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Optum was named a Leader in six categories measured by Everest Group’s 2019 PEAK Matrix™ Assessment. This illustrates the breadth and depth of our solutions and services.

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Leaders have established themselves as front-runners in supporting customers and differentiating themselves through:

  • Balanced portfolios
  • Continued investments in developing technology and services capability
  • Proactively taking innovations and next-generation services offerings to clients

Everest Group’s PEAK Matrix offers an objective, data-driven and comparative assessment of service providers. They base their assessment on a service provider’s market impact, vision and capability. The reports classify service providers as Leaders, Major Contenders and Aspirants.

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Healthcare Provider Digital Services

Optum was recognized as a Leader for:

  • Exemplary value delivered
  • Technology investments
  • Delivery capability

Among 19 competitors, Optum is proud to be the only health services company to achieve this distinction.

“Health care providers are trying to reimagine the care experience amidst value-based care, consumerism and a converging ecosystem. Large health systems are exploring the implementation of digital technologies as a means of combatting industry challenges. Optum, with solutions around patient data analytics, provider data collaboration and patient engagement and experience, emerges as a partner of choice for health care providers looking to embark on their digitalization journeys.” Abhishek Singh, Vice President IT Services, Everest Group

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Healthcare Payer Digital Services

Optum was recognized as a Leader for:

  • Distinctive health care expertise
  • End-to-end capabilities
  • Technology investments
  • Delivery scale

Among 20 competitors, Optum was the only health services company to achieve this distinction.

“While health care payers are grappling with seminal industry challenges such as value-based care, consumerism and dwindling margins, they are looking for service providers to ensure a superior member/patient experience and improve cost efficiency to unlock greater business value. Optum is leveraging its domain pedigree and capabilities across the technology-operations spectrum to help payers address the cost/efficiency mandate.” Abhishek Singh, Vice President IT Services, Everest Group

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Healthcare Analytics Services

In its debut as a category, Optum also emerged as a Leader among 18 competitors; recognized for extensive investments and unique demonstration of both clinical and administrative capabilities across the entire payer and provider value chain.

“A leading service provider needs to bring a combination of tools, talent and domain. Optum meets all these requirements and has emerged as a leader on our PEAK Matrix. Optum’s deep understanding of the health care industry and its ability to build analytics offerings and deploy them at scale have been a key differentiator for the service provider.” Manu Aggarwal, Practice Director, Everest Group

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Healthcare Payer Business Process Services

Optum was recognized as a leader for:

  • Solid vison/strategy
  • Scope of BPO services across the value chain 
  • Delivery scale

Among 27 competitors, Optum is proud to be the only health services company to achieve this distinction.

“The approach of payers to fix their fragmented operations with piecemeal and point-in-time fixes has yielded little fruit to date. While they’ve extracted efficiencies at a small scale, driving true standardization requires a more holistic approach to technology. Optum is well positioned to solve payers’ challenges through a combination of new-age technology and traditional services. Optum offerings not only help plug some real operational gaps for the payers but also help them move ahead in their transformation journeys.” Manu Aggarwal, Practice Director, Everest Group

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Healthcare Business Process Automation

Optum was recognized as a leader for:

  • Strong vision
  • Technology capability
  • Payer and provider expertise

Among 14 competitors, Optum is proud to be the only health services company to achieve this distinction.

“Most health care enterprises still lack robust visions and roadmaps for automation solutions. Even those who have adopted them tend to have myopic views of the true potential of automation solutions. In fact, many health care organizations view automation as a quick ROI and a way to reduce costs, which is just the first step of the automation journey. The real value lies in the deployment of automation solutions to achieve objectives such as improving care quality and enhancing member/patient experience. Optum, with its broad pool of capabilities, is one of the few service providers that can help health care companies with their automation journey and, consequently, help enterprises achieve long-term value. Additionally, Optum by the virtue of its experience of serving both the payer and provider spectrum of the market, is well suited to serve the varied needs of health care buyers in areas such as claims management (claims rework and adjustment), provider data management, FWA, risk adjustment, RCM and enrollment.” Manu Aggarwal, Practice Director, Everest Group

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Revenue Cycle Mgmt Business Process Services

Optum was recognized as the Leader in:

  • Value delivered
  • Scope of services offered
  • Innovation and investments

Based on 180 large multi-year contracts signed by 23 service providers, Optum is proud to be recognized as the Leader."

"The demand for revenue cycle management services is increasing rapidly, driven by costly and unfruitful EHR/RCM platform implementations. Hence, healthcare providers are looking for service providers that have the capabilities to not only offer them specialized talent, such as coders or nurses at a lower cost, but also provide them the necessary end-to-end technology support to salvage the platform investments. Optum360®, with its large library of technology-led solutions, along with its experience of serving some of the largest health systems in the country, has all the necessary arsenal and ammo to be a leader in this market.”  Manu Aggarwal, Practice Director, Everest Group