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Latest featured insights
Guide
Strengthen and inspire your healthcare workforce. Our actionable toolkit offers new strategies to reconnect with talent, simplify workflows and more.
White paper
Discover 5 strategies that will help your health plan be prepared to factor risk adjustment data into Star Ratings.
White paper
Learn how combining these steps can help power a holistic workflow between payers and care delivery.
Article
Learn how Optum uses AI, state-specific logic and robust workflows to help with proactive dual eligible Medicaid renewals.
Latest articles
Article
Learn how Optum uses AI, state-specific logic and robust workflows to help with proactive dual eligible Medicaid renewals.
Article
Dr. Garry Choy, CMO, discusses the pros and cons of using automation and clinical decision support to meet today’s workforce challenges.
Latest case studies and testimonials
Case study
Empower provider success and improve member care through digital integration.
Case study
Radiology Associates of Nevada made a smooth transition to Optum as its new billing vendor. This significantly improved its financial performance.
Case study
Using digital integration to ease administrative burdens can help you spend more time with patients and deliver positive patient outcomes.
Latest e-books
E-book
Find out how to shift your revenue cycle left, focusing on front-end revenue cycle management (RCM) capabilities.
E-book
Learn about the latest trends in medical claim denials and find out how to decrease them.
Latest guides
Guide
Strengthen and inspire your healthcare workforce. Our actionable toolkit offers new strategies to reconnect with talent, simplify workflows and more.
Guide
Explore Medicaid best practices for health plans and learn three actions to take and when to take them.
![Engage Providers to Impact Member Outcomes [Infographic]](/content/dam/optum-dam/images/business/insights/field-team-supports-providers-better-outcomes-1080x720.png)
Guide
Download our infographic to learn how Optum can take the burden off payers to impact provider performance.
Latest on-demand webinars
On-demand webinar
Learn practical steps you can take to safeguard your enterprise imaging data.
On-demand webinar
Behavioral science is being applied to unique methods of enterprise imaging product design.
Latest white papers
White paper
Discover 5 strategies that will help your health plan be prepared to factor risk adjustment data into Star Ratings.
White paper
Learn how combining these steps can help power a holistic workflow between payers and care delivery.
White paper
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.
Latest videos
Video
Learn about the in-depth security capabilities of cloud-native imaging.
Case study
Learn how artificial intelligence (AI) can support patient care, improve workflows and more.
All technology and automation insights
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.
Volume 1: Better financial health and improved operations
Read the white paper for strategies on controlling fixed costs, efficiency and organizational flexibility.
Improving CDI efficiency
See how Lima Memorial improved efficiency with advanced technology.
Focus on patients, not paperwork
Watch the webinar to learn actionable strategies on tackling decreased hospital margins, increased labor costs and staffing shortages.
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.
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%.
Leveraging data-driven heat maps
The Optum network gives transparency to customized potential connections, helping boost revenue.
Strengthen ED visit-level determinations with these key elements
Learn how to strengthen your ED visit-level determinations, and identify areas for improvement.
The ASAM Criteria® Navigator, 4th edition
Learn how to streamline efficiency and consistency of the utilization review process.
Five step InterQual evidence-based development process
The InterQual Criteria is developed through a rigorous, five-step process by our clinical development team.
Improve efficiency with Optum CAC and CDI 3D
See how one health system partnered with Optum to transform their coding and CDI program.
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.
Developing a best-in-class middle revenue cycle for hospitals
Explore the six focus areas for improving performance to create a best-in-class middle revenue cycle for your hospital.
Clinical exchange eprescribe self service tool speeds enrollment
Healthcare systems need new systems to better facilitate enrollment despite staffing shortfalls.
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.
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.
Smart revenue cycle investments
These two targeted investments will strengthen your revenue performance more than deep cost cutting.
Create a best-in-class front-end revenue cycle
Learn six ways to take your operations from good to great.
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.
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.
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.
Benefits of artificial intelligence reach the revenue cycle
The use of NLP makes the revenue cycle work smarter, not harder.
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.
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.
Denials index
Learn about the latest trends in medical claim denials and find out how to decrease them.
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.
The keys to revenue cycle transformation
Gain expert insights into strategies to decrease costs, unlock new sources of growth and improve patient experiences.
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.
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.
Reducing administrative variation with artificial intelligence
Infuse technology into your medical necessity process.
Analytics answer compliant coverage identification
Using advanced analytics and rich data resources can help boost providers’ ability to screen the self-pay patient.
Causes of medical necessity denials
Learn two critical indicators causing these denials, and how to account for them effectively.
Health leaders share IT transformation stories
Hear John Muir Health and Bassett Health’s observations on digital transformation, modernizing infrastructure and strategic automation.
Strong financial future through partnership
See how Boulder Community Health partnered with Optum to continue to successfully fund its mission.
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.
Making risk adjustment programs work
Learn how three care delivery organizations reduced administrative burden to spend more time with patients and improve outcomes.
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.
Boulder Community Health and Optum
Optum partnership insights and strategies enable near- and long-term success for provider organizations.
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.
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.
Using behavioral science to inform hemodynamics product design
Learn how behavioral science can improve the hemodynamics solution in vital ways for physicians and technicians.
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.
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.
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.
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.
Five ways to improve your cardiovascular workflow
Learn how to improve productivity with a workflow solution that innovates in five key areas.
Enhance system security with cloud-native imaging solutions
Learn about the in-depth security capabilities of cloud-native imaging.
Breast density: Research for Radiologists
New research on breast density is changing the way radiologists approach mammography.
Addressing burnout with cloud PACS solutions
Health care leaders share how cloud-native solutions can help ease risks and improve efficiency for radiologists.
Improve physician practice revenue
Learn key strategies to strengthen the financial performance of your physician practice.
Migrate your enterprise imaging to the cloud
Watch our webinar on migrating your enterprise imaging to the cloud.
Understanding artificial intelligence for radiologists
Learn why implementing artificial intelligence in the radiology department shouldn't lead to panic.
Doubling down on the cloud
Learn how technology is advancing imaging workforce challenges and revenue.
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.
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.
Hospital employed anesthesiologists and RCM
Dive deeper into the market shift transforming the modern anesthesia employment market.
Cyberthreat webinar
Learn practical steps you can take to safeguard your enterprise imaging data.
The costs and benefits of cloud-based imaging
Understand the seen and unseen costs of migrating your enterprise imaging to the cloud.
Navigating growth in the healthcare industry
Learn how to overcome challenges and achieve scalability with your medical practice.
Find immediate ROI with cloud-native enterprise imaging
Learn how artificial intelligence (AI) can support patient care, improve workflows and more.
3 pillars of physician revenue cycle management
How cultivating a combination of people, processes and technology is a critical driver of RCM success.
The No Surprises Act
Get an overview of the Act with recommendations for physician practices.
Move your enterprise imaging to the cloud
Learn how to highlight the immediate cost and efficiency gains of cloud adoption.
What to know about managing rising transplant costs
What payers need to know about transplants and other high-cost care.
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.
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.
Five priorities improve financial performance
This E-book will help you master five fundamentals for a sound financial future.
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.
Key considerations when updating provider management modules
Explore 6 key factors when updating, streamlining and coordinating provider management modules with other Medicaid functions.
Clinical Exchange Orders and Results tool
Streamline the implementation process of healthcare lab operations and enhance enrollment control with our self-service tool.
The fight for techquity
Get ideas for how to fundamentally change your approach to building technology and incorporate techquity into your organization.
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.
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.
Speed up the claims process with AI
Read about our Claims Automated Rules Engine (CARE).
Provider report cards help emergency medicine groups
Learn more about how provider report cards can help emergency medicine groups thrive.
The benefits of outsourcing medical billing
Discover a step-by-step strategy for gaining administrative buy-in.
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.
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.
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.
Fire department boost collections forty percent
Our case study shows how the Cincinnati Fire Department recovered missing revenue with Optum billing and collection systems.
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.
Business intelligence delivers financial insights lab
Learn how BI can improve operational performance, provide access to key financial indicators and support compliance.
Improve medicaid risk adjustment accuracy
Explore Medicaid best practices for health plans and learn three actions to take and when to take them.
Clinical exchange eprescribe enhances care delivery
Streamline workflow and increase accuracy with Clinical Exchange ePrescribe and Surescripts Real-Time Prescription Benefits.
Aligning with CMS: Medicare Content Navigator and InterQual Transparency
Discover how to meet the latest regulatory requirements for Medicare Advantage plans.
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.
Optimizing UM with InterQual AutoReview
An Optum expert explains how hospital systems can transform their UM programs and drive efficiency with InterQual AutoReview.
The benefits of microservice imaging architecture
Our cloud-native solutions use dynamic load balancing to optimize resource use across all applications.
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.
Value dex z codes
Optum and Palmetto experts partner in discussing how to solve genetic lab challenges in legacy solutions.
Enterprise imaging cloud strategy webinar
Learn about the differences between “cloud-based” and “cloud-native” image hosting.
"No regret" IT investments
Learn which tech investments can benefit providers most today.
Improve price transparency
Deliver a better patient experience through price transparency.
Outsourcing medicaid eligibility enrollment
Discover how one client outsourced Medicaid eligibility and enrollment to drive patient satisfaction and higher reimbursement levels.
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.
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.
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.
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.
Market for patient engagement webinar
View the public launch of Optum Patient Access and Engagement on demand.
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.
Best practices utilization review
Learn best practices of utilization review to help your health system maintain clinical, compliance and revenue integrity.
Middle RCM tech
Artificial intelligence (AI) and automation are having a major impact on improving the middle RCM for healthcare providers.
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.
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.
Reimagining fraud prevention
Find out how modernization of emergency relief programs can detect and prevent fraud.
Improving hospital quality and utilization
Learn how data insights helped 4 organizations transform their operations.
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.
Consumer centric health care research report
Examine the acceleration toward consumer-centric care with insights and perspective from healthcare leaders.
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?
Streamline Medicaid eligibility and enrollment processes
The rise of healthcare consumerism has prompted many hospitals and health systems to rethink their patient satisfaction strategies.
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.
Maximize digital mammography reading efficiency
Learn how an all-in-one workstation for mammography and radiology increased study volume and accelerated turnaround.
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.
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.
Reduce risk and capture lost revenue
Learn how Change Healthcare Imaging Actionable Findings can help, solve complex care needs.
Improve your radiology performance
Learn how Change Healthcare Radiology Solutions™ 14.2.1 can help your department improve diagnostic confidence.
Explore our AI-enabled radiology portfolio
Learn how our Radiology Solutions use AI to rapidly identify relevant radiology images.
Intelligent workflow case study
Learn how intelligent workflow can help improve efficiency and patient care.
Change Healthcare Workflow Intelligence
Learn about our vendor neutral, flexible medical imaging workflow rules engine.
Re-examining radiology with Optum
Explore the transformative changes happening in the field of radiology and their impact on advancing healthcare.
Using the cloud for medical imaging
Learn how to unlock the power of cloud migration in your medical imaging.
The AI technology transforming imaging
Learn how artificial intelligence (AI) can support patient care, improve workflows and more.
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.
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.
Adventist West’s success through redesigning and automating UM
Discover how to leverage automation for centralized, exception-based utilization management.
How to transform imaging with behavioral science
Behavioral science is being applied to unique methods of enterprise imaging product design.
Advancing dme benefits management
Learn how DME Navigator can help streamline durable medical equipment (DME) benefits management.
Rethinking the healthcare payment process
Explore ways to create a more seamless and transparent payment experience for healthcare consumers.
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.
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.
4 steps to optimizing value-based care
Learn how combining these steps can help power a holistic workflow between payers and care delivery.
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.
Risk adjustment Star ratings success
Discover 5 strategies that will help your health plan be prepared to factor risk adjustment data into Star Ratings.
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.
Strategies for centering patients and staff
Learn how to help transform hospital revenue cycle operations with healthcare automation.
Transparency helps medicaid providers
See how technology can be used to reduce complexity, administrative rework and improper claims denials.
Debunking revenue cycle myths: The path to financial health
Discover how partnering with a managed services partner can help improve financial operations.
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 promoting health equity in clinical practice.
Interqual autoreview efficient proactive
A cloud-based solution designed to increase utilization management efficiency and review accuracy.
Automating success revenue cycle transformation
Set the foundation for synchronized and connected revenue cycle management.
Automate your front office to address the staff pinch
Learn how automating appointment scheduling, eligibility verification and communications, and more eases pressure on staff.
Driving innovation with new revenue cycle services
One organization decreased uncompensated care, increased loyalty and patient satisfaction, and connected patients with more funding sources.
Social Care Assistance helps member assessment
Optum helps health plans address member needs through screening and community-based organization (CBO) referral services.
Continuous insurance coverage discovery
Learn how our two-stage approach to eligibility coverage links pre- and post-service analysis in near real time.
Revenue cycle ripple effect
Streamline your patient experience, enhance satisfaction, reduce costs and improve your financial performance with our digital tools.
Optum Recognized as RCM Leader Report
Improving the provider experience
Learn about a modern and proactive approach to payment integrity for health plans.
HouseCalls: Reach members where they are
Help manage members’ health through in-home or virtual assessments.
How AI is delivering efficiencies for radiologists
Learn how AI solutions can boost your organization’s return on investment (ROI).
Digital integration and the path to interoperability
Creating a connected system to improve risk and quality outcomes.
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.
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.
Innovating risk adjustment strategies
Read this blog to learn how Renown Medical Group empowers clinicians and improves patient outcomes.
Help enhance coding accuracy with the HCC Tearsheet 2025
Accurate HCC codes are essential for effective care management and compliance.
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.
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.