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Data and analytics | Finances and payments | Mental health | Patient and member engagement | Pharmacy care | Pharmacy management | Technology and automation | Value-based care | View all
Latest featured insights
Article
Learn how health plans can fill care gaps by offering greater support and personalized solutions for women experiencing menopause.
![A Quarter-Century of Pharmacy Benefit Changes [E-Book]](/content/dam/optum-dam/images/business/pharmacy/hand-with-vial-1080x720.jpg)
E-book
Explore the dramatic changes in the years since 2000 — in drug performance and design, and especially affordability.
Article
Explore how evidence-based tools like The ASAM Criteria® Navigator and InterQual® Substance Use Disorders Criteria are helping payers and providers efficiently and effectively navigate the complex substance use disorder landscape today.
![Automation Strategies for Empowering Staff and Patients [Webinar]](/content/dam/o4-dam/images/professionals/company-meeting-1080x720.jpg)
On-demand webinar
Learn how to help transform hospital revenue cycle operations with healthcare automation.
Data and analytics
Article
Understand how routine clinical practice impacts information captured in real-world data (RWD).
On-demand webinar
Hear from experts in this Endpoints News webinar on the increasing importance of clinicogenomic data, including diverse phenotypic and genotypic profiles.
Video
Optum Life Sciences leaders break down common missteps when using RWD and how to create practical strategies to overcome them. Watch the video from STAT Summit.
Article
Providers collect data about patients every day. But what should they be considering — and doing — to put their clinical data to good use?
Finances and payments
Article
Discover 4 ways health plans can save money today — and in the future — by engaging with a digital claim payment partner.
Article
Learn how AI is changing the fraud case review process.
Article
The connection between money and health runs deeper than just costs — your employees rely on your benefits strategy for overall wellness.
Article
Learn how payment delivery optimization can improve the healthcare financial cycle and bridge the gap between payers and providers.
Mental health
Article
Learn more about the current research on mobile crisis teams (MCTs), how to build an MCT as well as envision a future for them.
![Behavioral Health Support Helps Improve ROI [Case Study]](/content/dam/optum-dam/images/business/insights/therapist-conversation-1080x720.jpg)
Case study
With work-life balance becoming a priority, offering no-cost outpatient therapy is more than a benefit — it’s a commitment to wellbeing.
Article
The collision of chronic conditions and behavioral health challenges can’t always be stopped, but healthcare leaders can work to mitigate its impact.
Case study
Learn how we support the unique workplace needs of content moderators with a tailored wellbeing strategy.
Patient and member engagement
Article
Learn how Optum Serve is helping to advance the health and well-being of Veterans and spouses in the trucking and cybersecurity workforce.
Guide
Learn how Optum Serve helped Veterans achieve health and wellness goals, promoted well-being, prevented illness and reduced the burden of chronic conditions.
White paper
Learn how Optum Serve supports Veterans through a whole-health approach to work and life.
Case study
See how a leading health plan reduced costs, improved outcomes and strengthened provider relationships with a modern post-acute care model.
Pharmacy care
Article
Optum tackles the many issues infusion pharmacy care faces as it serves vulnerable patients with acute needs and complex conditions.
Article
An Optum Infusion Pharmacy nurse’s commitment to ensure her patients received their medication after a hurricane is just one example of the care team’s compassion and commitment.
Article
Specialty pharmacies deliver high-touch services to help patients stay adherent to treatment plans and live healthier lives.
Article
Learn about 5 strategies for consistent medication use and how Optum Specialty Pharmacy can help.
Pharmacy management
Article
Hundreds of clinical trials are vetting GLP-1s to treat everything from Alzheimer’s to arthritis. The question is: How will we afford it?
Article
Two AI experts share insights on how we’re using AI and advanced technology to improve everything from trend prediction to member services.
Article
In this conversation, get a peek into upcoming solutions and technologies designed to address high-cost medications.
Article
From GLP-1s to vaccines to tariffs, government policies will touch every area of pharmacy services this year.
Technology and automations
Case study
Using digital integration to ease administrative burdens can help you spend more time with patients and deliver positive patient outcomes.
White paper
Read the white paper for strategies on controlling fixed costs, efficiency and organizational flexibility.
Case study
See how Lima Memorial improved efficiency with advanced technology.
On-demand webinar
Watch the webinar to learn actionable strategies on tackling decreased hospital margins, increased labor costs and staffing shortages.
Value-based care
Article
Explore the most promising innovations in renal care for people with chronic kidney disease.
Article
Musculoskeletal conditions are costly, common and fraught with health inequities. Here’s how a more holistic approach can help.
Article
Our holistic approach can help payers better fight against rising musculoskeletal care costs while better serving members.
Article
Digital MSK can improve outcomes while reducing costs. Learn how payers and employers can choose a program that delivers on health benefits and savings.
All healthcare industry insights
Support for substance use disorders
Expand access to evidence-based support to help individuals achieve stabilization and sustain recovery.
HouseCalls: Helping to care for members where they are
As demand for home and community care grows, Optum® HouseCalls can reach your Medicare Advantage members and assess members’ health needs.
Why quality fitness benefits are crucial for employers
Whether you offer exercise classes, fitness equipment or nutritious snacks, investing in your employees’ movement and health will always be smart.
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.
Improve members' health with Optum HouseCalls
Medicare Advantage members receiving in-home assessments saw fewer emergency department visits and inpatient hospital stays across 4 conditions.
Top stakeholder questions to consider
Ask your life sciences stakeholders what they need early on. Consider these top questions that patients, providers, payers and regulators are looking to answer.
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.
Extending an independent lifestyle for seniors
The Optum differentiator helps communities attract and retain residents.
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.
The HouseCalls difference: Kim's story
Kim, a HouseCalls advanced clinician practitioner, believes a good day is when she’s helped someone. Watch the video to see her story.
Cost breakthroughs in complex care management
Not every complex care management program is built equally. Here's how to optimize them for maximum benefits.
HouseCalls: Reach members where they are
Help manage members’ health through in-home or virtual assessments.
Improving underwriting results with automation
Machine learning coupled with software features and cost-tuning delivered significantly improved predictive value and underwriting results.
Care Pathways study
Mental health specialists serve a critical role in reducing total cost of care for plan sponsors.
Protecting refrigerated medications
Optum Rx ships temperature-sensitive medications in carefully designed packaging to ensure protection from both the heat and the cold.
Digital equity across the healthcare system
Remove gaps and improve digital access for everyone.
NASPO ValuePoint streamlines procurement
Streamline enrollment and admin activities with the Optum Provider Services Module, a self-service gateway for Medicaid providers and agency staff.
Increasing at-home dialysis for ESRD patients
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.
3 ways to beat vaccine fatigue
Learn about researched vaccine messaging themes and important steps you can take to promote critical vaccinations for members.
Emotional wellbeing support
Help your workforce take charge of their health, so they can be more resilient and present every day.
Wellbeing in the Workplace Study
Explore the latest insights and trends shaping workplace wellbeing from our global employer survey.
Challenges when financing your EHR
Key themes and insights that can guide your organization toward a successful electronic health record (EHR) transformation.
Stay current on core claims systems releases
Stay current on core claims systems releases See how upgrade as a service from Optum helps health plans stay up-to-date on admin and core claims platform releases.
Empowering clients with choice and transparency
Helping make prescription drugs more affordable for plan sponsors and the members we serve is a universal focus.
Online scheduling covid 19 vaccinations
Learn how Southwest Medical Associates (SMA) used the Optum platform to automate vaccine scheduling and reminders for both shots at once.
Focus on patients, not paperwork
Watch the webinar to learn actionable strategies on tackling decreased hospital margins, increased labor costs and staffing shortages.
Consumer care preferences survey
Optum surveyed more than 1,200 consumers to understand their experiences when accessing care. Download this e-book to read our findings.
Provider telehealth use experience survey
Learn the telehealth features and frustrations providers say impact their virtual care experiences.
Biosimilars to save billions in this decade
Prices for popular brand-name biologics drop up to 60% with generic-equivalent biosimilars.
Remove roadblocks to behavioral health
Enhance patient access to mental health services online.
Digital scheduling at a rural health system
Learn how a rural health system achieved an ideal patient experience and increased bookings with digital scheduling.
Smart formulary management
Develop and manage formularies that bring clinical and financial value.
Advanced Pharmacy Audit Services
See how a health plan used advanced audit services to prevent and detect pharmacy fraud, saving over $1 million.
Behavioral health provider digital access survey
Get insights on how patients access and schedule mental health services online in this e-book, based on original research by Optum.
Payer channel scheduling St. Luke's case study
St. Luke’s Health dramatically increased volumes and decreased costly no-shows with Optum digital scheduling. Learn how your health system can, too.
Financial case connected care
Get thought starters for assessing how a connected care model can strengthen your financial position.
Self scheduling boosts access
Learn how ProHealth Physicians used self-guided online scheduling to ease administrative burden and rebound patient volume after COVID-19.
Developing an industry-leading middle revenue cycle for hospitals
Explore the six focus areas for improving performance to create an industry-leading middle revenue cycle for your hospital.
Easier access to mental health services
Learn how Refresh Mental Health used online scheduling to simplify consumer access to mental health care.
Enhancing fraud investigations with AI
Learn how AI is changing the fraud case review process.
Patient engagement leader
Everest Group recognizes Optum in its 2023 Patient Engagement Platforms PEAK Matrix® Assessment.
Virtual urgent care scheduling for telehealth
Optum Patient Access and Engagement connects consumers to virtual urgent care through a national telehealth platform.
A young patient’s hemophilia story
See how Optum Rx helped change a patient’s life with access to life-altering medicines.
3 steps to slash medication costs
This is your employer guide to reducing your healthcare spending.
Global Nurse Advice Line
We support mission-critical programs for federal health agencies.
Bassett Healthcare network blazes bold path forward
Optum helped Bassett achieve independence and financial resilience while maintaining outstanding care delivery. See how the partnership came together.
Bassett Healthcare partnering insights
Tommy Ibrahim, MD, CEO of Bassett Healthcare Network, shares insights on reinventing a health system for success.
Automate fraud waste abuse improve program integrity
Learn how artificial intelligence (AI) and natural language processing (NLP) can help federal agencies improve program integrity, cut costs and deter fraud.
Teaming up with task force movement
Learn how Optum Serve is helping to advance the health and well-being of Veterans and spouses in the trucking and cybersecurity workforce.
Boulder Community Health and Optum
Optum partnership insights and strategies enable near- and long-term success for provider organizations.
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.
Best practices for identifying overpayments
Learn how a multi-tiered approach to data mining helps maximize savings and achieve payment accuracy earlier in the claim lifecycle.
Robotic process automation (RPA)
We utilize RPA to advance federal government programs.
States achieve health equity with actionable analytics
By applying analytics solutions, states can create a comprehensive roadmap to better health equity.
A case study on Excel Medical Center
Using digital integration to ease administrative burdens can help you spend more time with patients and deliver positive patient outcomes.
Digital claim payments can save you money
Discover 4 ways health plans can save money today — and in the future — by engaging with a digital claim payment partner.
Pharmacy Insights Podcast
Listen to our resident experts discuss critical industry challenges and the solutions you need to control rising drug costs.
Visualizing fraud, waste and abuse
Graph analytics and machine learning drive the future of program integrity.
Make your pharmacy benefit plan work better
Learn 4 key questions you should be asking.
Staying current in your core admin platform
Get current, stay current and leverage the newest platform capabilities with ongoing release management.
Deliver program integrity efficiencies
We help federal agencies with an effective data strategy and analytic roadmap to predict and prevent fraud, waste and abuse.
Best practices for reducing provider abrasion
Find out what is driving abrasion and what health plans can do to alleviate pain points.
Pharmacy benefit managers 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.
Alzheimer's treatment: Time for a level-set?
See success rates, risks and costs of the new Alzheimer’s treatments.
8 ways to make drugs more affordable
Discover what plan sponsors need to know to help remove or limit cost as a barrier to medication access.
Validating short-stay hospital bills
Prevent inpatient billing errors for outpatient encounters.
Alternative funding: Real savings or problems?
See how much "free" drugs will actually cost you.
Telephone Lifestyle Coaching for Veterans
Learn how Optum Serve helped Veterans achieve health and wellness goals, promoted well-being, prevented illness and reduced the burden of chronic conditions.
Supporting Veteran truckers
Learn how Optum Serve supports Veterans through a whole-health approach to work and life.
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.
Closing the diagnosis gap in CKD
Most people with chronic kidney disease (CKD) don’t know they have the condition. These payer strategies can help turn the tide.
Supporting providers in the transition to VBC
Learn how value-based care (VBC) partnerships between payers and providers are more important than ever.
How to manage medication overload
Hear from a leader's perspective on how to manage polypharmacy.
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.
Using data to monitor behavioral health services
See how Optum helped one state visualize utilization and demographic data around behavioral health programs.
What Gen Z wants in employer fitness benefits
The pricey weight management drugs work well, but users need coaching and support to maintain the benefits.
Human-centered design in healthcare
This Optum white paper shows how human-centered design builds technology and programs that are easy and intuitive for consumers to use.
Ways digital movement reshaping member experiences
As digital fitness, physical therapy and virtual musculoskeletal care surge in popularity, they’re yielding benefits for health plans and members alike.
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.
NLP methods for RWD insights
Natural language processing (NLP) systems allow us to draw insights from billions of unstructured medical notes. Learn more about our methodology.
The role of navigation to simplify health care
An active approach to advocacy can help improve member experiences while driving down costs. Read our e-book to learn how.
Addressing pharmacy issues that matter to you
From specialty pharmacy to drug affordability, our experts tackle your biggest pharmacy challenges.
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.
What employers should know about a hub benefits strategy
A fresh approach to benefits is easing leaders’ administrative burden and connecting employees to better care.
How to eliminate prescription waste
Achieve savings by targeting expensive, low-value drugs.
Spend more time with members
See how prospective assessment programs can reduce administrative burden. Physicians spend less time on paperwork, so they can focus on what matters most: member care.
How Optum supports value-based goals with powerful products
See how Optum’s products help hospitals succeed with value-based contracts, earning appropriate incentives and avoiding penalties.
Webinar: Trends and challenges in telehealth
Explore new ways of doing business that allow you to meet shifting customer expectations, workforce challenges and emerging business goals.
The connection between money and health
The connection between money and health runs deeper than just costs — your employees rely on your benefits strategy for overall wellness.
Optum Rx customer obsession
Watch how one Optum Rx employee made the system work better for everyone.
Innovative approaches to collaborate with PCPs
Understanding the challenges confronting Medicare Advantage plans and their Medical Loss Ratio.
Filling revenue cycle resource shortfalls
Learn how to identify and overcome common revenue cycle challenges despite current labor market issues.
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.
Proactively renew dual eligibles for Medicaid
Learn how Optum uses AI, state-specific logic and robust workflows to help with proactive dual eligible Medicaid renewals.
Claim review: How to adopt best practices
Learn how a comprehensive claim review strategy can help you stop repeat errors and increase payment accuracy across the claim lifecycle.
Optimizing your payment integrity program
Discover payment integrity best practices to help you achieve your in-year cost savings goals.
The keys to revenue cycle transformation
Gain expert insights into strategies to decrease costs, unlock new sources of growth and improve patient experiences.
Moving to lower cost electronic payments
Partner with Optum Financial to increase ACH payments.
Insights in claims payment processing
Thinking about going paperless for claims payments? We commissioned a study of senior health plan executives to hear what’s on their minds.
Causes of medical necessity denials
Learn two critical indicators causing these denials, and how to account for them effectively.
StepWise Application Migration to the Cloud
Learn from health plan leaders on how to accelerate and optimize your cloud-adoption journey.
Health leaders share IT transformation stories
Hear John Muir Health and Bassett Health’s observations on digital transformation, modernizing infrastructure and strategic automation.
Creating connections through partnership
Hear from an Optum Rx client on how we're partnering together for everyone we serve.
Social Care Assistance helps member assessment
Optum helps health plans address member needs through screening and community-based organization (CBO) referral services.
Adventist West’s success through redesigning and automating UM
Discover how to leverage automation for centralized, exception-based utilization management.
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.
Symmetry EBM Connect
Increasing compliance with evidence-based standards to enhance care.
Orphan drug market: Rare diseases, large costs
Orphan drugs offer hope to people with rare diseases. They also add large costs. Our Orphan Drug Program is a targeted strategy to help control costs.
Critical steps to navigating change management
See how an effective change management strategy can help people adapt to change more quickly and nimbly.
Precision medicine trends: A conversation with Chris Boone, PhD
AbbVie Vice President Chris Boone discusses what the life sciences industry can do to realize precision medicine’s full potential.
Symmetry Oncology Analytics
Learn about powerful tools to measure the cost and quality of cancer care.
US military entrance processing command
Optum Serve conducts physical and mental examinations for military applicants.
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.
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.
Workplace fitness benefits: What to know
Employers must adjust their fitness programs to meet employees' evolving fitness needs. Here’s how to bring your offerings into the new era.
5 things a claims review program does that you might not realize
Learn more about how an all-in, centralized claims review can contain costs while boosting consumer and provider experiences.
Applying robotic process automation compliance
See how robotic process automation (RPA) helped saved 9,465 hours and $950,000 over five years in our client use case example.
New mandatory CMS reporting rules will impact states
To meet the requirements, states should consider focusing on five key areas.
9 ways to modernize the Medicaid experience
Read our 9 key takeaways for states to modernize the provider management experience.
How to make most of your fitness benefits
Get a step-by-step guide for employers to maximize ROI, design the best offering and keep their workforce engaged in essential offerings.
Improved Arkansas Medicaid Outcomes
Optum has completed more than 200K+ assessments in Arkansas, helping coordinate care for people with chronic, high-cost and long-term care needs.
EPCS mandates state interactive map
Discover an interactive EPCS mandate map providers can use to track where and when mandates are happening in each U.S. state.
Tackle the workforce crisis with human innovation
Explore human-focused innovations for solving healthcare workforce challenges while reaping benefits for all.
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.
Mental health: Optum addresses the great information divide
Explore the challenges and opportunities in using mental health data to understand prevalence, risk, impact and treatment in patients, members and communities.
C-suite Insights
Explore actionable resources for healthcare executives including peer-to-peer insights, dialogue, perspectives and analysis.
Time to outsource workers compensation payments
Learn how outsourcing payments could help you stay competitive and compliant.
Connected communities
A panel discussion examines how to use data-driven, virtual and automated technologies to advance and refine population health strategies.
Managing risk in value-based care delivery
Watch as Erik Johnson explores models for risk in delivering value-based care (VBC).
3 key forces shaping the future of pharmacy
These emerging trends will help define the road ahead.
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.
Driving healthcare innovation
Matthew Kinney, growth and innovation leader at Optum, describes how to create holistic strategies for meaningful impact.
Improve physician practice revenue
Learn key strategies to strengthen the financial performance of your physician practice.
Behavioral healthcare made better
We help people find care and support that’s easy to understand and access.
Collaborating to advance maternal health
Learn how leaders, communities and institutions can work with Optum to promote safe pregnancies and childbirth.
The role of AI in enterprise imaging
Learn how AI is being used to improve imaging workflow management and help care providers collaborate more efficiently.
Reimagine your employee assistance program
Help employees feel mentally, physically and financially well with Emotional Wellbeing Solutions.
Supporting employee wellbeing after a loss
Learn how Optum helped a member find support after a loss.
Targeted care, lower costs
One state achieved both aims in delivering home health services.
Optimize member engagement through collaboration
A health plan increased in-home assessment rates for their Medicare Advantage members by working with Optum to increase member engagement.
State M&O innovations: Robotics process automation
Robotics process automation can improve maintenance and operations of state Medicaid systems.
The costs and benefits of cloud-based imaging
Understand the seen and unseen costs of migrating your enterprise imaging to the cloud.
Costs for unrecognized kidney disease
A new study published by The American Journal of Managed Care highlights health care costs associated with unrecognized progression to late-stage kidney disease.
The AI technology transforming imaging
Learn how artificial intelligence (AI) can support patient care, improve workflows and more.
Find immediate ROI with cloud-native enterprise imaging
Learn how artificial intelligence (AI) can support patient care, improve workflows and more.
Optum Serve: Protecting taxpayer dollars
Eliminate fraud, waste and abuse in healthcare spending.
How to transform imaging with behavioral science
Behavioral science is being applied to unique methods of enterprise imaging product design.
Using the cloud for medical imaging
Learn how to unlock the power of cloud migration in your medical imaging.
How AI is delivering efficiencies for radiologists
Learn how AI solutions can boost your organization’s return on investment (ROI).
Personalized support for members with autism
Optum is breaking barriers in supporting members and families who are diagnosed with autism spectrum disorder (ASD).
Strategic planning for imaging in the cloud
Learn what health IT and imaging leaders need to do before moving their enterprise medical imaging to the cloud.
Senior brain health and social interaction
Medicare Advantage plans can differentiate supplementary programs by addressing cognitive health and social interaction.
How health data can improve msk care
Here’s how payers can harness the power of data to bring more effective — and timely — musculoskeletal (MSK) care to their members.
Improve your radiology performance
Learn how Change Healthcare Radiology Solutions™ 14.2.1 can help your department improve diagnostic confidence.
Wellbeing shifts with meaningful impact
Results from the 8th annual Wellbeing in the Workplace study from Optum highlight how over 400 global employers are winning at wellness.
Combating the opioid epidemic
Medication interventions save lives — more people need access to them.
Access point-of-care ultrasound imaging data
Discover how centrally stored point-of-care ultrasound images can help your organization increase efficiency and improve revenue.
Future ready claims review automation not 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.
Maximize digital mammography reading efficiency
Learn how an all-in-one workstation for mammography and radiology increased study volume and accelerated turnaround.
Reduce risk and capture lost revenue
Learn how Change Healthcare Imaging Actionable Findings can help, solve complex care needs.
Change Healthcare Workflow Intelligence
Learn about our vendor neutral, flexible medical imaging workflow rules engine.
How employers can make better benefits decisions
Assessing vendors is daunting enough. But for many employers, limited data, contract variations and employee confusion add complexity.
Addressing social determinants of health
Create solutions to eliminate barriers to care and support members.
Intelligent workflow case study
Learn how intelligent workflow can help improve efficiency and patient care.
Case study: Investing in employees' success
Tailored financial wellbeing support eases employee stress and boosts productivity for global telecommunications company.
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.
Re-examining radiology with Optum
Explore the transformative changes happening in the field of radiology and their impact on advancing healthcare.
Explore our AI-enabled radiology portfolio
Learn how our Radiology Solutions use AI to rapidly identify relevant radiology images.
Mitigating maternal care deserts
For some mothers-to-be, healthcare options are disturbingly limited — or even nonexistent.
Elevating employee engagement
Data-driven, targeted strategies help successfully increase employee use of mental health, financial and legal services.
Addressing 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.
When healthcare works better for everyone
See how building an outcomes-based model for behavioral healthcare can benefit both clinicians and patients.
Success stories in connected care
See how health organizations are creating new ways to deliver care.
Fitness needs across generations
Fitness needs vary across generations. Here’s how to make sure your offerings are serving each age bracket.
Emotional wellbeing solutions for health care workers
Support healthcare workers, who put others first every day.
Kidney care breakthroughs: What payers should know
Explore the most promising innovations in renal care for people with chronic kidney disease.
How holistic programs improve senior health
Medicare Advantage plans need to rise above the competition by going beyond traditional fitness offerings.
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.
Key considerations when updating provider management modules
Explore 6 key factors when updating, streamlining and coordinating provider management modules with other Medicaid functions.
Strategies for incremental modernization
States can build on a step-by-step approach to modernization, incrementally transforming the user experience without disruption.
Generating new data voice to claim research
Using our Voice-to-Claim® methodology to better understand the attitudes and behaviors of patients and physicians and their effects on cost and utilization.
Anesthesiology group improves rcm physician practices
How one anesthesiology medical group increased profitability, efficiency and stability with physician group management services from Optum.
Call centers and AI technology
Transform state contact centers into 24/7 problem solvers.
Doubling down on the cloud
Learn how technology is advancing imaging workforce challenges and revenue.
Modernize your revenue cycle workforce
New staffing challenges require new approaches. Learn how to optimize your workforce to increase productivity and retention.
How VBC can work for manufacturers
Value-based contracts can present challenges that must be overcome to bring gene therapies to market.
Risk adjustment Star ratings success
Discover 5 strategies that will help your health plan be prepared to factor risk adjustment data into Star Ratings.
Are employees checked out mentally present
Keys to investing in wellbeing programs that meet employees where they are and offering solutions for everyday life.
The impact of in-home health assessments
Learn about the benefits of HouseCalls assessments with these 5 fast facts.
HouseCalls: Fewer ED visits, hospital stays
A Yale Medicine study shows how in-home health assessments can help Medicare Advantage members get the care they need.
New dimensions in life sciences research
Proving the impact on clinical outcomes as well as costs.
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.
Reimagining senior care to meet changing demands
Learn about the holistic care that Medicare Advantage Plans can offer your residents. Plans with the Optum Care Model are available.
Engage providers impact member outcomes
Download our infographic to learn how Optum can take the burden off payers to impact provider performance.
Improving performance at Excel Medical Center
Empower provider success and improve member care through digital integration.
Boulder community health partners employee success
Explore how Boulder Community Health partnered with Optum to continue elevating its most critical component of success — its workforce.
4 steps to optimizing value-based care
Learn how combining these steps can help power a holistic workflow between payers and care delivery.
Supporting the unique needs of firefighters
When the Minnesota Fire Service needed emotional well-being support for their firefighters, Optum stepped in to help.
5 provider strategies to improve margins
Discover how healthcare organizations are prioritizing a path to improved financial sustainability and margins.
Strategies to reduce administrative costs
Strategies to fix payer-provider collaboration, streamline patient financial experience and apply AI technologies for better cost savings.
Improve medicaid risk adjustment accuracy
Explore Medicaid best practices for health plans and learn three actions to take and when to take them.
Improving UR effectiveness with Case Advisor
Learn how Optum helped Regional One Health alleviate staffing pressure, multiply the value to the organization and raise its credibility among physicians.
Electronic Health Records (EHR): Implement and Operate
Maximize your EHR investment through partnership.
The impact of CAPs on Stars ratings
Learn more about the impact and implications of a Corrective Action Plan and how Stars and these corrective actions are interconnected.
Clinical exchange eprescribe enhances care delivery
Streamline workflow and increase accuracy with Clinical Exchange ePrescribe and Surescripts Real-Time Prescription Benefits.
Access to mental health care within 48 hours
Optum expands care options while reducing crisis events and costs.
Insights on GLP-1s: Costs and coverage
Balancing the risks and the benefits of GLP-1 drugs.
Biosimilars: Hard to make but lower costs
Biosimilars compete with expensive biologic drugs by offering the same safety and effectiveness, but at a lower cost.
Transparency helps medicaid providers
See how technology can be used to reduce complexity, administrative rework and improper claims denials.
Transforming CDI and coding with advanced analytics
Banner Health partnered with Optum to pair AI-powered technology with advanced analytics, enabling an expanded focus on quality and risk-adjustment initiatives.
Trends for health plan quality performance
Learn how health plans can stay ahead of the curve and prepare for key trends likely to impact their quality programs in 2025 and beyond.
How CAPs directly impact your Stars performance
Stars performance is in your control. Learn how you can take action now.
SDOH solutions: Improving population health outcomes
See how to use technology to understand and implement effective health interventions.
The road to modernization: What’s next for your contact center?
Today’s constituents and stakeholders expect to interact with state agencies quickly, effortlessly and through their preferred communication channel.
Consumer centric health care research report
Examine the acceleration toward consumer-centric care with insights and perspective from healthcare leaders.
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.
Fecal transplant to treat recurrent urinary tract infection
Learn how leveraging a microbiome approach helped one patient with von Willebrand disease and multiple antibiotic allergies.
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.
Rethinking the healthcare payment process
Explore ways to create a more seamless and transparent payment experience for healthcare consumers.
Reduce claim errors with front-end RCM solutions
Cut down on claim mistakes by collecting accurate data and refining your workflows.
Survey: How Healthcare Costs Can Influence the Patient Journey
DC maternal health homelessness
Learn about our collaborative approach to promoting maternal health in Washington, D.C., with a focus on homelessness and perinatal care.
Strategies for centering patients and staff
Learn how to help transform hospital revenue cycle operations with healthcare automation.
Meet consumer expectations while addressing provider frustrations
Learn how Patient Access and Engagement streamlines the end-to-end care journey.
What makes a meaningful health advocacy program?
A great health advocacy program helps employees get the most out of their benefits while fostering strong health outcomes and savings.
Guide to 5 types of vendors and partners
Advisory Board experts describe types of nonclinical partners and vendors, their benefits and their use cases.
Establishing trust to improve value-based care outcomes
Gain insights into how supporting providers can help increase engagement and reduce administration burden for better patient care.
Star ratings are important to Medicare plans
Learn how health plans can improve Star ratings through high-touch strategies.
Patient engagement platform checkboxes
Learn how a platform that covers the full patient journey, from scheduling care to payment and follow-up, can streamline operations and costs.
Aging workforce and the impact on drug spend
An estimated 23% of the workforce will be over age 65 by 2050 – but what does that mean for my drug plan?
Best practices utilization review
Learn best practices of utilization review to help your health system maintain clinical, compliance and revenue integrity.
Military and Veteran health care journey
Delivering and managing health care at key phases of life for Military Service Members and Veterans.
Automating the prior authorization process
Discover our latest innovation to the PA process — PreCheck Prior Authorization — which reduces approval times, appeals and denials.
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.
The new digital landscape
Explore the 5 key components of a good digital health care experience to meet rising consumer expectations.
Market for patient engagement webinar
View the public launch of Optum Patient Access and Engagement on demand.
Why workforce wellness programs must reward more than health tasks
To ensure that well-being benefits drive results, employers must let go of strategies built around one-and-done health tasks. Here’s how.
3 ways holistic MSK care improves all avenues of care
Our holistic approach can help payers better fight against rising musculoskeletal care costs while better serving members.
See how an Optum care coordinator works
Supporting care, reducing stress, and serving as a point-of-contact are just a few of the benefits care coordinators offer.
Enterprise transformation services
Health systems continue to face many challenges. Do you have the flexibility and focus to deliver on strategic goals or transform your business?
Developing evidence-based tools for accessible and quality care
Explore how evidence-based tools like The ASAM Criteria® Navigator and InterQual® Substance Use Disorders Criteria are helping payers and providers efficiently and effectively navigate the complex substance use disorder landscape today.
Health plans system modernization
Learn how technology and infrastructure investments enable growth and help with evolving regulatory requirements and increasing competition.
Design an exceptional provider review strategy
Optimize your provider review process to help save time, reduce costs and improve care quality.
From transformation to triumph
Read this executive summary about Optum Serve's need to stay competitive amid dynamic trends and customer demands.
Boost engagement with personalized benefits communication
Learn how personalized employee communications can help meet benefit strategy objectives
CMS quality measure rules 2024
Upcoming changes in federal quality measures for Medicaid and CHIP will impact state governments.
Rising expectations among health care consumers
Learn about the growing expectations people have for their healthcare experience and how to improve the consumer journey.
Reimagining fraud prevention
Find out how modernization of emergency relief programs can detect and prevent fraud.
Everest Group guide to selecting RCM services
Buyer’s guide helps hospital leaders evaluate and select RCM services partners with the future in mind.
Achieving equitable care: The shift to race-neutral equations
Discover how the InterQual team facilitated the timely adoption of new industry guidance for improving health outcomes in clinical practice.
Health loyalty rewards programs
Learn how employers can tap best practices to ensure their health rewards and loyalty programs make a meaningful difference.
Exploring the health savings pathways series
A 3-part series to help guide your employee benefits strategy, balance care costs and enhance employee well-being.
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.
Hub and advocacy solutions work together
Navigating a complex healthcare environment is challenging. Using hub and advocacy solutions together helps employers and employees alike.
The state of pharmacy regulations
In this conversation, learn the implications of new pharmacy legislation and rulemaking, and how you can manage your benefits effectively.
Packaging your employee benefits experience
Use best practices to build a gift-wrapped benefits experience that engages your people and optimizes your employees’ well-being.
Improving hospital quality and utilization
Learn how data insights helped 4 organizations transform their operations.
Middle RCM tech
Artificial intelligence (AI) and automation are having a major impact on improving the middle RCM for healthcare providers.
The value of clinical notes
What more is there to the patient story? Get deeper data insight into patient-clinician interactions with de-identified clinical notes.
Automating success revenue cycle transformation
Set the foundation for synchronized and connected revenue cycle management.
Digital MSK tools: 5 important features
Digital MSK can improve outcomes while reducing costs. Learn how payers and employers can choose a program that delivers on health benefits and savings.
Streamline clinical value analysis processes in a growing surgical market
Access resources on how to reduce surgical costs for your health system.
A new way to treat acute pain
A long-sought non-opioid painkiller has arrived. But will the benefits outweigh the cost?
New hope for neurological conditions
Learn how a holistic model enhances multiple sclerosis care.
Social determinants of health in urban America
Learn more about addressing social determinants of health in Brooklyn, NY.
Small price hikes make for big drug prices
We know about the high prices for new drugs, but drug companies make most of their money from repeated small price increases on older drugs.
Digital integration and the path to interoperability
Creating a connected system to improve risk and quality outcomes.
Optimize employee benefits with healthcare analytics
With the right tools, employers can transform employee benefits data into actionable insights that drive better experiences and add value.
Payer-provider collaboration: Improving patient outcomes
Tech and value-based care can improve payer-provider collaboration, reduce admin burden and enhance patient outcomes through data sharing.
Outlook on oncology 2024
See how emerging trends, including a global pandemic, are reshaping the landscape of oncology care and medication.
How small and emerging biopharma can generate real-world evidence
Here are questions small and emerging biopharma need to ask to generate meaningful evidence and be competitive.
Can a holistic approach help with UM challenges?
Learn how acute care organizations can address UM challenges with a holistic, comprehensive approach.
Specialty vs. retail pharmacy
Specialty medications require high-touch support. Learn more about what sets specialty pharmacy apart from retail.
Navigating the future of addiction treatment with The ASAM Criteria® Fourth Edition
Explore the development of The ASAM Criteria® Fourth Edition and discover tools and programs available to support your transition.
How payers can prepare for the next wave of cellular therapy patients
CAR T-cell therapies have been remarkably successful and may become more widely available. Here’s how to get ready for a rise in these expensive treatments.
The challenge of managing rising neonatal costs
NICU-related claims are becoming more costly. For payers, a comprehensive benefit management strategy, including focused claims review, is crucial.
Supporting family mental health
See how the Child and Family Behavioral Coaching program helped a family find support for their child’s ADHD.
A quarter-century of pharmacy benefit changes
Explore the dramatic changes in the years since 2000 — in drug performance and design, and especially affordability.
A new standard for objective frailty criteria
Learn how the InterQual® team developed objective frailty criteria through a process that ensured clinically applicable content.
Unblocking the digital access journey
View this infographic to learn how to create a friction-free patient access journey.
Regulations to watch: Spring 2025
Learn what’s at stake for pharmacy benefits sponsors as federal oversight changes and state legislative sessions begin.
Making informed care decisions with accessible health plan data
Learn about a health plan STAR ratings tool that provides residents with clear, interactive comparisons of health plans.
Tailoring Medicare plans for specific populations
Learn some of the best practices and strategies for serving your members effectively through special needs planning and beyond.
Modernizing the Medicaid experience
How can states and providers use modularity to modernize? Dustin Haisler at GovTech.com interviews Optum product leaders for insights.
Helping emergency services practice streamline accounting
A busy emergency services practice gets help to ensure its financial health and allow physicians more time and confidence to do their jobs.
Opening digital doors for all consumers
Digital gateways are the new social determinant of health. Read this strategy guide on expanding access and health equity.
The fight for techquity
Get ideas for how to fundamentally change your approach to building technology and incorporate techquity into your organization.
How states can serve members more holistically
Lori Halpern and Dennis Vaughan discuss interoperability, helping communities address the growing mental health crisis and new ways of delivering care.
Preserving talent and enabling career growth insights
The Optum Market Performance Partnership is designed to help health systems achieve strategic, operational outcomes while preserving talent.
Trends and perspectives for health plans
Together, we are driving toward the same things for our healthcare system — better quality, lower cost and higher consumer and provider satisfaction.
Innovation help healthcare workforce crisis
Harvard Business Review Analytic Services and Optum leaders examine human-focused innovations for the health care workforce.
Speed up the claims process with AI
Read about our Claims Automated Rules Engine (CARE).
Building a connected care model
People feel the disconnect of a siloed healthcare system. Get insights on how to build more holistic care through connected care models.
Automation and workforce strategies in healthcare
Get 6 key takeaways from a C-suite panel discussion.
"No regret" IT investments
Learn which tech investments can benefit providers most today.
Improve price transparency
Deliver a better patient experience through price transparency.
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 heart behind the business
People are at the heart of all we do at Optum. Meet the people behind the business at Optum and learn why they put you at the center of everything we do.
Healthier outcomes for moms and babies
By using enterprise data to reach out to women earlier in pregnancy, one state is supporting moms and babies and creating healthier outcomes for both with help from Optum.
Path to techquity
New research explores how to use technology to advance health equity.
Creating a health equity strategy
Watch this 15-minute Q&A on building a health equity strategy. Explore the role of partnerships and how to make a sustainable impact.
Supporting care for at-risk minors
Learn about a lightweight, scalable foster-family placement system developed for one Northeastern state.
Can automation cure workforce challenges
Rethink how to support workers, while simplifying and improving care.
Key learnings for modernizing your state’s legacy system
Dr. Garry Choy, CMO, discusses the pros and cons of using automation and clinical decision support to meet today’s workforce challenges.
Reducing avoidable Medicaid claims denials
In this GovTech.com interview with John Campbell of Optum State Government Solutions, see how the right technology can modernize the claims process.
Asia pacific culture of health
By engaging region-specific expertise, your company can strategically improve the well-being of its employees.
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.
Debunking revenue cycle myths: The path to financial health
Discover how partnering with a managed services partner can help improve financial operations.
Partnering to close gaps in maternal health
Learn how we can collaborate with your state to use analytics and consulting to address your most important maternal health challenges.
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.
Drive wellbeing programme utilisation
Strengthen your international wellbeing programme with an integrated health promotion specialist.
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.
Site-of-care: A longitudinal review
Gain insights into the site-of-care landscape, what market data reveals and how outmigration could affect your hospital.
Advancing clinical access to whole genome sequencing
Learn how Optum and Illumina are working together to help patients with genetic testing for rare diseases.
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.
Navigating the two-midnight rule in the Medicare Advantage world
Watch this on-demand webinar to hear top insights and an analysis of the latest trends impacting the utilization management function since the latest changes became effective.
Diagnosis and care recommendations for rare congenital anomaly
Rigorous work-up leads to conservative CHD (congenital heart disease) treatment approach.
Impacting provider engagement
Step into the shoes of Richard Solomon, a Health Care Advocate, who goes above and beyond to support providers in risk adjustment programs.
Automate your front office to address the staff pinch
Learn how automating appointment scheduling, eligibility verification and communications, and more eases pressure on staff.
Transforming care through payer-provider collaboration
Discover the key elements to creating a positive, mutually beneficial relationship.
Fighting breast cancer with early detection
Early detection is critical to fighting breast cancer; advances in technology are helping.
Help members access behavioral health care
Guide members to quality, affordable behavioral health care.
RCM essentials for 2025 and beyond
Learn how digital and self-service strategies can help improve patient experience and financial outcomes.
Top 4 drug spend categories
Many patients combined with expensive drugs leads to top spending classes.
Improve well-being engagement and usage
Learn 5 critical factors that can help you successfully engage employees in your wellness strategy.
Building the PBM of the future
The solutions plan sponsors need today to tackle the pharmacy challenges of tomorrow.
How to ease the emotional toll of caregiving for members
Learn how plan sponsors can support caregivers and their loved ones' mental health with resources and tools.
Innovating risk adjustment strategies
Read this blog to learn how Renown Medical Group empowers clinicians and improves patient outcomes.
Bring wellness strategy to life
Discover how partnering with a health promotion specialist can help you unlock creative ways to engage your employees with wellness programs and initiatives.
How senior care facilities can elevate dementia care
Learn how multi-layered, proactive interventions can help reduce hospitalizations.
Optum Recognized as RCM Leader Report
Optum is honored to be recognized as a Leader in the Everest Group RCM Platforms PEAK Matrix Assessment for 2025, highlighting our comprehensive RCM solutions.
Advancing infection prevention in senior communities
Discover proactive practices for protecting residents from both the common and the unexpected.
Helping a member find support
See how one mother found in-the-moment support during a family crisis.
What real-world data can reveal about weight loss medications
Optum Life Sciences expert provides insights on how manufacturers can build value stories for their stakeholders.
Are your pharmacy benefits working hard enough?
Pharmacy benefits should be transparent, affordable and easy to use. Get clear on your pharmacy benefit manager’s value with these 3 questions.
The future of quality reporting
Learn how AI, interoperability and ECDS are transforming healthcare quality reporting and the solutions that can help you stay ahead.
New treatments for rare and common conditions
Our report emphasizes new, next-gen and first-in-class treatments for cystic fibrosis, non-opioid treatment and GLP-1 drugs.
Making inroads with maternal health
Learn how Indiana and Washington, D.C., are tackling critical maternal health equity disparities.
Supporting members through life’s challenges
See how mental health support from Optum helped a member navigate grief.
Revenue cycle ripple effect
Streamline your patient experience, enhance satisfaction, reduce costs and improve your financial performance with our digital tools.
Improve provider engagement mobile query
Respond to query opportunities in real time and get access to clinical and coding decision-making information with our secure mobile app.
Increasing behavioral health patient access with self-scheduling
Learn how Alma partnered with Optum to offer frictionless patient access to care through digital-first channels.
Help enhance coding accuracy with the HCC Tearsheet 2025
Accurate HCC codes are essential for effective care management and compliance.
Viewpoints on the 2026 CMS Advance Notice
Go inside the latest changes to the 2026 program.
Which growth strategy path is right for you?
Discover which growth strategy path is right for your health system.
Discover 8 capabilities to power your EHR
Learn how Optum solutions can enhance your EHR for better patient engagement and financial data integrity.
Advancing dme benefits management
Learn how DME Navigator can help streamline durable medical equipment (DME) benefits management.
Reduce the risks of polypharmacy in nursing homes
Learn 5 tips for effective deprescribing to improve resident quality of life.
Transform underwriting technology
Automation, technology and scalable staffing drive growth.
Integrated risk and quality programs: A strategic approach
Unlock new efficiencies with a digital-first, AI-powered approach to empower value-based care and enhance health plan performance.
Continuous insurance coverage discovery
Learn how our two-stage approach to eligibility coverage links pre- and post-service analysis in near real time.
Reduce length of stay and enhance resource efficiency
Learn more about how Crimson AI enables best practices for achieving operational excellence.
A forward approach to medical coding accuracy
Our coding software can systemize aspects of your middle revenue cycle, resulting in a seamless and cost-effective workflow.
New pharmacy benefit solutions to help bend the cost curve
In this conversation, get a peek into upcoming solutions and technologies designed to address high-cost medications.
How to build a mobile crisis team
Learn more about the current research on mobile crisis teams (MCTs), how to build an MCT as well as envision a future for them.
The state of value-based care in 2025: Growth and challenges
Unpack the state of VBC in early 2025 and see where it’s going next. Learn how specialty care will fit into the future VBC landscape.
AI advancements bridge the gap to dual eligibility enrollment
See how AI-powered technology and personalized member engagement are helping to identify and enroll more members into Medicaid programs.
How organizations can support neurodiversity in the workplace
Recognizing the unique perspectives of neurodivergent individuals and creating an inclusive workplace can enrich and empower your teams.
Best practices for efficient medical record retrieval
Medical record retrieval is an essential task for healthcare providers and insurers, but it can often be a complex and time-consuming process.
How Medicare Advantage leaders can thrive in the D-SNP market
We discuss the growth potential and the imperative for integrated care coordination and enhanced benefits for the dual-eligible population.
Maximizing CareSelect Imaging for value-based care
Discover how to transform your approach to clinical decision-making and advance your organization’s value-based care goals.
The big picture on pharmacy
Meet Dr. Wig, Chief Clinical Officer for Optum Rx, and hear how we’re addressing cost and clinical trends in pharmacy.
The role of imaging decision support in VBC
See how tools like CareSelect® Imaging can help providers enhance clinical decision-making, improve patient outcomes and reduce administrative burden.
Better drugs? Maybe. Higher cost? Definitely.
New drugs for myasthenia gravis and hereditary angioedema will be easier to take, more effective, and add competition.
Payer-provider interoperability to enhance prospective risk management
Payers and providers are using advanced technology in healthcare to create efficient processes that capture chronic conditions and deliver better health outcomes .
Innovations in contact center efficiency
Hear from our experts as they discuss the role of AI and other trends in a well-connected system.
From concern to confidence: Modernizing for a smarter, stronger, and future-ready state exchange
Optum transformed a troubled health exchange, reducing incidents by 90% and improving enrollment accuracy, ensuring a smoother experience for all.
The high price we pay when seniors lack access to health care
Challenges around affordability and access to quality health care are far more prevalent than one might think. In fact, about half of Medicare Advantage members live on an annual income of less than $25,000.
Viewpoints on the 2026 CMS Final Rate Announcement
Learn how the 6 key final changes may impact your organization in 2026.
Patient education: The secret to success in risk adjustment and VBC
Effective patient education fosters adherence to medical treatments and promotes healthy patient behaviors, in turn facilitating successful risk adjustment and value-based care.
Extracting value-based care insights from claims data
We provide actionable insights for health plans and providers to adopt a data-driven approach and achieve value-based care goals.
What to expect from pharmaceutical tariffs
New tariffs on imported drugs are expected soon, which could mean higher prices and potential shortages.
How patient-first care helps women with cancer
A growing number of women are navigating cancer care. Targeted supports can make a difference in patient experience, outcomes and costs.
How do pharmacy benefit managers work?
Hear how PBMs negotiate to deliver the lowest possible cost, benefiting plan sponsors and members alike.
3 key steps to building an effective annual wellness visit program
Opportunities in the DSNP market: Essential insights for MA leaders
Join speakers Cori Leech and Jared Landis as they discuss how to meet the challenges facing health plans in the D-SNP market right now.
The impact of AI on today's pharmacy benefits
In our latest podcast, two AI experts discuss how Optum Rx is leveraging artificial intelligence while prioritizing privacy and security.
The cost of inaccurate data: An overview of risk adjustment audits
As CMS moves to increase RADV audits, payers must understand the implications of RADV and find the right support for a smooth audit process
Going Beyond Risk Adjustment in Provider Engagement
Learn innovative techniques for risk adjustment workflows that help emphasize pre-visit chart prep and clinical suspect identification.
From data collection to intervention
Learn how you can leverage analytics to address social determinants of health.
Health Access Vision into Action Report
Learn how identifying and addressing disparities in healthcare allows everyone to live their healthiest life.
3 strategies to control pharmacy spend
See the critical products our clients use to manage drug spend and improve outcomes.
Pivotal momentum in women’s health benefits
From fertility to menopause, smarter women's health benefits drive retention, reduce costs and support evolving workforce needs.
How Optum Rx goes further to promote transparency
We’re redefining pharmacy benefit management with full transparency. Explore how our platform delivers unmatched access to detailed data and insights.
GLP-1s: Real-life wonder drugs?
Hundreds of clinical trials are vetting GLP-1s to treat everything from Alzheimer’s to arthritis. The question is: How will we afford it?
First oral GLP-1 drug for weight loss
Explore 3 new drugs for chronic conditions including obesity, severe asthma and hives (also known as urticaria).
Managing the high cost of cancer drugs
Breakthrough cancer drugs offer better outcomes – but soaring costs pose challenges for affordability.
Subscribe to Optum Pharmacy Provider Pulse Quarterly Newsletter
Stay up to date on our Specialty and Infusion Pharmacy offerings and get important industry developments delivered directly to your inbox.
Navigating the future of healthcare financial growth
Explore expert-led strategies to boost financial resilience and long-term growth in today’s evolving healthcare landscape.
Generative AI’s role in modern healthcare delivery
Discover how generative artificial intelligence (AI) is reshaping healthcare by boosting speed, precision and care.
How experiences shape military and Veteran health care
In this Let’s Talk Healthcare Perceptions video seminar, explore how lived experiences shape the care that military families and Veterans receive and how the healthcare system can evolve to meet those needs.
How are you capitalizing on the power of real-world data?
Maximize your investments with a more coordinated and connected real-world data strategy.
Trends shaping pharma strategy in 2026
How should pharma manufacturers strategically evolve as the industry shifts? Get expert insights from Advisory Board and Optum® Life Sciences.
Creating a seamless durable medical equipment experience
Discover how a digital-first DME strategy can enhance efficiency and transparency for health plans, clinicians and members.
Site-of-care decisions: Navigating safety, access and value
Learn about benefits and challenges of the site-of-care shift and how InterQual Site of Service helps organizations navigate the transition.
Creating a better pharmacy experience
We’re committed to a expertly designed member experience built on affordability, accessibility and compassionate support from knowledgeable benefit experts.
Assessing your Annual Enrollment Period performance: A checklist
You made it through the Annual Enrollment Period (AEP). Assess how things went so you can strategically plan for the 2027 AEP.
7 key trends in risk adjustment
Examine the trends reshaping risk adjustment and learn how your organization can stay ahead in 2026.
Empowering providers to focus on patient care
Our provider performance team partners with your providers to reduce administrative burden and drive positive patient outcomes.
Risk adjustment coding 101 for providers
Learn actionable strategies and best practices for effective implementation of coding programs for provider organizations.
Innovation Without Compromise: Navigating Faster Turnaround Times with Responsible AI
Discover what to ask AI vendors and how to build a strategy that supports accelerated decision-making, reduces administrative burden and maintains clinical integrity.
Improving transparency in payer-provider connections
Explore how real-time connections can enable more accurate claim submission to create a more efficient healthcare payment system.
Identifying suspicious billing patterns
Learn how a fraud detection algorithm flagged a suspicious vendor, saving States millions for improved program integrity.
Payment integrity strategies that help generate savings quickly
This guide can help you optimize your payment integrity program and achieve savings goals within 12 months.
VBC 5.0: Mastering the 5 pillars of value-based care success
Explore the 5 pillars of value-based care every health system, health plan and provider needs to succeed.
Pre‑Care: What Consumers Expect Today and in the Future
Find out what we learned when we asked more than 1,000 people how they feel about the pre-service journey, from provider search to AI use.
Beyond the pitch: How to evaluate AI vendors with clinical confidence
Learn what to look for in an AI healthcare partner — from clinical rigor to transparency — to support safe, effective implementation.
Join us in supporting those who serve
Service members, military families and Veterans may find it difficult to access services they’re eligible for. Optum Serve research highlights 7 opportunities.
How AI is transforming hospital utilization management
In the landscape of hospital utilization management, effectively applying AI and automation is essential to achieving meaningful results.
Simplifying provider engagement for health plans
See how Optum can help your providers deliver coordinated, high-quality care for patients.
Emerging trends impacting payment integrity
We take a look at how market shifts, AI innovation and cost pressures are redefining health plan strategies.
Leveraging GLP-1s for a whole-person approach
A holistic, strategic approach to GLP-1s combines medication, surgery and behavioral health to support weight management and reduce costs.
A beginner’s guide to implementing risk adjustment coding
This guide for provider groups outlines a 3-step process to build a robust coding program that supports improved value-based care outcomes.
Automating success: A smarter path to revenue cycle transformation
Learn how health systems are using revenue cycle automation to provide better patient experience, financial outcomes and operational resilience.
What health plans need to know about provider usage of AI
Uncover the 4 major ways providers are leveraging AI and how this trend is changing payment integrity for health plans.
Why risk adjustment is critical for the success of ACOs
Learn how ACOs can leverage risk adjustment to enhance provider engagement, compliance and patient equity in care delivery
Transforming coding compliance and efficiency with automation
Our computer-assisted coding (CAC) solution provides the essential tools for professional coding operations and appropriate revenue capture.
Developing Medicaid Core Set measures for States
Discover how Michigan and Virginia took different approaches to meet the federal mandate of tracking care quality for Medicaid and CHIP.
Member engagement: Advancing whole-person care
By collaborating with health plans and their members, Optum helps build a more cohesive, supportive system that prioritizes member needs.
Redefine success in value-based care (VBC)
Our recent survey shares why 83% of executives feel optimistic about value-based care and offers strategies to expand your VBC relationships.
Unlock the future of risk and quality in healthcare
Discover how Optum is helping revolutionize the healthcare industry with innovative solutions in risk adjustment, quality improvement and member engagement.
Unlocking new possibilities in risk adjustment
Learn how Optum helps health plans improve performance by using data, AI and smart technology to enhance accuracy, efficiency and integration.
Rethinking clinical trial recruitment: Adapting to real-world data
Clinical trial recruitment shortfalls are often the result of protocol designs that don’t reflect how care is delivered. Real-world data can make a transformative difference.
Clinician Real Talk Podcast
Join host Adia Morris for inspiring chats with clinicians on care, culture and how Optum supports their journey every step of the way.
Bronson's cloud imaging archive journey
Bronson Healthcare transitioned to a cloud-native imaging archive, reducing administrative burden, improving system speed and enhancing provider and patient experience.
Care coordinator stories
The story of Kayla Perno, an Optum Care Coordinator, demonstrates how dedication to compassionate care leads to better outcomes.
Empower your D-SNP strategy
How Optum Home & Community Care helps health plans align and advance.
Transforming data into health system growth
Learn how Medical Center Health System partnered with Optum to win in its market.
Transforming payer operations with Steve Yurjevich
Optum payer market CEO Steve Yurjevich discusses opportunities to streamline operations and deliver more value across the health system.
Behavioral health support for millennials at work
Millennials are leading the charge for mental wellness—and employers are stepping up.
Future of prior authorizations: Automation, integration and results
Discover how the right technology partner paired with deep EHR integration and workflow alignment can transform your prior authorization process.
Attracting Gen Z employees with smart benefits strategies
Gen Z is changing workplace expectations — employers must evolve benefits to keep up..
5 steps to reduce surgical cost variance
Is your surgical center under cost constraints? Leverage this process that has saved Optum clients millions of dollars in surgical costs.
The $20 billion opportunity in healthcare automation
Discover how the final shift to electronic transactions can save billions and transform healthcare operations.
Rethinking quality in the digital frontier
Learn about NCQA’s shift to digital quality reporting and how Optum can help your organization stay ahead.
Seamless image sharing for better care coordination
See how a large health system improved care coordination and patient experience with Change Healthcare Stratus Imaging Share.
Maximize OR efficiency with predictive analytics
Learn how to use AI-enabled recommendations to optimize surgical capacity and predictive analytics to forecast future block utilization.
Dashboard streamlines Medicaid SUD program
Virginia’s new Medicaid analytics dashboard centralizes SUD data, improving treatment strategies and reporting for vulnerable communities.
Innovating care for vulnerable populations
See how in-home technology helps payers give better care, solve social problems and improve health for people who need it most.
Streamlining DME with accuracy and efficiency
Explore how health plans can streamline their DME process to deliver a seamless, connected experience that enhances the payer experience.
Unlock the full potential of your payment integrity office
Discover the 5 key components of a high-performing payment integrity program. Build a structure that helps optimize savings.
The value of working with an ISNP
Learn how institutional special needs plans have proven results in driving better health, financial and quality outcomes for nursing home care.
5 lessons from a year in flux
From tariffs to GLP-1s and AI, see which pharmacy topics led the conversation — and why they still matter going into 2026.
The future of payment integrity in healthcare
iscover how Optum is contributing to the transformation of the healthcare industry with innovative solutions in payment integrity.
Revolutionizing prior authorization solutions
Pharmacogenomics in medication selection
Enable more effective and targeted treatments that address unique needs for patients with pharmacogenomics.
5 building blocks for an effective member engagement strategy
Learn how to build a holistic engagement strategy to help improve member satisfaction and better achieve your goals.
Cloud PACS helps ensure continuity
Cloud-native Stratus Imaging PACS by Optum helped CIRA restore patient care, reading 7,000 exams in days during a cyber incident.
What’s next for AI in pharmacy?
Two AI experts share insights on how we’re using AI and advanced technology to improve everything from trend prediction to member services.
A beginner’s guide to risk adjustment analytics for providers
Learn how you can implement advanced analytics at your provider organization with our 7-step guide.
Optum a leader in GenAI payer workflow platforms
Optum has been recognized with a Product Leadership Recognition in the North America GenAI payer workflow platform industry by Frost & Sullivan.
Four steps to smarter provider education
Discover how health plans can reduce billing errors and strengthen provider relationships through AI-enabled proactive education.
Solutions to simplify Medicare compliance
Discover solutions that help you efficiently and consistently comply with CMS-4201 and CMS-0057 requirements.
Managing the high costs of complex conditions with Centers of Excellence
How to build a resilient benefits strategy that drives access and improves outcomes sustainably.
Delivering better value for our plan sponsors
We partner with you to determine which solutions – designed to ease rising drug costs and support better health outcomes – best match your pharmacy needs.
Quality innovation: A member-first approach
Learn how Optum uses a member-first digital approach, advanced analytics and AI to enhance quality for clients and health plan members.
Innovate or fade: Payers at the crossroads of senior care
Join Dr. Jamira Duffy and Heather Jarrett from Optum Health as they discuss the urgent need for innovation in senior care and the considerations payers should focus on.
The impact of AI on value-based care
Learn 7 ways artificial intelligence is changing the game in healthcare.
Strengthening risk adjustment with payer and provider collaboration
Learn how Optum utilizes scale, innovation and strong partnerships to optimize risk adjustment services for both providers and payers.
Preparing for a rise in ambulatory surgical care
Explore market conditions driving the outpatient shift, considerations for patient selection and current opportunities in the ambulatory space.
Strengthen your surgical capacity
Learn how to optimize surgical capacity by implementing and sustaining a highly-effective block management process.
Empowering providers with AI innovation
Generative AI is reshaping healthcare — boosting efficiency, easing documentation and empowering providers across the system.
Guide to achieving seamless digital integration
Optum offers digital solutions in 3 key areas: data acquisition, insight sharing and enhanced functionality.
New drugs for Alzheimer’s multiple sclerosis, more
First self-administered Alzheimer's therapy shifts costs to pharmacy plans, plus first treatments for MS and bronchiectasis.
Using biosimilars to treat chronic inflammatory conditions
In today’s healthcare landscape, the introduction and increasing use of biosimilars offers a promising solution to rising medication costs.
Streamlining real-time eligibility and claims
Discover how real-time eligibility, benefits and claim status inquiries can improve accuracy and efficiencies for payers and providers.
Beyond the hype: Real AI use cases to drive payment accuracy
Explore real use cases for using AI to drive payment accuracy and the effective ways health plans are leveraging these emerging technologies.
Trusted specialty pharmacy support
Optum Specialty Pharmacy simplifies prior authorizations, offers patient support and helps you save time with digital tools.
Menopause in the workplace: Promoting awareness and support
How employers and payers can step up with tailored benefits, workplace accommodations, and integrated care.
How Optum pharmacy experts bring passion to quality care
Hear what drives three Optum® Home Delivery pharmacists to go above and beyond in advancing treatment.
Navigating the complexities of healthcare automation
Learn how to assess your organization’s readiness for automation. Get strategies to unlock the full potential of your automation investments.
Beyond change management: Real digital transformation
Digital transformation fails when change management is an afterthought. Learn how to address the problem, people and culture for success. c
Engaging specialists in value-based care
Alternate payment methods (APMs) can boost quality and cut costs by aligning payment and delivery for specialist providers.
How AI in pharmacy is powering new innovations
From predicting drug trend to earlier fraud protection, see how we’re leveraging AI to improve operations for clients and members.
The criticality of evidence-based medicine
Evidence-based medicine improves quality of care while reducing the cost of care.
Data collection for risk adjustment compliance
Learn the 4 core pillars of a strong data collection process — a strategic imperative for improving healthcare outcomes.
4 ways behavioral support helps make GLP-1s cost effective
As GLP-1 use surges, payers and employers need to include behavioral support, deprescription planning and long-term care to sustain outcomes.
The state of risk adjustment, quality programs and value-based care
Learn what insights we discovered by partnering with Frost & Sullivan on a benchmarking survey of payers and providers.
Risk adjustment solutions: The impact of medical innovations
Explore the influence of key innovations on risk adjustment solutions. Learn how these technologies are shaping the future of healthcare.
The perfect blend: AI and human validation in condition capture
In the ever-evolving landscape of healthcare, the need for complete and accurate risk adjustment has never been more critical.
5 ways to help your employees reach their wellness goals
Learn how employers can bridge the wellness gap through workplace wellness programs that offer personalized, practical and human support.
Key data insights for your hospital services strategy
Achieving better patient outcomes through medication adherence
Learn about 5 strategies for consistent medication use and how Optum Specialty Pharmacy can help.
Enhance system security with cloud-native imaging solutions
Learn about the in-depth security capabilities of cloud-native imaging.
Driven to bring care to those in need
Optum Nevada’s mobile medical clinic helps promote health and break down transportation barriers for patients in Nevada.
Delivering a deeper connection to infusion care
Our infusion care ecosystem is based on a commitment to clinical innovation and providing consistent, convenient and compassionate care.
How technology supports staff and empowers patients
We surveyed front office staff to learn how patient engagement technology streamlines their jobs and improves access to care.
Breast density: Research for Radiologists
New research on breast density is changing the way radiologists approach mammography.
4 myths: Carving out specialty pharmacy
We examine the impact of carve-out approaches, how these carve-outs work against patient experience and clinical value, and how the integrated Optum Rx approach works better for all stakeholders.
Regulations to watch: Summer 2025
As legislation impacting PBMs ramps up again at the state level, the Trump administration signs drug pricing executive order in Washington, D.C.
Addressing burnout with cloud PACS solutions
Health care leaders share how cloud-native solutions can help ease risks and improve efficiency for radiologists.
Women’s health is more than reproductive care
Discover 5 areas of focus for payers and employers looking to improve women’s health outcomes, costs and member satisfaction.
Building a better oncology managed care program
New cancer treatments can transform patients’ lives — but they also create costs that demand a new kind of cancer guidance program.
Succeeding at Optum with value-based care
Learn how Optum provides value-based care resources which enable providers to succeed.
Better outcomes with value-based care versus fee-for-service Medicare
A first-of-its-kind evidence-based study indicates the positive impacts of value-driven reimbursement and care delivery on patient outcomes.
Five priorities improve financial performance
This E-book will help you master five fundamentals for a sound financial future.
Migrate your enterprise imaging to the cloud
Watch our webinar on migrating your enterprise imaging to the cloud.
When chronic conditions and behavioral health collide
The collision of chronic conditions and behavioral health challenges can’t always be stopped, but healthcare leaders can work to mitigate its impact.
Clinical Exchange Orders and Results tool
Streamline the implementation process of healthcare lab operations and enhance enrollment control with our self-service tool.
One doctor’s journey as an Optum provider
Dr. Benito Calderon, a provider in Nevada, explains how working within the Optum Network transformed his practice.
Understanding artificial intelligence for radiologists
Learn why implementing artificial intelligence in the radiology department shouldn't lead to panic.
Trends shaping the future of clearinghouses
Discover 5 key trends that can help healthcare organizations streamline processes, minimize errors and deliver faster, more reliable services.
Emergency department performance metrics
Learn about the key metrics that should be monitored within your emergency department to improve financial performance and optimize efficiency.
Five things your denial rate isn't telling you
Learn 5 ways to make changes that will prevent and remediate denied claims.
Defining the future of alternate-site infusion pharmacy care
Optum tackles the many issues infusion pharmacy care faces as it serves vulnerable patients with acute needs and complex conditions.
How Optum supported one practice in its transition to value-based care
Dr. James Corcoran shares his experience as a member of the Optum Network in Arizona, focusing on how the organization supported his practice’s transition to value-based care.
Smart, sustainable growth in the era of Medicare Advantage
Health systems face financial challenges and increasing competition as more seniors transition to Medicare Advantage, requiring smart strategies for sustainability and growth.
MIPS program recommendations physicians
Traditional MIPS plans concluded in 2023. Understand MIPS reporting types and get help navigating the changes.
Four ways to strengthen your practice
Strategies to help provider groups maintain independence, support long-term stability and drive success.
Provider report cards help emergency medicine groups
Learn more about how provider report cards can help emergency medicine groups thrive.
How to manage organ transplant costs
There’s a lot at stake with organ transplant claims. Learn the importance of selecting an effective payment integrity approach.
Improving the provider experience
Learn about a modern and proactive approach to payment integrity for health plans.
Utilizing patient access contact center
See how a hospital streamlined scheduling for about 700 providers and strengthened customer service for over 65,000 patient calls monthly.
How payers can improve maternal care in the 4th trimester
Learn how payers can drive meaningful impact through preconception care, postpartum coaching and managing chronic conditions early.
Trends shaping the future of payment integrity
Explore the market trends that are shaping the future of payment integrity and learn what they will mean for health plans.
How the Optum support system reduced one doctor’s workload
In this video, Dr. Peter DeSilva shares a detailed account of his experience working with the Optum Network in California.
The benefits of outsourcing medical billing
Discover a step-by-step strategy for gaining administrative buy-in.
Cloud-based upgrades
Learn how cloud-based imaging solutions can speed upgrades and reduce maintenance.
Change Healthcare Stratus Imaging Share
Learn how much you could save by eliminating CD burning.
Optimizing physician reimbursement
Learn how physician groups can leverage automation and incorporate advanced analytics to help ensure they’re collecting every dollar.
Transform your pharmacy benefits with end-to-end transparency
Learn 8 ways that plan sponsors can benefit from a comprehensive approach to transparency and accountability.
Determining treatment safety for pregnancy and infants
Studying the impact of treatments on pregnancy and infants can help patients, providers and pharmaceutical companies make key decisions.
Getting back to the joy of clinical practice through value-based care
Daniel Frank, MD, experienced firsthand the frustrations of not being able to dedicate enough time to patients.
4 shifts shaping the future of oncology
An evolution in cancer prevention and treatment promises to forge a new path for patients, physicians and health plans alike.
Engaging and transforming patient experiences
Healthcare leaders share strategies to improve patient outcomes by addressing friction points, emphasizing empathy and valuing staff.
A systemic transformation is needed to fix clinician burnout
One Optum expert explains how value-based care offers a way to address the clinician burnout crises.
Closing gaps in pain management
More than half of nursing home residents suffer from chronic pain. Read the white paper to learn how we can make a difference in their lives.
Navigating AI in Healthcare
Watch this on-demand webinar for expert insights on AI capabilities, business challenges and robust governance in healthcare.
2024 Annual Healthcare Trends Report
Get expert analysis for C-suite healthcare leaders on the forces driving change. Explore challenges, what to watch and how to move forward.
Quick and safe digital specialty pharmacy service
Optum Specialty Pharmacy leverages specialized expertise and resources with flexibility, delivering personalized care that drives better outcomes.
Three tips to help providers transition to value-based care
Some quick insights on how to make a VBC model work for your organization.
Value dex z codes
Optum and Palmetto experts partner in discussing how to solve genetic lab challenges in legacy solutions.
How cloud-native PACS transformed a rural hospital
In this case study, learn how cloud-native technology can unlock efficiency.
Enterprise imaging cloud strategy webinar
Learn about the differences between “cloud-based” and “cloud-native” image hosting.
Hospital employed anesthesiologists and RCM
Dive deeper into the market shift transforming the modern anesthesia employment market.
Specialty Pharmacy 101
Specialty pharmacies deliver high-touch services to help patients stay adherent to treatment plans and live healthier lives.
Expanding patient support for holistic care
Our value-based care model can expand patient support by enabling providers to deliver holistic care.
Driving efficiency and accuracy across the middle revenue cycle
Learn how to address staffing shortages, reduce administrative costs and improve outcomes with a single, unified platform.
Marrying clinical results and financial stability in value-based care
In this Q&A with an Optum expert, get some key insights about the clinical and financial impacts of value-based care.
Cyberthreat webinar
Learn practical steps you can take to safeguard your enterprise imaging data.
Establish renewed priority on revenue loss
In volume 2 of this white paper, discover 3 strategies to improve revenue performance from proper levels of reimbursement to writing off bad debt and expanding into new service areas.
How value-based care helps physicians work at the top of their license
Learn about the value-based care strategies changing the definition of productivity.
Supporting women beyond the reproductive years
Learn how health plans can fill care gaps by offering greater support and personalized solutions for women experiencing menopause.
The future of payment integrity
Unpack key trends shaping the future of payment integrity and discover steps you can take to get started on your path to payment precision.
Navigating the challenges of outpatient evaluation for patients with acute coronary syndrome
Learn how the InterQual level of care team tackled a content development challenge following updated societal guidelines for acute coronary syndrome.
How real-world evidence can inform pharma strategies in 2025
Health economics and outcomes research (HEOR) can play a key role in helping the life sciences industry improve patient outcomes.
Diagnose the health of your health plan
Learn 8 advantages of an end-to-end risk adjustment platform.
Youth-centered mental health
Find new ways to address youth mental health and how health care leaders and communities can come together to achieve long-lasting impact.
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.
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?
Reprioritizing growth: Differentiate and deliver
Learn about nuanced growth strategies focusing on service differentiation, targeted patient acquisition and integrated care delivery.
Fire department boost collections forty percent
Our case study shows how the Cincinnati Fire Department recovered missing revenue with Optum billing and collection systems.
Delivering actionable data insights for better care
See how our actionable data insights empower providers to deliver better, more efficient care.
Reexamine the effect of the Inflation Reduction Act
Learn how real-world data and evidence can help prepare you for healthcare-related Inflation Reduction Act policies.
Outsourcing medicaid eligibility enrollment
Discover how one client outsourced Medicaid eligibility and enrollment to drive patient satisfaction and higher reimbursement levels.
Navigating growth in the healthcare industry
Learn how to overcome challenges and achieve scalability with your medical practice.
Navigating the pandemic
Learn how Optum revenue cycle management services helped Santa Fe Pathology Services maintain financial stability throughout the COVID-19 crisis and position the practice for growth.
How AI accelerates workflows and patient cancer care
Discover the potential of AI and how it helps save thousands of lives each year.
The importance of workforce mental health maintenance
See how employee mental health benefits are evolving to support workforce wellbeing.
Business intelligence delivers financial insights lab
Learn how BI can improve operational performance, provide access to key financial indicators and support compliance.
RCM services allow laboratory navigate difficult waters
Learn how Optum implemented comprehensive revenue cycle management procedures to help Meridian Laboratory Physicians bill for clinical pathology, increase reimbursement and support practice growth.
How Optum works alongside you
Go inside the collaborative partnership Optum offers to providers who are transitioning to value-based care.
Creating shared success with Optum
See how Optum is committed to being your value-based care partner.
Optimizing patient care through point-of-care decision support
Discover how evidence-based technology can enable smarter clinical decision making.
3 pillars of physician revenue cycle management
How cultivating a combination of people, processes and technology is a critical driver of RCM success.
Understanding the transition to cloud-native imaging
Imaging center uses cloud-native technology to future-proof operations.
Insomnia treatment research study
Optum combined real-world data and primary research to create better understanding of insomnia and help create new treatments.
The No Surprises Act
Get an overview of the Act with recommendations for physician practices.
Bridge the payment gap between payers and providers
Our innovative healthcare payment delivery platform simplifies processes, saves time and lowers costs for all involved.
Prioritizing social determinants of health is a must in value-based care
How one practicing physician learned that addressing the social and economic challenges of patients was crucial.
Injecting humanity back into patient care
Hear firsthand how the help of extended team clinicians can offer patients better care.
RCM essentials for 2025
From process re-design to automation with advanced technology, learn how healthcare finance leaders optimize their RCM operations for the future.
How the Defensive Health Agency community is digitally transforming
In this webinar, learn about the ongoing modernization of the care experience for Service Members.
A proven path to stable, reliable, scalable modernization
Learn how a more than 10-year collaboration led to a seamless enrollment experience in 2025 for millions of consumers in Medicaid and QHP plans.
Revolutionizing specialty medication management
Get an in-depth assessment of the ways Specialty Fusion™ is revolutionizing specialty drug management.
Driving innovation with new revenue cycle services
One organization decreased uncompensated care, increased loyalty and patient satisfaction, and connected patients with more funding sources.
Move your enterprise imaging to the cloud
Learn how to highlight the immediate cost and efficiency gains of cloud adoption.
Improving financial performance through education
See how educational programs at Optum are designed to improve a providers’ financial performance while maintaining top-tier patient care.
What if pragmatic clinical trials were more practical?
Pragmatic trials look increasingly attractive to researchers, but they’re tough to execute. Learn how to simplify the process.
Streamline Medicaid eligibility and enrollment processes
The rise of healthcare consumerism has prompted many hospitals and health systems to rethink their patient satisfaction strategies.
Safeguard the mental health of content moderators
Learn how we support the unique workplace needs of content moderators with a tailored wellbeing strategy.
Can larger systems change how they provide care?
One expert explains that even larger organizations can make a successful leap to value-based care.
Improving CDI efficiency
See how Lima Memorial improved efficiency with advanced technology.
Imaging, data reporting and the cardiology user experience
How can cardiovascular imaging departments leverage user experience design to address the challenges of fragmented data?
How Cardiology IT solutions can solve workflow issues
Learn how new reporting features within cardiology IT solutions helped one medical center build an innovative user experience and workflow.
Achieving health equity: Strategies for payers
Learn more about a comprehensive solution for health payers to address health disparities and achieve health equity.
Making risk adjustment programs work
Learn how three care delivery organizations reduced administrative burden to spend more time with patients and improve outcomes.
Shift-of-site care is a win for women
With unique needs, women benefit greatly from a wider array of care options. Payers and employers can reap big rewards by providing them.
Reconcile your RWD expectations to maximize your investment
Understand how routine clinical practice impacts information captured in real-world data (RWD).
Using behavioral science to inform hemodynamics product design
Learn how behavioral science can improve the hemodynamics solution in vital ways for physicians and technicians.
Cancer costs are rising — are you ready?
As experts forecast a steep climb in already-expensive oncology costs, payers must prepare for the big changes ahead.
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?
Promises and pitfalls: AI and clinical decision-making
Learn more about why evidence-based criteria and clinician insight are needed for informed and trustworthy decisions while leveraging AI.
Guidance along fertility journey
Discover how health plans can set aside ad hoc solutions and adopt a comprehensive approach to improve health outcomes and accessibility of fertility care.
Smart revenue cycle investments
These two targeted investments will strengthen your revenue performance more than deep cost cutting.
Create a expert-level front-end revenue cycle
Learn six ways to take your operations from good to great.
Aligning with CMS: Medicare Content Navigator and InterQual Transparency
Discover how to meet the latest regulatory requirements for Medicare Advantage plans.
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.
Develop your growth strategy
Optum Market Advantage helps you choose your own path forward.
Achieve claim pricing accuracy and efficiency
Learn how to create a framework that drives payment accuracy on the first pass.
Strong financial future through partnership
See how Boulder Community Health partnered with Optum to continue to successfully fund its mission.
New billing system improves financial performance
Radiology Associates of Nevada made a smooth transition to Optum as its new billing vendor. This significantly improved its financial performance.
Support risk adjustment with CDI technology
Clinical documentation integrity programs are expanding to support risk adjustment initiatives. Integrated CDI technologies are needed to support revenue and integrity.
Decrease denials strategy
Understanding the reasons for your claim denials is the first step to preventing them from happening in the future.
A/R recovery services provide continuity
Provider maintains A/R revenue continuity during HIS conversion.
Analytics in payer-oncologist partnerships
See 4 ways that payers can help healthcare providers unlock the power of real-world data to drive quality and innovation in cancer care.
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.
Optum wins 2023 enabling technology leadership award
Optum won the 2023 North American Enabling Technology Leadership Award.
Structured cardiovascular reporting
Learn how structured cardiovascular reporting can reduce late charges.
Understanding the benefits of single-database cardiology
Learn about our single-database cardiology solution that integrates with your EHR and VNA to help create a complete, unified cardiovascular record.
Revolutionizing cardiology
Discover how Boulder Community Health and Optum Advisory worked together to achieve smart growth and sustainable change.
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%.
Designing cardiac training programs through innovation
Learn how we’re training the next generation of cardiac clinicians with advanced technology.
The benefits of cardiovascular structured reporting
Discover the key features of cardiovascular structured reporting that drive adoption, EHR integration and customization.
Get competitive with CDI and coding analytics
Watch the demo to learn how our analytics platform provides custom, value-added reports with the data insights you want.
Exploring possibilities cdi metrics
Watch the panel-style webinar with Banner Health CDI and analytics leaders to discuss business intelligence analytics and health information management.
Taking aim at the U.S. maternal mental health crisis
New and expectant mothers are facing an epidemic. Here’s what they need, not only to withstand pregnancy and early parenthood but to thrive.
What to know about managing rising transplant costs
What payers need to know about transplants and other high-cost care.
Leveraging data-driven heat maps
The Optum network gives transparency to customized potential connections, helping boost revenue.
7 strategies for meeting more mental health needs
Discover how to create an interconnected network of services that help people get properly diagnosed, access support and sustain progress.
Identifying patients' bone fracture risk
Optum Life Sciences experts used real-world data to assist in the testing of an algorithm designed to assess for osteoporosis risk.
Strengthen ED visit-level determinations with these key elements
Learn how to strengthen your ED visit-level determinations, and identify areas for improvement.
Break down silos in clinical trial design
Clinical trial protocol design and feasibility often occur in silos. Learn how to make the overall trial design process more effective with RWD and other tools.
Inventory management solutions made simple
Discover inventory management solutions that guide the decision-making process for efficiency gains, better practices, cost savings and safer care delivery.
We follow the science and defend against bias
See how Optum follows the science where it leads, validating the research we find to uphold the clinical integrity of InterQual content.
Benefits of artificial intelligence reach the revenue cycle
The use of NLP makes the revenue cycle work smarter, not harder.
Using the right tools to approach RWD
RWD pitfalls part 1: When working with real-world data, learn from the lessons of others to help maximize your own business return.
6 workforce strategies for healthcare leaders
Strengthen and inspire your healthcare workforce. Our actionable toolkit offers new strategies to reconnect with talent, simplify workflows and more.
Using clinical intelligence for revenue cycle
Our white paper shows how investing in smart technologies, such as clinical intelligence, supports the revenue cycle from patient registration through full reimbursement.
Redefining the prior authorization process
Learn how we are revamping the prescribing process.
Is poor market visibility compromising your growth?
Optum offers an infographic to help hospitals better understand true growth potential and the potential impact of physician outreach.
The Physician Liaison Outreach Playbook
Learn how proactive planning is the key to successful physician-to-physician marketing.
The ASAM Criteria® Navigator, 4th edition
Learn how to streamline efficiency and consistency of the utilization review process.
Understanding college and graduate student mental health needs
Explore the realities of mental health among college students and graduates and how we can make it better.
Delivering on promise of fertility care
As a highly specialized area of care, fertility treatment is a significant cost driver for health plans and employers.
Five step InterQual evidence-based development process
The InterQual Criteria is developed through a rigorous, five-step process by our clinical development team.
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.
Improve efficiency with Optum CAC and CDI 3D
See how one health system partnered with Optum to transform their coding and CDI program.
Real-world data fills rare disease data gaps
Read how you can fill the data divide to develop effective treatment options.
Assess drug performance with integrated data
Explore real-world use cases to see how integrated data empowers research and commercial teams to compete in today’s crowded market.
Help your bottom line through UM optimization
An efficient utilization management (UM) program is a must to deliver high-quality patient care while managing costs.
Race ethnicity data bridge gap in improving health outcomes
The life sciences industry needs robust real-world data. For that data to reflect real-world populations, you need race and ethnicity data.
Boost efficiency with payment optimization
Learn how payment delivery optimization can improve the healthcare financial cycle and bridge the gap between payers and providers.
Slowing specialty pharmacy carve out stampede
Discover specialty medication management strategies to help you slow carve-out and stop member attrition.
How the revenue cycle and leaders are evolving
Find out how to shift your revenue cycle left, focusing on front-end revenue cycle management (RCM) capabilities.
Fighting fraud, waste and abuse in pharmacy
How one plan sponsor realized more than $128,000 in savings and recoveries in one year.
Denials index
Learn about the latest trends in medical claim denials and find out how to decrease them.
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.
Maintain operational and financial viability
Read this white paper to learn strategies that can help critical access and independent hospitals remain viable in their communities.
Optimizing UM with InterQual AutoReview
An Optum expert explains how hospital systems can transform their UM programs and drive efficiency with InterQual AutoReview.
Women's health: Susan's story
Learn how OB Homecare and advanced analytics can help manage at-risk pregnancies.
Maternal and infant health insights
Optum Advisory uncovers disparities in maternal and infant outcomes — commercial vs. Medicaid — identifying key factors.
10 hurdles to reimbursement
Focus on the specific hurdles that hinder your claims and cause most of your denials. We'll walk you through how to clear each obstacle.
Physician outreach toolkit
Get tools for applying data-driven outreach to develop a successful growth strategy.
Choosing an accounts receivable partner
Selecting a strategic accounts receivable partner requires careful evaluation.
Buck denial trends
Learn about the latest national denial trends to help you avoid rework and future denials.
The benefits of microservice imaging architecture
Our cloud-native solutions use dynamic load balancing to optimize resource use across all applications.
2024 Stars preview: 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.
4 ways small biopharma can harness RWD
Small and emerging biopharma companies are already having an impact on the industry. Learn how RWD can enhance the ability to innovate.
Is your pharmacy benefit manager delivering value?
The 5 key questions you should ask to make sure your pharmacy benefit manager (PBM) is able to promote value, drive innovation and improve health outcomes.
Improve fertility treatment efficiencies and outcomes
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.
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.
2023 3rd Annual C-suite Research Report
How are market dynamics impacting decision-making across healthcare? Research report examines progress, challenges and priorities in 2023.
Things to know about new landscape fertility benefits
More and more, benefits leaders see the value of reproductive health — and it’s changing how they approach offerings. Here are 5 things to know.
Reducing administrative variation with artificial intelligence
Infuse technology into your medical necessity process.
Volume 1: Better financial health and improved operations
Read the white paper for strategies on controlling fixed costs, efficiency and organizational flexibility.
Analytics answer compliant coverage identification
Using advanced analytics and rich data resources can help boost providers’ ability to screen the self-pay patient.
Tips for selecting a fit for purpose data set
Using real-world data (RWD) that are not fit for purpose can waste time and money. Review 6 simple steps to guide your research towards the right data.
Clinical exchange eprescribe self service tool speeds enrollment
Healthcare systems need new systems to better facilitate enrollment despite staffing shortfalls.
How to implement patient-centered oncology care
Patient-focused care is becoming the highest aspiration in cancer care. Here’s what payers should know to embrace this beneficial approach.
Making cardiovascular data work for the future
What can technology leaders do today to facilitate future advancements in cardiovascular data and analytics?
A single database cardiology platform that drives efficient workflow
Read our case study.
Catalyze the use of RWE in life sciences
Discover how using real-world evidence (RWE) in the life sciences industry can help catapult learning and drive impact for your company.
Five ways to improve your cardiovascular workflow
Learn how to improve productivity with a workflow solution that innovates in five key areas.
Youth mental health research findings
In our new report, you'll learn key findings about the mental health needs of young people and their caregivers, and discover opportunities for intervention.
Reimagining behavioral health
Join speakers Lou Dierking and Miranda Anderson as they share insights into how technology can drive much-needed improvements in behavioral health care.
Coding modernization: Leveraging the power of AI
Learn how Optum takes an innovative approach to smarter, more accurate healthcare coding.
Steps to smarter prior authorization
Healthcare organizations face challenges with prior authorization. Learn how automation can help save resources and improve patient care.
Optum is the leader in payer-provider collaboration
Optum has been named the market leader in the Frost Radar™: Healthcare Payer-Provider Collaboration Solutions in North America report by Frost & Sullivan.
Navigating 3 new pharmacy regulations in 2026
From GLP-1s to vaccines to tariffs, government policies will touch every area of pharmacy services this year.
Chargemaster consolidation and optimization
Learn more about improving charge capture and revenue assurance for EHR implementation.
Exploring the evolving landscape of autonomous coding
This panel will address autonomous coding trends, challenges and innovations within the middle revenue cycle.
Building trust in AI: A responsible approach
At Optum Rx, we’re using AI responsibly — fairly, safely, ethically — to make health care easier and better for the people we serve.
Patient access starts before the appointment
New research reveals how access, transparency and digital tools shape patient satisfaction long before care begins.
Celebrating the unique role of Optum Infusion Pharmacy nurses
On average, Optum Infusion nurses spend approximately 1,300 hours per year providing care to patients. Hilary, an Optum Infusion nurse, knows this firsthand.
Transforming maternal health: A roadmap for states
We offer analytics, consulting insights and real-world application for states to improve maternal health care for women enrolled in Medicaid.
Innovating care for vulnerable populations
Join speakers Saad Ahmad and Jared Landis to see how in-home technology helps payers give better care, solve social problems and improve health for people who need it most.
Transform your risk adjustment strategy
A strategic risk adjustment analytics framework guide for health plans.
Scaling AI without sacrificing safety, quality or trust
Gain access to a discussion where health leaders across the U.S. share how AI can help transform care delivery and financial sustainability.
AI in action: Practical use cases for state health programs
AI transforms state health programs by automating detection, strengthening oversight and driving impact. Get key insights from experts.
Level up your surgical savings
Discover game-style strategies and real-world case studies for reducing surgical costs and standardizing supply use with Crimson AI.
Unpacking recent federal actions on GLP-1s
Evolving federal policy on popular weight loss medications introduces additional cost and coverage uncertainties.
Visionary approaches to the OR
Watch experts reveal how leading health systems are using AI-enabled analytics to reduce surgical costs and improve operating room (OR) capacity.
Optum recognized as RCM market-defining leader
We're proud to be recognized as the Frost Radar™ Revenue Cycle Management Operations 2025 growth and innovation leader.
How Optum Care Transitions helps improve post-acute performance for health plans
See how a leading health plan reduced costs, improved outcomes and strengthened provider relationships with a modern post-acute care model.
The missing link to risk adjustment success
Discover how program orchestration helps health plans align systems, vendors and strategies amid regulatory and financial pressures.
First once-weekly insulin for type 2 diabetes
This edition of Notable New Drugs includes first once-weekly insulin, new psoriatic arthritis treatment and first oral treatment for allergic reactions
Break down silos in claims processing
Fragmented payer-provider communication fuels denials, delays and rework. Learn how real-time insight can help address root causes earlier in the claims process.
Infusion nurse kayaks through hurricane damage to administer care
An Optum Infusion Pharmacy nurse’s commitment to ensure her patients received their medication after a hurricane is just one example of the care team’s compassion and commitment.
The GLP-1 revolution continues
New pills and expanded indications are poised to alter the dynamics of GLP-1 costs and treatments.
Data-driven AI for RCM transformation
AI and clean data are helping change healthcare for the better. Discover how teamwork and smart tech can help payers and providers work together.
What healthcare leaders really think about AI
For our 2-part series on the future of AI, we surveyed more than 100 healthcare leaders. Part 1 reveals how leaders are approaching AI investments. Part 2 looks at the leadership challenge that executives face.
Adapting to the changes in Medicaid policies
The upcoming changes to Medicaid policies are set to significantly impact organizational operations.
Q&A: How Optum Financial is modernizing healthcare payment delivery
Explore how Optum Financial payment solutions streamline operations for healthcare organizations in this Q&A with Senior VP Brian Andrews.
The new AI approach to eliminating contract-based errors
Learn how we're leveraging AI to help minimize payment errors associated with manual contract reviews.
Your guide to digital quality measurement in 2026
5 AI use cases in payment integrity
A strategic blueprint to modernize your payment integrity program through intelligent, AI-driven health plan operations.
Behavioral health support helps improve ROI
With work-life balance becoming a priority, offering no-cost outpatient therapy is more than a benefit — it’s a commitment to wellbeing.
The facts about pharmacy benefit managers
There are many misconceptions of pharmacy benefit managers (PBMs) and their services. Here are the facts.
Optum revenue cycle solutions
Improve financial outcomes, decrease operational costs, improve efficiency and elevate the patient experience with our revenue cycle solutions.
Analytics in action: Building a strategic framework for risk adjustment
Explore how to harness the power of analytics to shape your 2026 risk adjustment strategy.
Trusted specialty pharmacy support
Optum Specialty Pharmacy simplifies prior authorizations, offers patient support and helps you save time with digital tools.
Unlock the power of pharmacogenomics with Optum® Precision Script
Integrate PGx data into pharmacy claims to support safer prescribing, smarter medication management and better patient outcomes.
Coordinated care, every step of the way
Follow Ben's story from the day of his surgery to his recovery at home and see how Optum Home & Community is helping improve the lives of patients.