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Solutions for health plans

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

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What’s top of mind for health plan leaders?

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

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Explore our solutions

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Advisory services

Helping health care leaders with guidance, insights and practical strategies to enable their company to thrive amid change and uncertainty.
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Behavioral health solutions for health plans

Building a better future for behavioral health care with capabilities to support health plans, ­ members and providers across the entire health continuum.
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Claims and payment accuracy

Optum® Payment Integrity strengthens accuracy at every touch point in the billing lifecycle.
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Data and analytics enablement

Better understand and predict cost, risk and quality.
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Payment delivery solutions

With our solutions, payers can increase electronic payment adoption, reduce costs and remove administrative headaches, all while increasing provider satisfaction.
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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.
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Pharmacy care services for health plans

We help health plans navigate their toughest challenges.
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Risk management and quality performance

We go beyond risk adjustment to drive better outcomes.
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Targeted cost of care management

Better manage high-spend areas like lab testing or emergency department with solutions that integrate analytics, technology and services.
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Analyst recognition

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

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Avasant 2022–2023 RadarView

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

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Frost Radar

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

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Aite Impact report

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

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Everest Group Peak Matrix

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

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Ready to create a healthier tomorrow?

See how Optum can help you improve outcomes and lower costs.

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