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Healthcare delivery insights

Together, we are driving change toward the same things for our healthcare system — better quality, lower cost and higher consumer and provider satisfaction.

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Latest featured insights

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Article

Develop your growth strategy

Optum Market Advantage helps you choose your own path forward.

Article

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.

White paper

Patient engagement leader

Everest Group recognizes Optum in its 2023 Patient Engagement Platforms PEAK Matrix® Assessment.

 

 

Latest articles

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Article

Develop your growth strategy

Optum Market Advantage helps you choose your own path forward.

Article

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.

 

 

Latest case studies and testimonials

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Case study

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.

Case study

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.

Case study

Digital scheduling rural health system

Learn how a rural health system achieved an ideal patient experience and increased bookings with digital scheduling.

 

 

Latest e-books

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E-book

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.

E-book

Extending an independent lifestyle for seniors

The Optum differentiator helps communities attract and retain residents.

 

 

Latest guides

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White paper

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.

Guide

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.

 

 

Latest on-demand webinars

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On-demand webinar

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.

On-demand webinar

Slowing progression chronic kidney disease

Explore insights from this collaborative study to identify predictors of late-stage kidney disease and assist in early intervention.

 

 

Latest podcasts

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Podcast

Pharmacy Insights Podcast

Listen to our resident experts discuss critical industry challenges and the solutions you need to control rising drug costs.

Video

Positive future working in healthcare

Sarah King, chief client officer, highlights how we can work together to overcome workforce challenges and forge a new path forward.

Case study

Improving cdi efficiency

See how Lima Memorial improved efficiency with advanced technology.

 

 

Latest white papers

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White paper

Patient engagement leader

Everest Group recognizes Optum in its 2023 Patient Engagement Platforms PEAK Matrix® Assessment.

White paper

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.

 

 

Latest videos

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Podcast

Pharmacy Insights Podcast

Listen to our resident experts discuss critical industry challenges and the solutions you need to control rising drug costs.

Video

Positive future working in healthcare

Sarah King, chief client officer, highlights how we can work together to overcome workforce challenges and forge a new path forward.

Case study

Improving cdi efficiency

See how Lima Memorial improved efficiency with advanced technology.

 All healthcare delivery insights

Filling revenue cycle resource shortfalls

Learn how to identify and overcome common revenue cycle challenges despite current labor market issues.

Develop your growth strategy

Optum Market Advantage helps you choose your own path forward.

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.

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.

Develop best in class middle revenue cycle

Explore the six focus areas for improving performance to create a best-in-class middle revenue cycle for your hospital.

Patient engagement leader

Everest Group recognizes Optum in its 2023 Patient Engagement Platforms PEAK Matrix® Assessment.

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.

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.

Achieving health equity strategies for payers

Learn more about a comprehensive solution for health payers to address health disparities and achieve health equity.

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.

Achieve claim pricing accuracy and efficiency

Learn how to create a framework that drives payment accuracy on the first pass.

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.

Comprehensive payment integrity savings

Learn how to reduce costs and improve relationships throughout the claim lifecycle with a comprehensive approach to payment integrity. 

Staying current in your core admin platform

Get current, stay current and leverage the newest platform capabilities with ongoing release management.

Achieving success in claim editing

Learn how a flexible editing program can help your plan solve editing challenges, enforce policies, improve accuracy and increase savings.

Best practices for reducing provider abrasion

Find out what is driving the recent increase in abrasion and learn what health plans can do to alleviate provider pain points.

What is subrogation?

Identify, investigate and recover medical and disability payments related to accidents.

Optimizing your payment integrity program

Learn best practices to help health plans achieve in-year cost savings goals.

Choosing an accounts receivable partner

Selecting a strategic accounts receivable partner requires careful evaluation.

Validating short-stay hospital bills

Prevent inpatient billing errors for outpatient encounters.

Community Connector helps member assessment

Optum helps health plans address member needs through screening and community-based organization (CBO) referral services.

StepWise Application Migration to the Cloud

Learn from health plan leaders on how to accelerate and optimize your cloud-adoption journey.

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.

Symmetry EBM Connect

Increasing compliance with evidence-based standards to enhance care.

Medicare content navigator interqual-transparency

Discover how to meet the latest regulatory requirements for Medicare Advantage plans.

Symmetry Oncology Analytics

Powerful tools to measure the cost and quality of cancer care.

Follow science 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.

Financial case connected care

Get thought starters for assessing how a connected care model can strengthen your financial position.

5 step InterQual evidence-based development process

The InterQual Criteria is developed through a rigorous, five-step process by our clinical development team.

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.

Enhancing fraud investigations ai

Learn how AI is changing the fraud case review process.

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.

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.

Disruption and risk in healthcare

Dr. Wyatt Decker discusses how innovation can be the upside of disruption and the importance of value-based care in changing the status quo.

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).

Connected Care

See the whole picture for whole-person health.

Leading through disruption

Get insights and data from 150+ leaders and experts from across healthcare on how to succeed amid transformation.

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.

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.

Healthcare workforce crisis report

We surveyed 150 healthcare leaders on the impact of staffing disruptions, obstacles to progress and how to build for a sustainable future.

Tech role healthcare workforce

Dr. Garry Choy, CMO, discusses the pros and cons of using automation and clinical decision support to meet today’s workforce challenges.

Automation workforce strategies healthcare

Get 6 key takeaways from a C-suite panel discussion.

Path techquity

New research explores how to use technology to advance health equity.

Improving underwriting results with automation

Machine learning coupled with software features and cost-tuning delivered significantly improved predictive value and underwriting results.

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.

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.

Risk adjustment star ratings success

Discover 5 strategies that will help your health plan be prepared to factor risk adjustment data into Star Ratings.

Steps optimizing value based care

Learn how combining these steps can help power a holistic workflow between payers and care delivery.

See how Optum can help you improve outcomes and lower costs for your members

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