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Health plan performance

We help payers in all market segments examine and enhance their strategies to meet and exceed evolving member needs and expectations.

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Enabling transformative change

Health plans are juggling seemingly competing priorities. They need to reduce total cost of care, improve and document quality, and keep pace with changing regulations.  At the same time, they strive to enhance the member experience. 

Our ambition is to help them succeed in today's and tomorrow's environment. We do this by developing and implementing strategies that both align and address these priorities.

We serve payers across all market segments who are:

  • Focused on securing and improving market position, achieving and maintaining financial sustainability
  • Looking to identify and implement (new) and profitable growth strategies
  • Seeking analytical and operational rigor to improve performance, and may be time, resource, or talent constrained

What makes us different



Frontline and consulting experience

Consulting expertise and extensive operational background


Unparalleled data assets

Curated data, leading analytics and applied expertise


End-to-end partnerships

Integrated, outcomes-driven solutions


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Executive study

Emerging from a highly disruptive year

This study summarizes insights and strategies garnered from over 20 conversations with our community, regional, national, provider-sponsored and Blue plans partners.

Themes that came out of the study include:

  • rising customer expectations
  • government influence
  • labor shortages
Learn more
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Explore our solutions

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Actuarial Services

We help clients create financial transparency and understand the "why" behind finances through superior reporting, forecasting and modeling.

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Government Programs Advisory Services

We help health plans compete in a changing regulatory environment, stay agile and build for the future.

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StepWise and Underwriting

Our underwriting software, capabilities and expertise help health plans simplify the design, deployment and distribution of products.

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Payer Technology Services

Technology solutions to help health plans achieve their growth goals.

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Advanced Commercial Actuarial Solutions

Discover how Optum helps health plans leverage cutting-edge technology and advanced analytics to assess risk and optimize their portfolios.

Learn how Optum Advisory Services can help you determine and reach your organization's goals.