute Care Solutions

We help members transition to the next right site of care with Optum® Home and Community offerings, naviHealth Post-acute Care Solutions.

We're here to help.

  1. Optum consumer analytics comparing Q12016 to Q12018.  
  2. As of March 2021.