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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

Optum Advisory: Healthcare consulting services

We help healthcare leaders navigate change and uncertainty with expert advice, valuable insights and effective strategies.

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.

Claims and payment accuracy

Optum® Payment Integrity strengthens accuracy at every touch point in the billing lifecycle.

Data and analytics enablement

Better understand and predict cost, risk and quality.

Payment delivery solutions

With our solutions, payers can increase electronic payment adoption, reduce costs and remove administrative headaches, all while increasing provider satisfaction.

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.

Pharmacy care services for health plans

We help health plans navigate their toughest challenges.

Risk management and quality performance

We go beyond risk adjustment to drive better outcomes.

Targeted cost of care management

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

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.

Ready to create a healthier tomorrow?

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