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Find out how an integrated approach produces better outcomes for renal disease — a common, complex and costly condition.
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Increasing at-home dialysis for ESRD patients | Optum
See why home-dialysis patients tend to fare better than in-clinic patients, and how patient-centric kidney care management helps them make informed choices.
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Our user-centric tool helps prescribers keep up with American Diabetes Association (ADA) medication recommendations.
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Employers in the LATAM region said employee physical and mental health are among the greatest challenges for their health and wellbeing (H&W) programmes. Find out what else we learned when Optum surveyed 347 global employers.
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Optum surveyed 347 global employers to better understand current health and wellbeing (H&W) practices. Employers told us how they’re motivating employees to engage in their own wellbeing.
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Value-based contracts can present challenges that must be overcome to bring gene therapies to market.
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Emotional wellbeing support
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Optum Rx Drug Pipeline Insights Reports
Read the most recent quarterly reports on new drugs coming down the pipeline.
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A health plan increased in-home assessment rates for their Medicare Advantage members by working with Optum to increase member engagement.
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The fight for techquity
Get ideas for how to fundamentally change your approach to building technology and incorporate techquity into your organization.
Accelerate drug development with clinicogenomic RWE
Optum, Novartis and GuardantINFORM experts discuss the ever-increasing importance of clinicogenomic data during this Endpoints News webinar.
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Pharmacy Insights Podcast
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Get thought starters for assessing how a connected care model can strengthen your financial position.
Thrive or crumble: Partnerships are a new area of growth
Read the article from Nick Howell and Chris Pass to learn the successes and lessons of the partnership between John Muir Health and Optum.
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Can automation cure workforce challenges?
Rethink how to support workers, while simplifying and improving care.
"No regret" IT investments for health systems
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Teaming up with task force movement
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Identify, investigate and recover medical and disability payments related to accidents.
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ACDIS CDI Survey and Report
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Enabling Success for the Health Plan Ecosystem
Optum has a complete portfolio of assets designed to enable health plans to make meaningful strides toward achieving their goals.
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Discover 5 critical factors to ensure employees take advantage of your well-being offerings and engage with your wellness programs.
Read a report about claims payments opportunities.
Thinking about going paperless for claims payments? We commissioned a study of senior health plan executives to hear what’s on their minds.
Caring for clinicians: From burnout to wellness
CEO of Optum Care Solutions Dr. Patrick Conway explores how to move beyond burnout and focus on clinician wellness.
Bring your wellness strategy to life for employees
Discover how partnering with a health promotion specialist can help you unlock creative ways to engage your employees with wellness programs and initiatives.
Social inequities effect on patient and provider
As clinicians and caregivers to our patients, we bear witness to the inequity of health care. Dr. Oreggio shares experience and advice on opening doors to equal care.
Digital medicine that delights
Dr. Sonia Samagh from the Center for Digital Health is hard at work bringing the many digital tools available into an environment that becomes our “way of being” rather than another tool in the toolkit.
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Optum Labs is launching a study for a COVID-19 monoclonal antibody treatment. Through the power of data, every patient will receive the treatment. This approach gives quick results for practical problems.
Building resilience: Mental health lessons from COVID-19
COVID-19 has negatively affected many people's mental health, but will anything good come out of it?
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Southwest Medical bridges the access gap with their mobile clinic by meeting patients where they are.
When to refer: PCP guide to Pap exams
Pap smears and HPV immunizations have become fundamental elements of preventive care for women.
The WellMed Bridges palliative care program
Patients with serious illness should not have to choose between curative and palliative treatment. That is the theory behind the WellMed Bridges program.
Intelligent Automation Benefits for Health Plans | Optum
See how IA increases the throughput of the retro case developer process, reducing processing time and freeing resources for other high-value tasks.
Four myths: Carving out specialty pharmacy
Integrating specialty pharmacy means better care, lower costs.
Drug pricing spotlight: Wound care
Combat against brand name products costing 125 times more.
Smart formulary management
Developing and managing formularies that bring clinical and financial value
A System-Wide Look at Improving Specialty Care
Condition-specific clinical expertise and capabilities necessary for managing complex diseases
Sleep treatment across the ages
Combining real-world data and primary research helps us better understand insomnia.
Optum Dynamic Assessment of Pregnancies and Infants
Assess the impact of medication use during pregnancy and the impact on infant health.
Care of the clinician
A 2017 JAMA study showed that 45% of doctors feel at least one symptom of burnout.
Research report — C-suite check-in: Leading through disruption
We surveyed over 150 C-suite leaders on the state of health care. This report uncovers priorities and challenges across the industry.
Actualizing high-quality coordinated cancer care
The recently launched Cancer Center in Las Vegas incorporates IOM recommendations, delivering high-quality cancer care for better patient outcomes.
How to help patients prevent long-term cognitive complications
Despite the complexity of concussion, primary care providers are in a unique position to give life-altering advice to their patients.
The path to techquity
New research explores how to advance health equity through intentional, inclusive design and deployment of technology in health care.
Antiracism and inclusion
Optum saw the value in a project for a community cohort, Leadership for Racial Equity, and quickly worked to create a national strategy.
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In this Optum Serve issue brief, data and analytics show why health disparities occur and how to address them to drive better outcomes across all populations.
Fusing data and analytics with human-centered design
Explore human-centered design. Expert panel at SXSW discusses merging data with design to build simple, connected health care experiences.
New Client onboarding in Florida
Download this step-by-step guide for client onboarding.
Health plan solutions designed to lower the cost of care
Tour our ecosystem of capabilities designed to tackle broad-based health plan challenges.
Demonstrating product value with integrated data
A special webinar hosted by MM&M demonstrates how integrated EHR and claims data offers a new foundation for demonstrating product value.
What is your government up to? And, what does it mean for your drug spend?
A fireside chat with Natalie Pons and Bill Dreitlein
Managing diabetes gains an 8:1 return on investment
Learn how a third-party administrator’s client improved health outcomes and lowered costs.
How to eliminate prescription waste
Achieve savings by targeting expensive, low-value drugs.
Optum Rx customer obsession video
How one Optum Rx employee made the system work better for everyone
Creating connections through partnerships
Hear from an Optum Rx client on how we're partnering together for everyone we serve.
Optum Evidence Engine
Optum Evidence Engine unlocks the power of personalized, precision health care to help advance disease detection and treatment.
How to manage medication overload
Hear from a leader's perspective on how to manage polypharmacy.
Webinar: Slowing the Progression of Chronic Kidney Disease
Explore insights into better care management and cost reduction.
Specialty drug prices giving you sticker shock?
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5 questions: Optum Rx chief pharmacy officer
Michael Einodshofer addresses the risks, challenges and opportunities facing the industry.
Trends and perspectives for health plans
Driving toward the same things for our health care system — better quality, lower cost, and higher consumer and provider satisfaction.
How our medication packaging helps the planet
New packaging saves CO2, water, energy, and plastic waste.
Excela Health & Optum partner for employee retention
In this video, learn how Excela Health and Optum are investing in mission-critical initiatives while also avoiding job eliminations.
Five Things to Know About Every Health Care Consumer
Engage with consumers in meaningful ways as COVID-19 evolves.
Transforming the six zones of consumer experience
Discover innovations and success factors to drive engagement, loyalty and growth.
Why equity in women’s health demands an integrated approach
Why equity in women’s health demands an integrated approach
Enhance R&Q data acquisition with AI and NLP
Learn how digital clinical data, AI and NLP can help health plans get the data they need, when they need it.
Optum, FDA collaborate on vaccine and biologic research
FDA reaches agreement with life sciences segment of Optum to provide data and expertise to evaluate and research biologics and vaccines.
Data Governance Enables Indiana’s Rapid Response to COVID-19
See how the Hoosier state uses data governance and self-service analytics to monitor, prioritize and quickly respond to COVID-19.
Real-world data fills rare disease data gaps
Data removes the barriers to understanding rare disease.
U.S. Military Entrance Processing Command
Optum Serve conducts physical and mental examinations for military applicants.
Develop your growth strategy
Our research has uncovered four main reasons today’s planning executives struggle to find the right data to make the best decisions.
Value Transformation at Keck Medicine of USC
Value Transformation at Keck Medicine of USC
Assess drug performance with the power of integrated data
Inform research and commercial strategy with data insights.
Case Study: Advanced Pharmacy Audit Services
How a health plan saved more than $1 million
How will you get to interoperability?
Watch the 10-minute demo to see how Optum Interoperability and Patient Access Services can help your state comply with CmS's final rule
Vaccine cold chain
Vaccine cold chain is a temperature-controlled supply chain process that maintains the potency of vaccines during the storage and distribution process.
Case Study: UMass utilizes analytics to improve adult immunizations
Population health analytics drive UMass participation in the AMGA AI Collaborative
Opening the digital doors to all consumers
A strategy guide for expanding access and health equity.
Evolving clinical trials from paper to digital
Accelerate research through a digitized model.
8 things to look for in a virtual care offering
8 things to look for in a virtual care offering
Dynamic Assessment Of Pregnancies And Infants
We help answer questions about maternal and infant health.
Walk in their shoes
Learn how real cancer patient and provider experiences drive care navigation decisions.
The unifying power of integrated data
Read how the integration of EHR and claims data can change what we can collectively learn about outcomes.
Accelerating a future where health care is closer to home
This new era goes beyond the walls of a clinic thanks to advances in digital health tools and approaches.
Data’s powerful influence on hospital growth
A digital health transformation is shaping data trends and shifting the way organizations seek and use information.
Improving UR effectiveness with Case Advisor
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The brave new world of digital transformation
Leaders preparing for life in the post-pandemic world are searching for ways to succeed with digital.
Delivering Value-Based Care for Veterans Affairs & DOD | Optum
Best practices to help transition to value-based care.
Understanding the health care needs of Veterans
Ethnographic research conducted to help address Veterans' needs across the health care system.
Population health management best practices
Learn about industry players in the population health management (PHM) market and what to look for in a best-in-class solution.
A model market-performance partnership
John Muir Health and Optum partner to advance quality of care.
Everest Group Recognizes Optum as a Leader
The 2021 PEAK Matrix report maps the RCM Business Process Services market.
Assisted living plan comparison scenario
Keep your SNF-qualified residents with you longer.
Modernizing clinical trials with EHRs
Discover how Optum and three provider organizations leveraged EHR systems to modernize a clinical trial aimed at diabetes treatment.
Deliver program integrity efficiencies
Curb fraud, waste and abuse for federal agencies.
Optum Serve health technology and consulting solutions
Improving health across the nation to serve our federal customers
Reflections on PCMA's recent Annual Meeting
Total cost of care and value-based arrangements between manufacturers and payers is top of mind of HEOR and Medical Affairs leaders.
Robotic Process Automation (RPA)
We utilize RPA to advance federal government programs.
Avasant Healthcare Payor Digital Services
Avasant's annual RadarView report helps healthcare payors craft a robust strategy for digital transformation based on industry outlook and best practices.
OPA for HHS: See how it works
Accelerate your state's efforts to address health inequity.
Patient-Centered Care Centers of Excellence
Optum's Centers of Excellence improve outcomes through patient-centered care.
When ‘Is it safe for me?’ changes to ‘Is it safe for us?’
Studying the impact of treatments on pregnancy and infants can help patients, providers and pharmaceutical companies make key decisions.
Optum My Wellbeing
For employers, My Wellbeing provides information about employees’ health, which can be used to help understand their needs and develop strategies to support them.
How AdventHealth leverages precision marketing
Optum Forum 2021: Regional One Health
Case Advisor contributes to utilization review success.
Preventing suicide among our nation's Veterans
See how Optum Serve, along with the PREVENTS Initiative, is helping in the collective effort to eliminate suicide among military and Veteran populations.
Innovations in Health Monitoring, Care Management & Support
Linking health care and public health data improves care management, clinical care, and public health reporting and monitoring.
The Physician Liaison Outreach Playbook
The Optum Physician Liaison Outreach Playbook gives physician liaisons best practices, tools and templates for effective physician relationship-building.
SNFs Improve Care & Business Outcomes for Facilities
The Optum Care Model Helps SNFs Meet Strategic Goals
Population Health in the Digital Age
Introducing population health technology of the future
Your roadmap for driving growth
Use data and analytics to form your business development roadmap.
Leveraging Technology in Quit Services for Tobacco Cessation
Technology, tobacco products and who uses tobacco are changing, and Optum Quit Services are evolving to meet those changes.
Optum Provider Services Master Agreement
Optum delivers provider management through NASPO ValuePoint.
NASPO ValuePoint Helps States Streamline MMIS Procurements
Streamline MMIS procurements through cooperative purchasing.
Monitoring COVID-19 vaccine safety
Discover insights from Dr. John Seeger’s recent participation at the Duke-Margolis Thirteenth Annual Sentinel Initiative Public Workshop.
When a Skilled Nursing Facility (SNF) Becomes a Health Plan
This white paper addresses the challenges of launching a provider-owned ISNP.
New Data Dimensions In Life Sciences Research
Expanded research methods can address cost at the root level.
State of Healthcare Technology
Explore disruptive technologies transforming the industry.
Improve access to care with HouseCalls
White Paper: Improve Access to Care With HouseCalls | Optum
Transforming Analytics at Boulder Community Health
Learn how Boulder Community Health is using analytics to make decisions, improve care management and drive growth.
Modernizing Health Care: Joan's Journey | Optum
The health care system is built on positive intent, but it’s too complex. Joan’s journey illustrates how we’re creating something different.
Curious case of costly complications
How can analytics help tell your cost and outcomes story?
Survey: How patients feel about returning to care amidst COVID-19
Survey: How patients feel about returning to care amidst COVID-19
The Importance of Utilization Review for Hospitals in the COVID-19 Era
This Optum360 article shows how a high-performing utilization review process with fully leveraged AI can help hospitals preserve revenue integrity.
Health care network planning & optimization success
Learn how leaders can use data and analytics to make informed decisions on their network and drive actionable conversations with providers.
Smartsourcing healthcare: A perspective
Optum360 shares an e-book on how provider partnerships can help accelerate growth and financial performance as an alternative to traditional models.
Consumer beliefs driving health care growth and retention
Understand the impact of consumer beliefs on everything from growth and clinical outcomes to patient acquisition and satisfaction.
Connecting the dots: Data-driven transformation
Connecting the Dots: Data-driven Transformation | Optum
Evidence-based Clinical Practice Guidelines for DoD and VA
Improve continuity of care by reducing variation in practice for service members transitioning to Veteran status.
Overturning concurrent denials at Uniontown Hospital
Maximizing peer-to-peer reviews with an on-site physician advisor
Clinicogenomics: The next big leap in real-world data
Optum clinical genomics is positioned to shape a new generation of evidence that accelerates understanding of disease.
Realizing the full potential of clinicogenomics
Join Optum genomics experts as they discuss the progress being made to develop datasets that will aid in drug discovery and development.
Testimonial: Overturning concurrent denials
See how one client strengthened its utilization review.
Impact story: Collaboration to drive long-term care forward
Impact story: Collaboration to drive long-term care forward
Subscribe to our newsletters
Get strategic perspectives for C-suite leaders to help guide the health system forward.
Executive Perspectives: Tech Innovation in Health Care
How AI and other technologies can help heal the health care system
COVID-19 Contact Tracing Command Center Services
COVID-19 Contact Tracing Command Center Services
The Curious Case of the Costly Complication
Optum helps a client prove product effectiveness
The Doctor Will See You…Anywhere
A profound shift toward coordinated, responsive care is underway in American medicine.
Telephone Lifestyle Coaching for Veterans
Optum Serve can help Veterans achieve health and wellness goals using TLC. Promote well-being, prevent illness and reduce the burden of chronic conditions.
Managing the rise of people with multiple chronic conditions
Predicting who will develop multiple chronic conditions (MCCs) and intervening early is critical to better care and lower costs
Developing a successful network strategy
Grow business and generate revenue with network planning.
Technology Helps Reduce Barriers to Tobacco Cessation
Learn about the growing change in tobacco cessation.
Accelerate your digital transformation
Capitalize on the momentum around digital health solutions.
Optum Advanced Practice Clinician (APC) video
Advanced practice clinicians give personal care
The American Rescue Plan and public health
ARP is an opportunity for state governments to improve public health through investment, infrastructure and innovation.
COVID-19 Area Vulnerability Index
Prioritize resources and optimize care to fight COVID-19.
Navigating Forward: C-suite check-in — Research findings state of health care
Find out what 161 C-suite health care leaders think about how COVID-19 has changed the industry — and where we still must make progress.
Real-world data centralized teams
Expanding the use of RWD requires expertise and leadership.
Address the challenge of Innovation
Ideation Hubs: Address the challenge of Innovation | Optum
HIMSS and Optum talk EHR strategies
Dr. John Kontor of Optum shares how EHR strategies provide numerous opportunities to improve and change health care.
Taking the Blinders Off Cancer Through Immunotherapy
Webinar: Taking the Blinders Off Cancer Through Immunotherapy
Four steps to a RWD enterprise strategy
Lou Brooks, SVP, Real-World Data and Analytics at Optum
Approaching health inequity with straightforward action
Read the CEO’s guide for assessing bias and building trust.
Meeting consumers on their terms
Learn how relationships between consumers and health organizations are transforming.
Real Talk on Real-World Evidence: Practical Applications in 2021
Virtual fireside chat with Advisory Board and Optum Life Sciences leaders explores the expanded use and next wave of RWE applications
Self-Direction for State & Local I/DD Programs
This content is presented by Optum and the Spark Initiative.
Applying robotic process automation (RPA) for compliance
See how RPA helped saved 9,465 hours and $950,000 over five years in our client use case example.
The Optum care model in your community
Deliver specialized health care benefits to your residents
Financially preparing for a chronic condition
Learn about the emotional impact of chronic care and how deeply intertwined health and finances are. This paper also includes ideas for how to financially weather a chronic condition.
Center for Health Equity - The Lewin Group, Part of Optum Serve
See how we help public and private health care leaders, policy makers and researchers support equitable individual and community health.
Podcast: Advancing Quit Services for Tobacco Cessation
Hear from experts and explore Quit Services topics for Tobacco Cessation
Pinpoint asthma, COPD and ACOS with EHR data
Optum study highlights clinical clues in asthma and COPD.
Impact member care with in-home assessments
Download the infographic to learn more about how in-home assessments can uniquely impact SDOH.
Support for long-term recovery
Find substance use disorder treatment that includes evidence-based resources and compassionate care for members and their communities.
Star ratings are important to Medicare Plans
Learn how health plans can improve Star ratings through high-touch strategies.
Addressing adolescent mental health
Find solutions and resources for employers and health plans to support adolescent and caregiver mental health.
Insights on improved care through technology and scale
John Muir Health shares how the organization uses technology to reach those in need of health care services.
Basset Healthcare partnering insights
Tommy Ibrahim, MD, CEO of Bassett Healthcare Network, shares insights on reinventing a health system for success.
Preparing a strategy roadmap for government programs entry
Amy Jensen, VP of Optum Advisory Services, outlines requirements for a new market expansion.
Achieving Success In Claims Editing
Learn best practices around delivery models, content and rule definition.
Optum Care Model & UnitedHealthcare Assisted Living Plan
Support residents living in a senior living community.
Guiding Members To Treatment & Support
Helping Members Struggling With Substance Use Disorder.
Improved Arkansas Medicaid Outcomes
Helping Arkansas improve Medicaid outcomes, reduce costs.
Navigating government programs
Learn how small and community-based plans can enter Medicaid programs in our navigating government programs video.
Redefining the prior authorization process
How we are revamping the prescribing process
The bedside research revolution
Optum Care Research and Innovation is an internal research support system that shows research is an integral part of care delivery.
SDOH and Medicare Advantage
This paper examines the critical impact of social determinants of health (SDOH) on patient care and how in-home assessments can help.
Center for Behavioral Health and Resilience
Our goal is to promote equitable delivery of behavioral health services and support individual and community resilience.
Optum Specialty Pharmacy & Optum Infusion Pharmacy Appeals
When patients are denied access to medications and treatments they need, the Optum Specialty Pharmacy and Optum Infusion Pharmacy Appeals Team is here to help
Actionable tips for improving your claims denial process
Develop these six characteristics to effectively manage denials and support your organization's revenue integrity.
Optimize payment reconciliation and reduce friction
This 2022 brief by Frost & Sullivan identifies how technology solutions can address multiple problems and improve payment processes.
Supporting providers in the transition to VBC
Learn how value-based care (VBC) partnerships between payers and providers are more important than ever.
Boost efficiency with payment optimization
Learn how payment delivery optimization can improve the health care financial cycle and bridge the gap between payers and providers.
Expanded scope and efficiency with Optum CAC and CDI 3D
See how one health system partnered with Optum to transform their coding and CDI program.
Filling revenue cycle resource shortfalls
How to improve efficiency and reduce expenses.
Smart revenue cycle investments rather than deep cost cuts
Strengthen revenue performance with two astute investments.
Improve your ROI with the help of Optum Claims Manager
Flexible claims management tool drives down denials
Reconcile your RWD expectations to maximize your investment
Understand how routine clinical practice impacts information captured in real-world data (RWD).
Five things your denial rate isn't telling you
Learn 5 ways to make changes that will prevent and remediate denied claims.
A/R recovery services revenue continuity
Provider maintains A/R continuity during HIS conversion.
Artificial intelligence and the changing role of case managers
AI can help manage new responsibilities.
Disruptive current events make traditional UR models obsolete
Learn five ways to use new processes and technology to improve UR.
Computer-assisted coding helps company with continued growth
See how ACS used Optum CAC Professional for computer-assisted coding to expand medical coding and billing operations and navigate the ICD-10 transition.
Defending emergency department reimbursement
Learn how to strengthen your ED visit-level determinations.
AI advances the revenue cycle
The use of NLP makes the revenue cycle work smarter, not harder.
Closing the Gaps in Pain Management
Find out how coordinated, personalized care helps advance treatment of chronic pain in senior communities.
How Optum supports value-based goals with powerful products
Optum supports value-based goals with powerful products.
Optum CAC offers automatic review of physician selected coding
Coding review module monitors for results.
How fully leveraged AI solutions surpass traditional UR systems
Learn four ways AI expands your reach and effectiveness.
Giving patients a clear look at their care
A better patient experience through price transparency
Developing a best-in-class middle revenue cycle for hospitals
Explore the six focus areas for improving performance.
Choosing a strategic accounts receivable service partner
Selecting the right recovery partner requires careful evaluation.
Supporting people when they need it most
Learn how Optum helped a member find support after a loss.
Modernizing the Medicaid experience
Read our 9 key takeaways for states to modernize the provider management experience.
Case study: Improving SGLT2i therapy guideline adherence
Article that covers OLS and Boehringer Ingelheim collaboration to increase adherence for patients with diabetes and CVD.
Emerging technologies in underwriting
Listen to the on-demand webinar from Becker Healthcare in partnership with Bill Dimmock, VP of Advisory Services at Optum.
Reducing administrative variation with artificial intelligence
Infuse technology into your medical necessity process.
Challenges in health and wellbeing programmes in APAC
Employers in the APAC region said effective health and wellbeing (H&W) programme promotion and motivating employees to participate are among their current challenges. Find out what else we learned when Optum surveyed 347 global employers.
Impacting SDOH for patients and communities
CNO Kristy Duffey discusses the benefits of home-based care, opportunities in value-based care and how digital tools can overcome barriers.
Improve claims processing with these claims management tips
Untangle the causes of medical necessity denials.
Review factors hidden by your denial rate.
RWD Pitfalls Part 1: Using the right tools to approach RWD
When working with real-world data, learn from the lessons of others to help maximize your own business return.
Develop a best-in-class front-end revenue cycle
Learn six ways to take your operations from good to great.
Improving clinical documentation improvement (CDI) efficiency
See how Lima Memorial improved efficiency with advanced technology.
Becoming financially resilient after COVID-19
We surveyed 105 hospital leaders on their strategies for achieving stronger financial health.
Emotional Wellbeing Solutions for Health Care Workers
Support workers who put others first every day.
Clinicogenomics: new, linked data is advancing research
Rich, longitudinal clinicogenomics data can fuel all stages of drug development.
Leveraging commercial health care technologies
Apply AI and program integrity practices in government.
Patient-generated health data and the IoT
New wave of connected devices enables continuous care
4 marketing questions health care leaders should ask
Learn the four essential data-centric marketing questions every health care leader should ask.
2021 PEAK Matrix Report : HealthCare Top 20
2021 PEAK Matrix Report : HealthCare Top 20 | Optum
Maximize clinical trial enrollment
Use clinical and claims data to conduct patient finding.
Forward-thinking strategies for 2022
Explore this video series featuring insights for Life Sciences leaders, delivered by experts from across health care.
Enterprise IT strategies with HIMSS and Optum
Scott Gaydos of Optum shares how enterprise IT strategies provide numerous opportunities to improve and transform health care.
John Muir Health & Optum: A Model IT Performance Partnership
Learn how John Muir Health advanced patient care through rapid IT integration, modernization and optimization.
5 keys to digital health care transformation
Transform operations, better manage business processes and improve outcomes.
Veterans Benefits Administration
They honored their commitment. It's time to honor ours.
John Muir Health Clinical Operations Video
See how John Muir partnered with Optum to enable a seamless consumer experience.
MMIS Game-Changer: Collaborative Contracting
NASPO ValuePoint helps states streamline procurement.
Market Performance Partnership: John Muir Health & Optum
Our integrated partnership model provides meaningful and measurable results.
Automation Drives Success for Health Systems
Discover innovative strategies to improve financial health.
Health Care Interoperability Solutions
Optum Interoperability and Patient Access Services can help your state comply with CMS' final rule. View our overview video to find out how.
Accelerating growth in the health economy
Learn how to secure market relevance in a shifting landscape.
Health Equity & Women's Health
Create meaningful change for the women in your workforce.
John Muir Health Partnership Insights
Learn how to lean into a partnership and determine the most important things to your organization and how to achieve them.
Optum Health Care Interoperability & Patient Access Services
Our solution is fully developed and ready right now to help your state meet compliance.
Gratitude for Heroism
Optum Serve is proud to recognize female Service Members and Veterans.
Solutions to the maternal care crisis are coming into focus
Solutions to the maternal care crisis are coming into focus
Five Insights to Manage Hospital Administrative Costs
In this Optum article, futurist Tom Koulopolous and John Muir Health's Chris Pass share five strategies to manage administrative costs and improve performance.
Electronic Health Records(EHR) Implement and Operate
Maximize your EHR investment through partnership.
Military & Veteran Health Care Journey: Infographic
Delivering and managing health care at key phases of life for Military Service Members and Veterans.
Modernizing the Medicaid Experience | Optum
How can states and providers use modularity to modernize? Dustin Haisler at GovTech.com interviews Optum product leaders for insights.
Clinicogenomics Enable Precision Drug Development | Optum
Health equity in kidney disease management
Learn 5 strategies for health plans to address inequities in the kidney care landscape and create more equitable access, treatment and outcomes for all.
Build a Culture of Health in the APAC Region
By engaging region-specific expertise, your company can strategically improve the well-being of its employees.
Supporting those who serve
Optum Serve is proud to support Military Service Members, Veterans and their families.
Navigate the workforce challenge
Identify root causes of workforce upheaval and how to adjust policies, procedures and practices for stability and long-term growth.
Digital Front Door Strategy Improves Patient Experience
Discover how a digital patient engagement strategy can provide easier access, reduce cancellations, and enhance front-end collections.
Pilot Program Lowers Cardiovascular Disease Risk
An innovative program involving patient awareness and provider outreach improves patient use of lipid-lowering therapies.
Behavioral Health Provider Digital Access Survey | Optum
Balancing health choices, cost and outcomes
The health care system has fewer resources than ever and struggles to provide care when and where people need it. How can employers support their workforces?
The Health Equity Alignment Solution (HEALS)
HEALS is a data analytics solution that highlights where and how inequities occur within a community, state or a health plan’s member population.
2023 trends shaping life sciences strategies
Life sciences market experts from Optum and Advisory Board offer their bold predictions and insights in 2023 for the industry.
Health and wellbeing offerings attract and retain talent
See what our 2022 Global Employer Insights Survey says about health and wellbeing (H&W) strategies and practices to help recruitment and retention.
Priority Identification Vaccine Operating Tool (PIVOT)
PIVOT provides the data analytics and visualization needed to optimize planning, administration and monitoring of vaccines.
Family-building inequities
Read how payers can turn the tide on 5 worrisome statistics.
Unlocking the promise of personal medicine
See how a peek at your genes enables more precise prescribing.
Mitigating maternal care deserts
For some mothers-to-be, health care options are disturbingly limited — or even nonexistent.
Spend more time with members and less time on paperwork
See how prospective assessment programs can reduce administrative burden and allow physicians to focus on what matters most: member care
Reinventing a health system for success
Learn about the Bassett Healthcare and Optum partnership.
New indicators of growth
Learn how to measure the success of consumer relationships in today's market.
Slowing the specialty pharmacy carve-out stampede
White paper: Defragment care with in-home assessments
In-home assessments can help to improve mental health and other social determinants for seniors. Read about the HouseCalls approach.
Vaccine Outreach - Implementing Community Engagement (VOICE)
VOICE addresses vaccine hesitancy in at-risk and vulnerable populations.
Health Plan Leaders on StepWise Migration to the Cloud
Strategic Growth for Health Systems
This webinar covers topics surrounding disruptive market forces, workforce strategy, competitors growing within the industry and finance.
Applying health equity through action and evidence
Optum VP of Health Equity Analytics, Dr. Ali Shirvani-Mahdavi, discusses developing a data-driven strategy for equitable health outcomes.
NEJM Catalyst Q&A: Tech’s role for health care’s workforce
CMO Dr. Garry Choy discusses pros and cons of using automation and clinical decision support to meet today's workforce challenges.
Healthier Outcomes for Moms and Babies Through Data
By reaching out to women earlier in pregnancy, one state is supporting moms and babies and creating healthier outcomes for both with help from Optum.
Delivering the Personal Touch
Addressing pharmacy issues that matter to you
From specialty pharmacy to drug affordability, our experts tackle your biggest pharmacy challenges.
Health leaders share IT transformation stories
Hear John Muir Health and Bassett Health’s observations on digital transformation, modernizing infrastructure and strategic automation.
Volume 2: Revenue performance for better financial health
Read the white paper for strategies on achieving proper levels of reimbursement, writing off bad debt, and expanding into new service areas.
Wellness Coaching helps motivate employees
As a wellness coach, I connect employees with tools and resources that align with their health and wellbeing goals.
Digital scheduling at a rural health system
Learn how a rural health system achieved an ideal patient experience and increased bookings with digital scheduling.
Health and wellbeing now a top priority, say employers
Optum surveyed 347 global employers and found employee health and wellbeing (H&W) is a top priority — and it’s increasing in importance over time.
Making a better future for mental health care
Guide members to the right behavioral health care when they need it.
Addressing health equity barriers in cancer care
Discover the 5 pillars of equity-driven member navigation.
Building public confidence with health data
See how the FDA and Optum use real-world evidence to monitor the safety and effectiveness of COVID-19 vaccines in our youngest populations.
Personalized support for members with autism
Optum is breaking barriers in supporting members and families who are diagnosed with autism spectrum disorder (ASD).
For working in health care, positive future awaits
Sarah King, chief client officer, highlights how we can work together to overcome workforce challenges and forge a new path forward.
Support state Medicaid agency goals for members
Find out how a person-centered approach can help.
Clinical intelligence: The smartest revenue cycle investment
Our white paper shows how investing in smart technologies supports the revenue cycle from patient registration through full reimbursement.
6 workforce strategies for health care leaders
Strengthen and inspire your health care workforce. Our actionable toolkit offers new strategies to reconnect with talent, simplify workflows and more.
6 growth trends for patient-centric health care
Learn strategies you can use to differentiate your health system from your competitors.
How to achieve more inclusive MSK care
Musculoskeletal conditions are costly, common and fraught with health inequities. Here’s how a more holistic approach can help payers better serve all members.
Specialty vs. retail pharmacy
Specialty medications require high-touch support. Learn more about what sets specialty pharmacy apart from retail.
Creating better behavioral health care
We help people find care and support that’s easy to understand and access.
Support for your entire workforce
Invest in your organization’s most valuable asset — the people — with solutions for everyday life.
Study reveals costs for unrecognized kidney disease
Who are the patients in your market?
Get a complimentary custom market assessment to identify high-value patients and vulnerable populations to build meaningful engagements.
Platform strategy for digital transformation
Read more about the digital transformation journey and how to approach these challenges by working toward a product driven model.
Mental health support for youth and caregivers
Youth are struggling more than ever before with their mental health and well-being. We can help.
Executive series: Health Care Workforce Crisis
Get strategy, insight and resources to create an enterprise-wide health care workforce strategy.
Helping members achieve their goals
See how the right mental health care makes a difference.
Is poor market visibility compromising your growth?
How to understand your true growth potential.
Informing the FDA BEST Initiative
As a key FDA collaborator, Optum Epidemiology generates reproducible results that inform regulatory decisions for COVID-19 vaccines.
Payer-provider collaboration in ESRD care
Kidney disease is complex and expensive, and disproportionately impacts people with limited financial resources. Here’s how payers can help transform care.
Benefits of the Optum care model
Learn five fast facts assisted living communities should know.
Automation and workforce strategies for health care
C-suite panel shares six takeaways on how automation can address labor concerns, consumer expectations, inefficiencies and disparities.
Optum Global EAP
The Optum Employee Assistance Programme (EAP) is a simple, seamless solution to support your global workforce.
Enhancing billing accuracy with provider education
Enhancing billing accuracy with provider education
Achieve Accuracy and Efficiency in Claim Pricing
Create a framework that drives first-pass adjudication.
Bassett Healthcare Network Blazes a Bold Path Forward with Optum
Bassett Healthcare Network Blazes a Bold Path Forward with Optum
Personalized care: Focusing on the member
Hear from Optum Rx chief of operations, Jon Mahrt
Driving Hospital and Health System Growth strategy
Explore a collection of best practices for health systems.
Human Centered Design in Health Care
This Optum white paper shows how human-centered design builds technology and programs that are easy and intuitive for consumers to use.
Comprehensive payment integrity savings
Inform and improve your entire claims management lifecycle.
Four steps to an enterprise data strategy
Explore the steps for creating a real-world data strategy that helps life sciences companies to maximize their data investments.
Is Your Real-World Data Research Ready?
Real-world data can help evaluate the effectiveness of medications and therapies, which is why evaluation should be part of the investment.
Targeted care and lower cost: How one state achieved both
One state achieved both in delivering home health services.
Targeted marketing can fine-tune your consumer reach
Targeted marketing can fine-tune your consumer reach
Clinical and claims data: A powerful combination
Get a snapshot of the pros/cons of clinical and claims data.
Improve Women's Health with Community-Based Solutions
Improve Women's Health with Community-Based Solutions | Optum
Optum HouseCalls: In-home Multi-Dimensional Clinical Evaluation
In-home clinical evaluation of health and ongoing care needs
Achieving revenue integrity in a changing and complex climate
A Q&A about revenue integrity trends, challenges and effective strategies for improvement.
True interoperability adds value
Act on trends, enhance care coordination and much more.
Navigating three critical facets of health equity
This toolkit explores what CMOs need to do to lead the way.
Hearts Behind the Work: Meet Our People
Meet the people of Optum who are putting you at the center of everything we do.
Inadequate outcomes: The crisis of health inequity
Get a takeaway and hear from an expert panel on new ways to recognize health inequity and strategies leaders are taking to address it.
Boulder Community Health and Optum
Optum partnership insights and strategies enable near- and long-term success for provider organizations.
Using Your EHR to Accelerate Digital Health
Explore how a thoughtful approach to EHR can impact the health care digital journey and help an organization achieve its business goals.
Optum Quit For Life
Discover the difference of an evidence-based program that offers a truly personalized approach and blends technology with a human touch.
5 questions: Premium Value formulary
Hear from OptumRx SVP of clinical & formulary services
Arkansas' New Approach to Medicaid Management
See how data and analytics help Arkansas manage one of the state's most vital and widely used government programs.
Optum Quit Services
Discover the difference of an evidence-based program that offers a truly personalized approach and blends technology with a human touch.
Third Annual Optum Survey - AI in Health Care
AI on the rise: Health leaders turn to tech in the pandemic.
Excela Health and Optum partner to serve the local community
This video discusses how Excela Health and Optum are working together to create financial sustainability and serve the local community.
How to control drug costs without compromising care
Explore three principles driving better pharmacy benefit decisions.
Retaining talent through employee integration
Explore a strategic alignment to transition employees within the expectations and goals of Market Performance Partnerships.
Optum Quit For Life
Discover the difference of an evidence-based program that offers a truly personalized approach and blends technology with a human touch.
Cambia's evolution with StepWise
Cambia replaced their legacy health insurance premium quoting system for their small and midsize employer group business. The total health solutions company was determined to find a vendor that met their business vision.
Preparing for the future of life sciences
Life sciences leaders are thinking differently with data to support novel strategies.
Explore five priorities to improve financial performance
Explore five priorities to improve financial performance
Overcoming challenges to managing costs in health care
A Q&A about opportunities to improve margin performance
What to consider about weight loss drugs
Get the most from these pricey new obesity drugs by choosing the right coverage strategy and helping your members build lifelong habits.
Closing the diagnosis gap in chronic kidney disease
Most people with chronic kidney disease don’t know they have the condition. These payer strategies can help turn the tide.
Insights to improve outcomes and lower costs
Enabling providers and clinical teams with actionable patient data can create effective value-based care behavioral health programs.
The role of navigation in simplifying health care
An active approach to advocacy can help improve member experiences while driving down costs. Read our e-book to learn how.
Top Wellbeing Challenges for Employers Today | Optum
From transformation to triumph
Read this executive summary about Optum Serve's need to stay competitive amid dynamic trends and customer demands.
Revolutionizing cardiology at Boulder Community Health
Discover how Boulder Community Health and Optum Advisory worked together to achieve smart growth and sustainable change.
Winter: First big drugs for 2024
New treatments for NASH, schizophrenia and more are on the way.
Case study: Identifying patients at risk for a bone break
Optum Life Sciences experts used real-world data to assist in the testing of an algorithm designed to assess for osteoporosis risk.
Break down silos in clinical trial design with RWD and tools
Clinical trial protocol design and feasibility often occur in silos. Learn how to make the overall trial design process more effective.
Using data to improve health equity
Together, we can identify disparities and take steps toward health equity for all Americans.
A new approach to managing genetic testing
Better manage genetic test management solutions, ensuring the right test is used at the right time to determine the right care.
The 6 trends shaping pharma strategies in 2024
Life sciences market experts from Optum and Advisory Board share perspectives on trends that will influence the future drug value chain.
Benefits Hub Strategy: What employers need to know
Achieving health equity: Strategies for payers
Learn more about a comprehensive solution for health payers to address health disparities and achieve health equity.
Making better decisions in a crowded benefits landscape
Assessing vendors is daunting enough. But for many employers, limited data, contract variations and employee confusion add complexity.
Elevating employee engagement
Data-driven, targeted strategies help successfully increase employee use of mental health, financial and legal services.
The new drugs plan sponsors need to watch for
See which trends to consider when assessing the pharmacy benefit, which new drugs may be flying under the radar and what's coming.
Catalyze the use of RWE in the life sciences industry
Discover how using real-world evidence (RWE) in the life sciences industry can help catapult learning and drive impact for your company.
Value-based care in behavioral health
Learn strategies to equip mental health clinicians for success in making the transition to value-based care.
Improving performance at Excel Medical Center
Empower provider success and improve member care through digital integration.
Optum named a Leader in patient engagement
Everest Group recognizes Optum in its 2023 Patient Engagement Platforms PEAK Matrix® Assessment.
Weighty issue: How to contain GLP-1 costs
Get strategies for handling the new anti-obesity medications.
NEJM Catalyst Q&A: Health equity
UHG leader Catherine Anderson on building blocks of a health equity strategy, partnerships and leveraging resources for sustainable impact.
Clinicogenomics: advancing discovery and treatment
Watch Dr. Ashley Brenton, VP, real-world evidence and genomics, Optum Life Sciences, discuss patient journeys and cohort building.
Addressing the high cost of musculoskeletal care deferral
With musculoskeletal (MSK) incidence rates and costs rising, connecting members with the care they need is more urgent than ever.
Pharmacy Network Strategy
Our full-spectrum pharmacy services are designed to provide affordable access to prescription medications and therapies.
Regulatory updates with Optum Rx
Stay up-to-date on what’s happening in pharmacy legislation.
Wellbeing in the Workplace Study
Global employers share insights on their efforts to adapt wellbeing strategies to meet their greatest workplace challenges.
Driving innovation with new services
One organization decreased uncompensated care, increased loyalty and patient satisfaction, and connected patients with more funding sources.
Virtual urgent care scheduling for telehealth
Optum Patient Access and Engagement connects consumers to virtual urgent care through a national telehealth platform.
Automating Success: The Keys to Revenue Cycle Transformation
Gain expert insights into strategies to decrease costs, unlock new sources of growth and improve patient experiences.
Streamline Medicaid Eligibility and Enrollment
The rise of healthcare consumerism has prompted many hospitals and health systems to rethink their patient satisfaction strategies.
Advancing health equity: How Optum Rx Is overcoming challenges
Thought leaders discuss the intentional vigilance needed to overcome obstacles impeding better access to health care for all.
Annual Optum survey on consumer care preferences
Optum surveyed more than 1,200 consumers to understand their experiences when accessing care. Download this e-book to read our findings.
Address the complexity of the claims process
Read the interview for insights into how state leaders can reduce administrative cost, and support collaboration with providers
Breast cancer awareness month
Early detection is critical to fighting breast cancer; advances in technology are helping
An interview with Jamie Freedman, MD, PhD, and Shalini Mohan, MD
This interview about health equity and clinical trials is part of the "Let's talk" conversation series.
Interview with Jason Spangler on value assessment frameworks
This interview is part of the "Let's talk" conversation series.
Toward Outcomes-Based Payments
Learn from industry leaders about the push to generate evidence and demonstrate value for health care provider value.
Navigating the rapid growth of healthcare data
Optum Advisory experts share how their actuarial consultants help providers reduce care fragmentation and increase coordination.
Integrated in‑home and in‑office assessments program
Help manage care and improve quality by providing members in-home and in-office care assessment options through one streamlined approach.
How Health Equity Can Be a Catalyst for Growth
Providing better care for the underserved is vital for healthier communities. It can also be a wise strategy to unlock organizational growth.
Viewpoints on the 2025 CMS Advance Notice
Don't miss this exclusive webinar and the chance to learn how your Medicare Advantage plan can better prepare for the 2025 changes.
Combating the opioid epidemic
Medication interventions save lives — more people need access to them.
Experts agree: PBMs add value, lower costs
PBMs don’t cause high drug costs — they’re part of the solution. Our drug prices beat the “low cost” vendors.
Navigating the rapid growth of health care data
Optum Advisory experts share how their actuarial consultants help providers reduce care fragmentation and increase coordination.
3 ways to address vaccine fatigue
Learn about researched vaccine messaging themes and important steps you can take to promote critical vaccinations for members.
An interview with Chris Boone, PhD on precision medicine
This interview is part of the "Let's talk" conversation series.
Meet the rising demand from seniors to age in place
In-home assessments can improve outcomes, reduce health care costs and align with member preference.
Connecting Patients to Clinical Trials in Community Care Settings
Learn how real-world data can increase access beyond traditional research sites.
How to manage blockbuster anti-obesity drugs
The pricey weight management drugs work well, but users need coaching and support to maintain the benefits.
2022 Agent Insights report
The 2022 Agent Insights report highlights consumer trends plus 10 key insights to help you grow and succeed.
The impact of corrective actions on Stars ratings
Learn more about the impact and implications of a Corrective Action Plan and how Stars and these corrective actions are interconnected.
Forging a new frontier in mental and behavioral health
Overcome today's barriers with leadership, collaboration and investment strategies that proactively address mental and behavioral health.
Support for immunology providers
When you work with the Optum® Autoimmune (AI) and Gastroenterology (GI) Center of Excellence, you’ll have access to therapy-specific tools and resources to get your patients with AI/GI conditions started on therapy quickly and efficiently.
Natural language processing (NLP) methods for RWD insights
NLP systems allow us to draw insights from billions of unstructured medical notes. Learn more about our NLP methodology in this white paper.
Decreasing avoidable claim denials with transparency
In this white paper, see how near real-time visibility prevents improper claim denials.
A New Approach: guidance along the fertility journey
Discover how health plans can set aside ad hoc solutions and adopt a comprehensive approach to improve health outcomes and accessibility to fertility care.
NEJM Catalyst Q&A: Value-based care
Dr. Wyatt Decker discusses the path forward for value-based care including implementation challenges, benefits and keys to success.
Why you should prioritize digital payments
Digital payment processing doesn’t have to be a daunting task. Here's why it should be at the top of your priority list.
Get competitive with coding and CDI analytics
Watch the demo to learn how our analytics platform provides custom, value-added reports with the data insights you want.
SDOH solutions: Transforming health care for all
Learn from experts how to transform health care by addressing the social and economic factors that impact health outcomes.
Taking aim at the U.S. maternal mental health crisis
New and expectant mothers are facing an epidemic — and a lack of support in addressing it. Read how health plans and employers can help.
Utilizing Patient Access Contact Center Services
See how a hospital streamlined scheduling for about 700 providers and strengthened customer service for over 65,000 patient calls monthly.
How CAPs directly impact your Stars performance
Stars Final Rule and the importance of taking a member-centric approach to improve health equity.
Gene therapies: Can we afford the future of medicine?
Learn how to manage financial risk as gene therapies become more commonplace.
SDOH solutions: Improving population health outcomes
Learn how we are utilizing technology to understand and impliment effective population health interventions.
5 trends that defined pharmacy in 2023
See which trends are shaping the present and future of pharmacy care services.
Webinar: Solving trial recruitment challenges with data
Learn from clinical trial leaders how you can address recruitment roadblocks by unlocking real-world data (RWD).
Optimize Patient Access with Automation and Technology
This webinar shares best practices for optimizing patient access with automation and consumer-centric technology strategies.
Diagnosis and care recommendations for rare congenital anomaly
Rigorous work-up leads to conservative CHD (Congenital Heart Disease) treatment approach.
Strategies to beat the RCM labor shortage
See how strategic revenue cycle partnerships can help you thrive amid the Great Resignation.
The value of DEX Z-Codes in the commercial space
Optum and Palmetto experts partner in discussing how to solve genetic lab challenges in legacy solutions.
Easier access to mental health services
Learn how Refresh Mental Health used online scheduling to simplify consumer access to mental health care.
Two-sided risk: Medicare Advantage vs. fee-for-service Medicare programs
How fully accountable care improves quality outcomes.
Maternal and infant health insights
Optum Advisory uncovers disparities in maternal and infant outcomes — commercial vs. Medicaid — identifying key factors.
New hope for neurological conditions
Learn how a holistic model enhances multiple sclerosis care.
What if pragmatic trials were more practical?
Pragmatic trials look increasingly attractive to researchers, but they’re tough to execute. Learn how to simplify the process.
2024 Stars Preview: A Return to Normal and a Path Forward
Perform key actions to manage your Stars performance with a focus on member engagement. Learn how to take control of your Star ratings now.
Fecal transplant to treat recurrent urinary tract infection
Leveraging a microbiome approach.
The road to financial stability
Health system CFOs share insights to navigating razor-thin margins
Health Equity Vision Into Action Report
Learn how identifying and addressing disparities in health care allows everyone to live their healthiest life.
Fitness for a generation that never gets old
With baby boomers rapidly aging into Medicare, health plans must take an informed approach when marketing fitness benefits. Here’s how.
Fall 2023: Exciting advances for sickle cell, chronic obesity, Alzheimer’s
See potential cures for sickle cell and new help for chronic obesity and Alzheimer’s, along with how they work and how much they cost.
Transforming the pharmacy industry with transparency
Hear how the industry’s most transparent and independent Pharmacy & Therapeutics Committee evaluates drugs for the Optum Rx formulary.
How Health Data Can Improve MSK Care for Members | Optum
Think differently: Strategies for incremental modernization
States can build on a step-by-step approach to modernization, incrementally transforming the user experience without disruption.
Key considerations when updating provider management modules
Explore 6 key factors when updating, streamlining and coordinating provider management modules with other Medicaid functions.
6 guiding steps for selecting a fit-for-purpose data set
Using RWD that are not fit for purpose can waste time and money. Review 6 simple steps to guide your research towards the right data.
Hybrid work schedules impact employer H&W programmes
When we surveyed global employers, we found they are looking to increase the number of health and wellness (H&W) programmes they offer. Find out more.
Critical Steps to Navigating Change Management
See how an effective change management strategy can help people adapt to change more quickly and nimbly.
Addressing challenges with CDI and coding
Read the success story to hear how Optum technology helped increase John Muir Health's monthly CDI case review average by 22%
What’s changing the PBM industry?
In this conversation, learn from Optum Rx thought leaders on how access, affordability and transparency have become imperatives for pharmacy benefit management.
Extending an independent lifestyle for seniors
The Optum differentiator helps communities attract and retain residents.
Help Improve Your Members' Health with Optum HouseCalls
Medicare Advantage members receiving in-home assessments saw reductions in emergency department visits and inpatient hospital stays across 4 conditions.
HouseCalls travels far and wide to support members’ health
The HouseCalls program provides health plans with annual in-home clinical assessments for Medicare Advantage members available in 50 states.
Innovative approaches to collaborate with PCP's
Understanding the challenges confronting Medicare Advantage plans and their Medical Loss Ratio.
3 Ways Digital Movement Is Reshaping Member Experiences | Optum
Best practices for reducing provider abrasion
Find out what is driving the recent increase in abrasion and learn what health plans can do to alleviate provider pain points.
Addressing the root causes of mental health disparities
Discover steps and strategies to reduce disparities among vulnerable populations and remove barriers for more equitable mental health care.
Staying current in your core admin platform
Get current, stay current and leverage the newest platform capabilities with ongoing release management.
What’s the biggest challenge to health and wellbeing programme success in EMEA?
When Optum surveyed 347 global employers, companies in EMEA said understanding employees’ needs was one of their main challenges.
Alzheimer's treatment: Time for a level-set?
See success rates, risks and costs of the new Alzheimer’s treatments.
Promoting patient access to gene therapies for rare disorders
Optum Life Sciences experts discuss value-based contracts at the 5th Annual Gene Therapy for Rare Disorders Conference.
Spotlight: Fitness needs across generations
How to engage hard-to-reach kidney disease patients
Chronic kidney disease impacts millions of Americans. Payers must partner more closely with providers to better target the members most at risk.
How to implement patient-centered oncology care
Faster access to mental health care
Give employees guaranteed access to mental health care with the Premium Network model from Emotional Wellbeing Solutions.
Key learnings for modernizing your state’s legacy system
As you embark on maintenance and operations (M&O) modernization, consider how these 8 best practices can drive your success.
Future-ready claims review: automation isn’t enough
As claims grow more complex, many automation methods aren't sophisticated enough for the job. See how payers can take claims review to the next level.
Working together to help end the opioid epidemic
Opioids are powerful drugs with a high risk of misuse and dependence. A comprehensive solution can help address this complex problem.
What if providers’ clinical data were research-ready?
Providers collect data about patients every day. But what should they be considering — and doing — to put their clinical data to good use?
Can innovation help the health care workforce crisis?
Harvard Business Review Analytic Services and Optum leaders examine human-focused innovations for the health care workforce.
5 ways shift-of-site care is a win for all women
With unique needs, women benefit greatly from a wider array of care options. Payers and employers can reap big rewards by providing them.
Supporting our kids
Mental health needs are increasing in youth. Experts share their insights on how to best support them so they can grow into healthy adults.
More inclusive MSK care: how can employers help?
Discover what employers can do to support all employees who may be coping with costly and common musculoskeletal conditions.
The secret to lowering the total cost of care
Rising pharmacy costs concern everyone. Managing the underlying health conditions behind each prescription is key to addressing these high costs.
Improving access to behavioral health services
See how Optum helped one state visualize utilization and demographic data around behavioral health programs.
Ensuring responsible use of AI in health care
See how we use artificial intelligence (AI) and machine learning (ML) to help people live healthier lives and make the health system work better for everyone.
Achieving health equity: Actionable analytics unlock improved outcomes
By applying analytics solutions, states can create a comprehensive roadmap to better health equity.
Breakthroughs in kidney care
Explore the most promising innovations in renal care for people with chronic kidney disease.
Intelligent automation improves underwriting results
Machine learning coupled with software features and cost-tuning delivered significantly improved predictive value and underwriting results.
Four steps to optimizing value-based care
Learn how combining these steps can help power a holistic workflow between payers and care delivery.
Strategies to reduce administrative costs
Strategies to fix payer-provider collaboration, streamline patient financial experience and apply AI technologies for better cost savings.
Collaborative strategies to optimize complex care management
As caring for complex patients gets more complicated, payers and providers must partner to provide better, more accessible, lower-cost care.
Novel data collection for a difficult-to-study condition
To build a more complete picture of the patient burden, the Optum HEOR team investigates patients’ experiences with their treatment journey.
Orphan drugs market: Can we afford them?
We examine key questions around orphan drugs such as why they're so expensive, how they're being used and what plan sponsors should do next.
Fertility solution overview
Whether for personal or professional reasons, many couples today are delaying starting a family. However, waiting to conceive can lead to fertility issues — for one partner or both.
Unraveling complexity in specialty care
Learn how Optum is streamlining care delivery with insights from patients and providers to improve outcomes and drive down costs.
Reassess the Inflation Reduction Act with evidence in mind
Cut through the noise of the Inflation Reduction Act of 2022 with key points aimed to help life sciences leaders leverage impactful data.
Driving a frictionless digital patient experience
Watch the webinar to learn how to reduce friction points impacting the digital journey and preventing patients from getting in the door.
Biosimilars to save billions in this decade
Prices for popular brand-name biologics drop up to 60% with generic-equivalent biosimilars.
Leverage AI-powered CDI and coding
CDI programs are expanding to support risk adjustment initiatives. Integrated CDI technologies are needed to support revenue and integrity.
Analytics in payer-oncologist partnerships
See 4 ways that payers can help health care providers unlock the power of real-world data to drive quality and innovation in cancer care.
5 things to know about the new landscape of fertility benefits
More and more, benefits leaders see the value of reproductive health — and it’s changing how they approach offerings.
Partnering to reduce fraud, waste and abuse
We partner with federal agencies to address challenges and support their unique needs through technologies, solutions and best practices.
Delivering on the promise of fertility care
As a highly specialized area of care, fertility treatment is a significant cost driver for health plans and employers.
Cost optimization strategies to restore financial health
Watch the webinar for insights on disruptive market forces, the health care economy, cost-management efforts and managing operating costs.
Health system boosts reach with payer channel scheduling
St. Luke’s Health dramatically increased volumes and decreased costly no shows with Optum digital scheduling. Learn how your system can, too.
Support the four pillars of wellbeing
International wellness expert Rayson Ng shares how companies can design wellbeing programmes to build a culture of health.
Understanding college students' mental health needs
Read about the realities of campus behavioral health care and how we can make it better.
Guided help for mental health support
We’re making it easier for people to access care.
Engage providers to impact member outcomes
Download our infographic to learn how Optum can take the burden off of payers to impact provider performance.
Life Sciences: Top stakeholder questions to consider
Ask your stakeholders what they need early on. Consider these top questions that patients, providers, payers and regulators are looking to answer.
Do employers care about employee financial wellbeing?
We surveyed 347 global employers to learn more about the importance of employee financial health in health and wellbeing (H&W) strategy.
New mandatory CMS reporting rules will impact states
To meet the requirements, states should consider focusing on five key areas.
GLP-1 agonists: A new class of weight loss medications
In this conversation, discover how new weight loss drugs like Wegovy are changing obesity management and their connection to diabetes.
Tackle workforce crisis with human innovation
Explore human-focused innovations for solving health care workforce challenges while reaping benefits for all.
Empowering clients with more choice and transparency
Helping make prescription drugs more affordable for plan sponsors and the members we serve is a universal focus.
Missing pieces in the patient journey puzzle
Clinicogenomic data, unstructured data and novel clinical trials solutions can all contribute to completing the view of the patient journey.
Improve provider engagement with Optum Mobile Query
Watch the demo video to streamline your CDI/coder query workflow and engage providers in real time.
Navigate the intersection of risk adjustment and Stars
Discover 5 strategies that will help your health plan be prepared to factor risk adjustment data into Star Ratings.
Reimagine your employee assistance program
Help employees feel mentally, physically and financially well with Emotional Wellbeing Solutions.
NEJM Catalyst Q&A: Care delivery innovation
Optum Health CEO discusses care delivery innovation within value-based care and the role of alignment, partnership and analytics.
The road to modernization
Learn how modernization can help constituents and stakeholders interact with state agencies quickly, effortlessly and through preferred communications.
Rising expectations among health care consumers
Learn about the growing expectations people have for their health care experience and how to improve the consumer journey.
How to push back on 3 key pharmacy headwinds
Innovative formulary structures and clinical programs can help plan sponsors meet the challenge of expensive orphan, biologic and GLP-1 drugs.
How health care leaders should be re-evaluating experiences an aging population
Discover how to effectively serve aging populations with strategies and technology that meet their consumer preferences.
Reexamine the effect of the Inflation Reduction Act
Learn how to prepare for tough conversations and questions related to the Inflation Reduction Act’s health care policies with data and evidence.
Integrated RWD: the key to accelerating innovation
To maximize the value of clinical innovations, you need dimensional, robust data. Learn about leveraging integrated cost and clinical data.
Unlock clinical insights with NLP technology
Learn about natural language processing (NLP) challenges and opportunities in the real-world data (RWD) space from Optum® NLP experts.
Establishing trust to improve value-based care outcomes
Read this blog to get tips on how payers can support providers to increase engagement and reduce administration burden for better patient care.
Rethinking the health care payment process
Explore 4 strategies to streamline billing and payment systems and to create a better experience for health care consumers.
What health consumers want from loyalty programs
Learn how employers can tap best practices to ensure their health rewards and loyalty programs make a meaningful difference.
Reduce claim errors with front-end RCM solutions
Cut down claim mistakes by collecting accurate data and refining your workflows.
How AI and automation are improving middle RCM performance
Enhance revenue integrity, improve patient journeys with innovations that empower a more efficient middle revenue cycle.
Autoimmune, oncology, diabetes and obesity rule drug spending
Many patients combined with expensive drugs leads to top spending classes.
Challenges and opportunities with clinicogenomic data
Genomic data linked to the longitudinal health record hold great insight. How should researchers think about and use these powerful data?
New innovative treatments for hemophilia B, RSV, COPD
Cutting-edge research in gene therapy, mRNA editing and blood enzymes pays off with powerful new advances for these drug classes.
Eliminating surprises in pharmacy spend
Old strategies and new drugs don’t mix. Future-proof your plan and get better predictability with new specialty pricing models.
Driving healthcare innovation
Analysis on forces driving change, what to watch and how to move forward for C-suite health care leaders.
3 steps to establish a successful physician review program
A strong physician review process can help enhance quality of care. In this playbook, learn the 3 steps you need to take to thrive in your physician review process.
New options to treat schizophrenia, COPD
A clever combination drug offers new help for schizophrenia with reduced side effects, while Dupixent expands its footprint to COPD.
Mental Health: Optum Addresses the Great Information Divide
Explore the challenges and opportunities in mining mental health data for individuals and communities.
Trends for health plan quality performance
An outlook report on how health plans can stay ahead of the curve and prepare for key trends likely to impact their quality programs in 2025 and beyond.
Making home dialysis the industry standard
Learn 3 ways to make the shift toward at-home dialysis treatments a reality for more patients, leading to better health outcomes.
Advancing DME benefits management
Connections that count: Redefining the PBM experience
Hear from experts on better ways to simplify the complex health care experience through impactful innovation.
Introducing our new patient access and engagement platform
View the public launch of Optum® Patient Access and Engagement on demand.
Get immediate savings on specialty drugs
Specialty drug spend is a "top threat" to employer-provided benefits. Discover sustainable savings with your existing Optum Rx plan.
Building the PBM of the future
Creating solutions plan sponsors need today to tackle tomorrow’s pharmacy challenges.
How to empower employees with a health advocacy solution
What makes a meaningful advocacy program? One that delivers strong health outcomes and compelling savings through a patient-centric lens.
The latest PBM regulations: Summer 2024
Get your guide to the evolving health care regulatory landscape and see what’s coming as lawmakers debate 600+ new bills impacting PBMs.
Specialty drugs: Not just set and forget?
For optimizing specialty drug therapy, monitoring patients throughout their care is key to cost-effective use of high-cost drugs.
Taking the paper out of member communications
Discover how digital communications can increase member engagement and lower the cost of care.
3 ways holistic MSK care improves all avenues of care
An integrated approach can help employers and health plans fight back against skyrocketing musculoskeletal (MSK) costs.
The value of clinical notes: Beyond the structured data field
What more is there to the patient story? Get deeper data insight into patient-clinician interactions with de-identified clinical notes.
Buyer's guide to RCM services
Buyer's guide from Everest Group offers insights into RCM partnership models and advice to future-proof your RCM operations.
2024 Annual Health Care Trends Report
Get expert analysis for C-suite health care leaders on the forces driving change. Explore challenges, what to watch and how to move forward.
Viewpoints on the 2025 CMS Final Notice
Download this executive summary to learn how these changes may affect your Medicare Advantage plan.
Revolutionizing specialty medication management
Get an in-depth assessment of the ways Specialty Fusion is revolutionizing specialty drug management.
Outlook on oncology 2024
See how emerging trends, including a global pandemic, are reshaping the landscape of oncology care and medication.
Transforming CDI and coding with advanced analytics
Banner Health and Optum paired AI-powered technology with advanced analytics to expand focus on quality and risk-adjustment initiatives.
Does your patient engagement platform check all the boxes?
A patient engagement platform that covers the full patient journey can streamline operations and costs.
10 years of innovation with the FDA — and more in store
Dr. John Seeger reflects on Optum contributions to the Sentinel Initiative and looks forward to the opportunities ahead.
Preparing your plan for the GLP-1 era
After revolutionizing care for diabetes and weight loss, GLP-1 drugs are being eyed more. Can we afford it?
C-suite research report: Consumer-centric health care
Examine the acceleration toward consumer-centric care with insights from health care leaders — and what that means for your strategic plan.
An employee benefits strategy that balances cost and care
Learn how to develop an efficient benefits strategy that helps your people be well — while balancing your budget and achieving value.
Partnerships to close gaps in maternal health
Learn how we can help states take strategic, tactical action on health equity challenges like home-lessness and perinatal care.
Best practices for optimizing your payment integrity program
What’s informing HEOR strategies in 2025? Insights from our experts
Site of care: A longitudinal review
This on-demand webinar will explore patient care trends, analyze key procedures, and review projections for service line growth.
When health care works better for everyone
See how building an outcomes-based model for behavioral health care can benefit both clinicians and patients.
Addressing the loneliness epidemic and cognitive decline in seniors
To tackle this problem, payers need to take a holistic approach to delivering connection while addressing seniors’ mental and physical needs.
How to ease the emotional toll of caregiving for members
Discover how to support caregivers and their loved ones’ mental health by providing resources and tools.
Coding audits: Why and how to do them
Discover how regular coding audits can streamline audit and compliance efforts, boost hospital reimbursements, and improve patient financial experiences.
Health savings pathways part 3
Use best practices to gift wrap your employee benefits experience and optimize the impact on your employees’ well-being.
How to effectively manage organ transplant costs
Access to mental health care within 48 hours
Optum expands care options while reducing crisis events and costs.
Optum State Data Hub for enterprise data-sharing
Cost-effective, modern information sharing puts collaboration and security first.
How hub and advocacy solutions work together to help employers
Commuter benefits calculator
Regulations to watch: Fall 2024
An assessment of the latest rules impacting PBMs from state and federal legislation.
The new digital landscape
Explore the five key components of a good digital health care experience to meet rising consumer expectations.
2024 Revenue cycle denials index e-book
A review of national medical claim denial trends and causes, with insights to help health organizations prevent claim denials in the future.
E-book: The foundational forces affecting pharma today and beyond
What are 3 key trends manufacturers should consider when planning for 2025? Advisory Board and Optum® Life Sciences experts share their insights in this e-book.
Benefit communication strategy use case: Engage employees with personalization
Learn how personalized employee communications can help meet benefit strategy objectives
2024 Denials index strained and drained infographic
A review of national medical claim denial trends that occur in each stage of the revenue cycle.
2023 Health Plan Executive Insights White Paper
Three themes emerged in our latest CEO study: rising customer expectations, government influence and labor shortages.
Shooting for the Stars? Focus on Your Members
Achieve a more equitable and meaningful member experience.
Better financial health and improved operations
Improve cost optimization by controlling fixed costs, increasing efficiency and enabling organizational flexibility and agility.
Empowering health care workers
Helping make prescription drugs more affordable for plan sponsors and the members we serve is a universal focus.
Achieving and keeping 4+ Star performance
New CMS Medicaid and CHIP rules in 2024 will impact states
Dustin Haisler, host of GovTech.com’s ICYMI, and Optum leaders discuss how changes in quality measures for Medicaid and CHIP may impact states.
System modernization for health plans
Learn how technology and infrastructure investments enable growth and help with evolving regulatory requirements and increasing competition.