Health Care Provider Insights | Optum (2024)

Optum named a Leader in patient engagement

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

Hospital leader’s guide to 5 types of vendors and partners

This white paper from Advisory Board helps health care leaders navigate the complex terrain of external vendor and partner relationships.

Developing a best-in-class middle revenue cycle for hospitals

Explore the six focus areas for improving performance.

How hospitals can 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.

Maternal and infant health insights

Optum Advisory uncovers disparities in maternal and infant outcomes — commercial vs. Medicaid — identifying key factors.

Study reveals costs for unrecognized kidney disease

Meeting consumers on their terms

Learn how relationships between consumers and health organizations are transforming.

New diabetes medication recommender app

Our user-centric tool helps prescribers keep up with American Diabetes Association (ADA) medication recommendations.

Cost optimization strategies to restore financial health

Watch the webinar for insights on disruptive market forces, the health care economy, cost-management efforts and managing operating costs.

Physician Outreach Toolkit

Scripting worksheets and template guide.

New hope for neurological conditions

Learn how a holistic model enhances multiple sclerosis care.

Choosing a strategic accounts receivable service partner

Selecting the right recovery partner requires careful evaluation.

Who are the patients in your market?

Get a complimentary custom market assessment to identify high-value patients and vulnerable populations to build meaningful engagements.

Building new possibilities for infusion care

How we are exceeding the evolving needs of the home parenteral nutrition market

Partnering for employee growth and retention

Explore how Boulder Community Health partnered with Optum to continue elevating its most critical component of success — its workforce.

A System-Wide Look at Improving Specialty Care

Condition-specific clinical expertise and capabilities necessary for managing complex diseases

Dynamic Assessment Of Pregnancies And Infants

We help answer questions about maternal and infant health.

Strategic Growth for Health Systems

This webinar covers topics surrounding disruptive market forces, workforce strategy, competitors growing within the industry and finance.

5 Provider strategies to help improve your margins

In this e-book, discover how health care organizations are prioritizing a path to improved financial sustainability and margins.

5 Provider Strategies to Help Improve Your Margins: Download

Retaining talent through employee integration

Explore a strategic alignment to transition employees within the expectations and goals of Market Performance Partnerships.

Strategies to reduce administrative costs

Strategies to fix payer-provider collaboration, streamline patient financial experience and apply AI technologies for better cost savings.

Walk in their shoes

Learn how real cancer patient and provider experiences drive care navigation decisions.

Executive series: Health Care Workforce Crisis

Get strategy, insight and resources to create an enterprise-wide health care workforce strategy.

Reducing administrative variation with artificial intelligence

Infuse technology into your medical necessity process.

Sleep treatment across the ages

Combining real-world data and primary research helps us better understand insomnia.

The road to financial stability

Health system CFOs share insights to navigating razor-thin margins

Optum Dynamic Assessment of Pregnancies and Infants

Assess the impact of medication use during pregnancy and the impact on infant health.

Pharmacy Network Strategy

Our full-spectrum pharmacy services are designed to provide affordable access to prescription medications and therapies.

Managing the rise of people with multiple chronic conditions

Predicting who will develop multiple chronic conditions (MCCs) and intervening early is critical to better care and lower costs

Improve claims processing with these claims management tips

Five Insights to Manage Hospital Administrative Costs

In this Optum article, futurist Tom Koulopolous and John Muir Health's Chris Pass share five strategies to manage administrative costs and improve performance.

Untangle the causes of medical necessity denials.

Review factors hidden by your denial rate.

Improving UR effectiveness with Case Advisor

Improving UR effectiveness with Case Advisor

Is poor market visibility compromising your growth?

How to understand your true growth potential.

Health leaders share IT transformation stories

Hear John Muir Health and Bassett Health’s observations on digital transformation, modernizing infrastructure and strategic automation.

Driving innovation with new services

One organization decreased uncompensated care, increased loyalty and patient satisfaction, and connected patients with more funding sources.

Health Care's Guide to Machine Learning

What you need to know about AI's latest buzzword.

Develop a best-in-class front-end revenue cycle

Learn six ways to take your operations from good to great.

A young patient’s hemophilia story

See how OptumRx helped change a patient’s life.

Improving clinical documentation improvement (CDI) efficiency

See how Lima Memorial improved efficiency with advanced technology.

Automating Success: The Keys to Revenue Cycle Transformation

Gain expert insights into strategies to decrease costs, unlock new sources of growth and improve patient experiences.

Streamline Medicaid Eligibility and Enrollment

The rise of healthcare consumerism has prompted many hospitals and health systems to rethink their patient satisfaction strategies.

Using predictive data to achieve 70:1 ROI

Watch the webinar to learn how MetroHealth used precision marketing to reach patients that are likely to need specialty services.

Optum Specialty Pharmacy & Optum Infusion Pharmacy Appeals

When patients are denied access to medications and treatments they need, the Optum Specialty Pharmacy and Optum Infusion Pharmacy Appeals Team is here to help

Care of the clinician

A 2017 JAMA study showed that 45% of doctors feel at least one symptom of burnout.

Actionable tips for improving your claims denial process

Develop these six characteristics to effectively manage denials and support your organization's revenue integrity.

John Muir Health and AI: A case study in managing costs

Watch the webinar to learn actionable strategies on tackling decreased hospital margins, increased labor costs and staffing shortages.

Annual Optum survey on consumer care preferences

Optum surveyed more than 1,200 consumers to understand their experiences when accessing care. Download this e-book to read our findings.

Volume 2: Revenue performance for better financial health

Read the white paper for strategies on achieving proper levels of reimbursem*nt, writing off bad debt, and expanding into new service areas.

Transforming Analytics at Boulder Community Health

Learn how Boulder Community Health is using analytics to make decisions, improve care management and drive growth.

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.

Actualizing high-quality coordinated cancer care

The recently launched Cancer Center in Las Vegas incorporates IOM recommendations, delivering high-quality cancer care for better patient outcomes.

Breast cancer awareness month

Early detection is critical to fighting breast cancer; advances in technology are helping

Insights to improve outcomes and lower costs

Enabling providers and clinical teams with actionable patient data can create effective value-based care behavioral health programs.

The patient clinical experience

Why we need to start talking about this.

Social inequities effect on patient and provider

As clinicians and caregivers to our patients, we bear witness to the inequity of health care. Dr. Oreggio shares experience and advice on opening doors to equal care.

Modernizing Health Care: Joan's Journey | Optum

The health care system is built on positive intent, but it’s too complex. Joan’s journey illustrates how we’re creating something different.

Expanded scope and efficiency with Optum CAC and CDI 3D

See how one health system partnered with Optum to transform their coding and CDI program.

Boulder Community Health and Optum

Optum partnership insights and strategies enable near- and long-term success for provider organizations.

Filling revenue cycle resource shortfalls

How to improve efficiency and reduce expenses.

Clinicogenomics: new, linked data is advancing research

Rich, longitudinal clinicogenomics data can fuel all stages of drug development.

Smart revenue cycle investments rather than deep cost cuts

Strengthen revenue performance with two astute investments.

Everest Group Recognizes Optum as a Leader

The 2021 PEAK Matrix report maps the RCM Business Process Services market.

Improve your ROI with the help of Optum Claims Manager

Flexible claims management tool drives down denials

Using Your EHR to Accelerate Digital Health

Explore how a thoughtful approach to EHR can impact the health care digital journey and help an organization achieve its business goals.

Critical Steps to Navigating Change Management

See how an effective change management strategy can help people adapt to change more quickly and nimbly.

Driving a frictionless digital patient experience

Watch the webinar to learn how to reduce friction points impacting the digital journey and preventing patients from getting in the door.

How to help patients prevent long-term cognitive complications

Despite the complexity of concussion, primary care providers are in a unique position to give life-altering advice to their patients.

Sustainability through partnership

See how Boulder Community Health partnered with Optum to continue to successfully fund its mission.

Five things your denial rate isn't telling you

Learn 5 ways to make changes that will prevent and remediate denied claims.

Improve provider engagement with Optum Mobile Query

Watch the demo video to streamline your CDI/coder query workflow and engage providers in real time.

Leverage AI-powered CDI and coding

CDI programs are expanding to support risk adjustment initiatives. Integrated CDI technologies are needed to support revenue and integrity.

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.

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.

Revolutionizing cardiology at Boulder Community Health

Discover how Boulder Community Health and Optum Advisory worked together to achieve smart growth and sustainable change.

Value Transformation at Keck Medicine of USC

Value Transformation at Keck Medicine of USC

A/R recovery services revenue continuity

Provider maintains A/R continuity during HIS conversion.

Navigating the rapid growth of healthcare data

Optum Advisory experts share how their actuarial consultants help providers reduce care fragmentation and increase coordination.

Connect your patients to funds and support with FundFinder

Help your patients afford their medications and connect to funds from charitable organizations with FundFinder.

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%

Driving Hospital and Health System Growth strategy

Explore a collection of best practices for health systems.

Get competitive with coding and CDI analytics

Watch the demo to learn how our analytics platform provides custom, value-added reports with the data insights you want.

Artificial intelligence and the changing role of case managers

AI can help manage new responsibilities.

Digital medicine that delights

Dr. Sonia Samagh from the Center for Digital Health is hard at work bringing the many digital tools available into an environment that becomes our “way of being” rather than another tool in the toolkit.

Research revolution: Optum Labs

Optum Labs is launching a study for a COVID-19 monoclonal antibody treatment. Through the power of data, every patient will receive the treatment. This approach gives quick results for practical problems.

Utilizing Patient Access Contact Center Services

See how a hospital streamlined scheduling for about 700 providers and strengthened customer service for over 65,000 patient calls monthly.

Health care network planning & optimization success

Learn how leaders can use data and analytics to make informed decisions on their network and drive actionable conversations with providers.

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.

Cost optimization strategies to restore financial health

Watch the webinar for insights on disruptive market forces, the health care economy, cost-management efforts and managing operating costs.

Disruptive current events make traditional UR models obsolete

Learn five ways to use new processes and technology to improve UR.

Everest Group recognizes Optum as Leader

optum analytics leader everest

Computer-assisted coding helps company with continued growth

See how ACS used Optum CAC Professional for computer-assisted coding to expand medical coding and billing operations and navigate the ICD-10 transition.

John Muir Health Clinical Operations Video

See how John Muir partnered with Optum to enable a seamless consumer experience.

Defending emergency department reimbursem*nt

Learn how to strengthen your ED visit-level determinations.

HIMSS and Optum talk EHR strategies

Dr. John Kontor of Optum shares how EHR strategies provide numerous opportunities to improve and change health care.

AI advances the revenue cycle

The use of NLP makes the revenue cycle work smarter, not harder.

Building resilience: Mental health lessons from COVID-19

COVID-19 has negatively affected many people's mental health, but will anything good come out of it?

Taking the Blinders Off Cancer Through Immunotherapy

Webinar: Taking the Blinders Off Cancer Through Immunotherapy

The Path to 4+ Star Performance

Implications for 2023 Star Ratings

Navigating the rapid growth of health care data

Optum Advisory experts share how their actuarial consultants help providers reduce care fragmentation and increase coordination.

Case Study: UMass utilizes analytics to improve adult immunizations

Population health analytics drive UMass participation in the AMGA AI Collaborative

Outlook on oncology 2023

See how emerging trends, including a global pandemic, are reshaping the landscape of oncology care and medication.

Mobile clinic brings care to the community

Southwest Medical bridges the access gap with their mobile clinic by meeting patients where they are.

Using Risk Analytic

Using Risk Analytics to Improve Financial Health

Optimize Patient Access with Automation and Technology

This webinar shares best practices for optimizing patient access with automation and consumer-centric technology strategies.

Clinical intelligence: The smartest revenue cycle investment

Our white paper shows how investing in smart technologies supports the revenue cycle from patient registration through full reimbursem*nt.

Thrive or crumble: Partnerships are a new area of growth

Read the article from Nick Howell and Chris Pass to learn the successes and lessons of the partnership between John Muir Health and Optum.

Tools for coping with depression

If you feel you’re struggling with depression, these tools are a starting point to help.

How Optum supports value-based goals with powerful products

Optum supports value-based goals with powerful products.

Medicare enrollment: How a licensed insurance agent can help

6 growth trends for patient-centric health care

Learn strategies you can use to differentiate your health system from your competitors.

Strategies to beat the RCM labor shortage

See how strategic revenue cycle partnerships can help you thrive amid the Great Resignation.

Kidney Disease Care: A Comprehensive Approach

Find out how an integrated approach produces better outcomes for renal disease — a common, complex and costly condition.

Getting ahead of the mental health crisis

See how leaders are advancing data strategies, screenings and exploring ways to connect consumers to mental health support.

Easier access to mental health services

Learn how Refresh Mental Health used online scheduling to simplify consumer access to mental health care.

2022 Analytics and AI survey from Advisory Board Research

ABR surveyed 250 strategy and analytics leaders.

The Physician Liaison Outreach Playbook

The Optum Physician Liaison Outreach Playbook gives physician liaisons best practices, tools and templates for effective physician relationship-building.

Specialty Pharmacy 101

Specialty pharmacies deliver high-touch services to help patients stay adherent to treatment plans and live healthier lives.

Optum CAC offers automatic review of physician selected coding

Coding review module monitors for results.

Explore five priorities to improve financial performance

Explore five priorities to improve financial performance

The bedside research revolution

Optum Care Research and Innovation is an internal research support system that shows research is an integral part of care delivery.

Specialty vs. retail pharmacy

Specialty medications require high-touch support. Learn more about what sets specialty pharmacy apart from retail.

How fully leveraged AI solutions surpass traditional UR systems

Learn four ways AI expands your reach and effectiveness.

"No regret" IT investments for health systems

Learn which tech investments can benefit providers most today.

Self-scheduling boosts access and reduces staff burden

Learn how ProHealth Physicians used self-guided online scheduling to ease administrative burden and rebound patient volume.

Learning Network Annual Member Meeting 2021

Monday, September 20, 2021; 1 p.m. CT

Your roadmap for driving growth

Use data and analytics to form your business development roadmap.

Realize agility through a modern digital infrastructure

A Q&A on digital innovation and how it can help organizations deliver on business and patient care goals

When to refer: PCP guide to Pap exams

Pap smears and HPV immunizations have become fundamental elements of preventive care for women.

Giving patients a clear look at their care

A better patient experience through price transparency

Overcoming challenges to managing costs in health care

A Q&A about opportunities to improve margin performance

New indicators of growth

Learn how to measure the success of consumer relationships in today's market.

Slowing the specialty pharmacy carve-out stampede

The WellMed Bridges palliative care program

Patients with serious illness should not have to choose between curative and palliative treatment. That is the theory behind the WellMed Bridges program.

Excela Health and Optum partner to serve the local community

This video discusses how Excela Health and Optum are working together to create financial sustainability and serve the local community.