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Payer solutions

We're creating a unified system of growth, affordability and digital strategies that work together for the lowest possible cost of healthcare.

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What’s top of mind for payers?

Get insights on driving growth at scale, advancing member health experience, cultivating provider relationships and increasing affordability.

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Analyst recognition

Optum continues to be a proven leader across a wide range of services and solutions.

Avasant 2022–2023 RadarView

Optum is proud to be a leader in Healthcare Payor Digital Services by Avasant.

Frost Radar

Optum wins leader in healthcare Payer-Provider Connectivity Solutions in North America, 2023.

Aite Impact report

Optum recognized for our end-to-end Provider Management solution.

Everest Group Peak Matrix

Optum is a proud Leader in Clinical and Care Management Operations.

Explore payer solutions

Consulting services

We help healthcare leaders and organizations create change and drive growth.
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Analytics performance

Drive growth, financial performance and clinical excellence with actionable data and analytics through technology and managed services.
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Financial solutions

Explore our tailored solutions for the healthcare industry and learn how we can help you achieve financial health and operational excellence.
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Home & Community

Our personalized care solutions are designed to meet each individual’s physical, mental and social needs across diverse care settings.
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Health benefits

We empower employees and members to take control of their health and well-being.
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Ancillary Benefits Management

Reduce the burden of managing ancillary benefits programs separately across the care continuum. Our solutions leverage an affordability framework to close gaps for better care with lower costs.
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Epic Payer Platform Managed Services

Payer and provider collaboration supporting member care and quality outcomes.
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Pharmacy Technology Solutions

We support the entire pharmacy claims life cycle, with unparalleled data and insights to optimize pharmacy operations.
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Risk adjustment, quality and engagement

Reduce worries with sustained financial risk management.
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Home Delivery Pharmacy for Payers

Our digital pharmacy is designed to meet your needs, simplify the medication delivery experience for patients, and grow alongside your business.
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Pharmacy benefit management

Manage pharmacy spend across a health system and explore hospice solutions.
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Payment integrity

Improve payment accuracy across the claim lifecycle.
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Network connectivity

Enhance connectivity and streamline EDI transactions for health care providers, health plans and pharmacies through our nationwide network.
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Ready to create a healthier tomorrow?

Get in touch with our sales team today

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