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Resource center
A library of curated content and tools for financial success
Knowledge is invaluable for today’s health care leader, where many financial decisions have a significant impact. Information is critical.
Featured content and trending topics
A collection of industry voices
Experts dive into the five priorities for strong financials.
A fresh perspective
A Q&A on workforce optimization and the Great Resignation.
Insights
Star ratings are important to Medicare plans
Improving the quality of care and general health status for members.
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.
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.
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.
Alternative funding: Real savings or problems?
See how much "free" drugs will actually cost you.
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.
Sustainability through partnership
See how Boulder Community Health partnered with Optum to continue to successfully fund its mission.
2022 Analytics and AI survey from Advisory Board Research
ABR surveyed 250 strategy and analytics leaders.
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.
3 steps to slash medication costs
This is your guide to reducing your health care spending.
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.
"No regret" IT investments for health systems
Learn which tech investments can benefit providers most today.
Grow with physician and consumer-driven insights
Support your hospital’s volume and revenue growth goals
Read a report about claims payments opportunities.
Thinking about going paperless for claims payments? We commissioned a study of senior health plan executives to hear what’s on their minds.
Four myths: Carving out specialty pharmacy
Integrating specialty pharmacy means better care, lower costs.
Smart formulary management
Developing and managing formularies that bring clinical and financial value
A System-Wide Look at Improving Specialty Care
Condition-specific clinical expertise and capabilities necessary for managing complex diseases
Sleep treatment across the ages
Combining real-world data and primary research helps us better understand insomnia.
Optum Dynamic Assessment of Pregnancies and Infants
Assess the impact of medication use during pregnancy and the impact on infant health.
Demonstrating product value with integrated data
A special webinar hosted by MM&M demonstrates how integrated EHR and claims data offers a new foundation for demonstrating product value.
Managing diabetes gains an 8:1 return on investment
Learn how a third-party administrator’s client improved health outcomes and lowered costs.
How to eliminate prescription waste
Achieve savings by targeting expensive, low-value drugs.
Optum Rx customer obsession video
How one Optum Rx employee made the system work better for everyone
Optum Evidence Engine
Optum Evidence Engine unlocks the power of personalized, precision health care to help advance disease detection and treatment.
How to manage medication overload
Hear from a leader's perspective on how to manage polypharmacy.
Webinar: Slowing the Progression of Chronic Kidney Disease
Explore insights into better care management and cost reduction.
Specialty drug prices giving you sticker shock?
See how Specialty Compass defuses exploding drug costs.
5 questions: Optum Rx chief pharmacy officer
Michael Einodshofer addresses the risks, challenges and opportunities facing the industry.
Trends and perspectives for health plans
Driving toward the same things for our health care system — better quality, lower cost, and higher consumer and provider satisfaction.
Excela Health & Optum partner for employee retention
In this video, learn how Excela Health and Optum are investing in mission-critical initiatives while also avoiding job eliminations.
Five Things to Know About Every Health Care Consumer
Engage with consumers in meaningful ways as COVID-19 evolves.
Data Governance Enables Indiana’s Rapid Response to COVID-19
See how the Hoosier state uses data governance and self-service analytics to monitor, prioritize and quickly respond to COVID-19.
Real-world data fills rare disease data gaps
Data removes the barriers to understanding rare disease.
Develop your growth strategy
Our research has uncovered four main reasons today’s planning executives struggle to find the right data to make the best decisions.
Assess drug performance with the power of integrated data
Inform research and commercial strategy with data insights.
How will you get to interoperability?
Watch the 10-minute demo to see how Optum Interoperability and Patient Access Services can help your state comply with CmS's final rule
Opening the digital doors to all consumers
A strategy guide for expanding access and health equity.
Evolving clinical trials from paper to digital
Accelerate research through a digitized model.
Dynamic Assessment Of Pregnancies And Infants
We help answer questions about maternal and infant health.
Accelerating a future where health care is closer to home
This new era goes beyond the walls of a clinic thanks to advances in digital health tools and approaches.
Data’s powerful influence on hospital growth
A digital health transformation is shaping data trends and shifting the way organizations seek and use information.
Delivering Value-Based Care for Veterans Affairs & DOD | Optum
Best practices to help transition to value-based care.
A model market-performance partnership
John Muir Health and Optum partner to advance quality of care.
Everest Group Recognizes Optum as a Leader
The 2021 PEAK Matrix report maps the RCM Business Process Services market.
Robotic Process Automation (RPA)
We utilize RPA to advance federal government programs.
How AdventHealth leverages precision marketing
Optum Forum 2021: Regional One Health
Case Advisor contributes to utilization review success.
The Physician Liaison Outreach Playbook
The Optum Physician Liaison Outreach Playbook gives physician liaisons best practices, tools and templates for effective physician relationship-building.
SNFs Improve Care & Business Outcomes for Facilities
The Optum Care Model Helps SNFs Meet Strategic Goals
Population Health in the Digital Age
Introducing population health technology of the future
Your roadmap for driving growth
Use data and analytics to form your business development roadmap.
Leveraging Technology in Quit Services for Tobacco Cessation
Technology, tobacco products and who uses tobacco are changing, and Optum Quit Services are evolving to meet those changes.
Optum Provider Services Master Agreement
Optum delivers provider management through NASPO ValuePoint.
When a Skilled Nursing Facility (SNF) Becomes a Health Plan
This white paper addresses the challenges of launching a provider-owned ISNP.
New Data Dimensions In Life Sciences Research
Expanded research methods can address cost at the root level.
State of Healthcare Technology
Explore disruptive technologies transforming the industry.
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.
Curious case of costly complications
How can analytics help tell your cost and outcomes story?
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.
Smartsourcing healthcare: A perspective
Optum360 shares an e-book on how provider partnerships can help accelerate growth and financial performance as an alternative to traditional models.
Consumer beliefs driving health care growth and retention
Understand the impact of consumer beliefs on everything from growth and clinical outcomes to patient acquisition and satisfaction.
Connecting the dots: Data-driven transformation
Connecting the Dots: Data-driven Transformation | Optum
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.
Clinicogenomics: The next big leap in real-world data
Optum clinical genomics is positioned to shape a new generation of evidence that accelerates understanding of disease.
Realizing the full potential of clinicogenomics
Join Optum genomics experts as they discuss the progress being made to develop datasets that will aid in drug discovery and development.
Testimonial: Overturning concurrent denials
See how one client strengthened its utilization review.
Subscribe to our newsletters
Get strategic perspectives for C-suite leaders to help guide the health system forward.
The Curious Case of the Costly Complication
Optum helps a client prove product effectiveness
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
Developing a successful network strategy
Grow business and generate revenue with network planning.
Optum Advanced Practice Clinician (APC) video
Advanced practice clinicians give personal care
The American Rescue Plan and public health
ARP is an opportunity for state governments to improve public health through investment, infrastructure and innovation.
COVID-19 Area Vulnerability Index
Prioritize resources and optimize care to fight COVID-19.
Navigating Forward: C-suite check-in — Research findings state of health care
Find out what 161 C-suite health care leaders think about how COVID-19 has changed the industry — and where we still must make progress.
Address the challenge of Innovation
Ideation Hubs: Address the challenge of Innovation | Optum
Taking the Blinders Off Cancer Through Immunotherapy
Webinar: Taking the Blinders Off Cancer Through Immunotherapy
Meeting consumers on their terms
Learn how relationships between consumers and health organizations are transforming.
Real Talk on Real-World Evidence: Practical Applications in 2021
Virtual fireside chat with Advisory Board and Optum Life Sciences leaders explores the expanded use and next wave of RWE applications
Self-Direction for State & Local I/DD Programs
This content is presented by Optum and the Spark Initiative.
Applying robotic process automation (RPA) for compliance
See how RPA helped saved 9,465 hours and $950,000 over five years in our client use case example.
The Optum care model in your community
Deliver specialized health care benefits to your residents
Center for Health Equity - The Lewin Group, Part of Optum Serve
See how we help public and private health care leaders, policy makers and researchers support equitable individual and community health.
Pinpoint asthma, COPD and ACOS with EHR data
Optum study highlights clinical clues in asthma and COPD.
Impact member care with in-home assessments
Download the infographic to learn more about how in-home assessments can uniquely impact SDOH.
Star ratings are important to Medicare Plans
Learn how health plans can improve Star ratings through high-touch strategies.
Insights on improved care through technology and scale
John Muir Health shares how the organization uses technology to reach those in need of health care services.
Basset Healthcare partnering insights
Tommy Ibrahim, MD, CEO of Bassett Healthcare Network, shares insights on reinventing a health system for success.
Optum Care Model & UnitedHealthcare Assisted Living Plan
Support residents living in a senior living community.
Improved Arkansas Medicaid Outcomes
Helping Arkansas improve Medicaid outcomes, reduce costs.
Redefining the prior authorization process
How we are revamping the prescribing process
Actionable tips for improving your claims denial process
Develop these six characteristics to effectively manage denials and support your organization's revenue integrity.
Optimize payment reconciliation and reduce friction
This 2022 brief by Frost & Sullivan identifies how technology solutions can address multiple problems and improve payment processes.
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.
Filling revenue cycle resource shortfalls
How to improve efficiency and reduce expenses.
Smart revenue cycle investments rather than deep cost cuts
Strengthen revenue performance with two astute investments.
Improve your ROI with the help of Optum Claims Manager
Flexible claims management tool drives down denials
Five things your denial rate isn't telling you
Learn 5 ways to make changes that will prevent and remediate denied claims.
A/R recovery services revenue continuity
Provider maintains A/R continuity during HIS conversion.
Artificial intelligence and the changing role of case managers
AI can help manage new responsibilities.
Disruptive current events make traditional UR models obsolete
Learn five ways to use new processes and technology to improve UR.
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.
Defending emergency department reimbursement
Learn how to strengthen your ED visit-level determinations.
AI advances the revenue cycle
The use of NLP makes the revenue cycle work smarter, not harder.
How Optum supports value-based goals with powerful products
Optum supports value-based goals with powerful products.
Optum CAC offers automatic review of physician selected coding
Coding review module monitors for results.
How fully leveraged AI solutions surpass traditional UR systems
Learn four ways AI expands your reach and effectiveness.
Giving patients a clear look at their care
A better patient experience through price transparency
Developing a best-in-class middle revenue cycle for hospitals
Explore the six focus areas for improving performance.
Choosing a strategic accounts receivable service partner
Selecting the right recovery partner requires careful evaluation.
Emerging technologies in underwriting
Listen to the on-demand webinar from Becker Healthcare in partnership with Bill Dimmock, VP of Advisory Services at Optum.
Reducing administrative variation with artificial intelligence
Infuse technology into your medical necessity process.
Improve claims processing with these claims management tips
Untangle the causes of medical necessity denials.
Review factors hidden by your denial rate.
Develop a best-in-class front-end revenue cycle
Learn six ways to take your operations from good to great.
Improving clinical documentation improvement (CDI) efficiency
See how Lima Memorial improved efficiency with advanced technology.
Becoming financially resilient after COVID-19
We surveyed 105 hospital leaders on their strategies for achieving stronger financial health.
Clinicogenomics: new, linked data is advancing research
Rich, longitudinal clinicogenomics data can fuel all stages of drug development.
Patient-generated health data and the IoT
New wave of connected devices enables continuous care
4 marketing questions health care leaders should ask
Learn the four essential data-centric marketing questions every health care leader should ask.
Maximize clinical trial enrollment
Use clinical and claims data to conduct patient finding.
Forward-thinking strategies for 2022
Explore this video series featuring insights for Life Sciences leaders, delivered by experts from across health care.
Enterprise IT strategies with HIMSS and Optum
Scott Gaydos of Optum shares how enterprise IT strategies provide numerous opportunities to improve and transform health care.
John Muir Health & Optum: A Model IT Performance Partnership
Learn how John Muir Health advanced patient care through rapid IT integration, modernization and optimization.
5 keys to digital health care transformation
Transform operations, better manage business processes and improve outcomes.
Veterans Benefits Administration
They honored their commitment. It's time to honor ours.
John Muir Health Clinical Operations Video
See how John Muir partnered with Optum to enable a seamless consumer experience.
Market Performance Partnership: John Muir Health & Optum
Our integrated partnership model provides meaningful and measurable results.
Automation Drives Success for Health Systems
Discover innovative strategies to improve financial health.
Health Care Interoperability Solutions
Optum Interoperability and Patient Access Services can help your state comply with CMS' final rule. View our overview video to find out how.
Health Equity & Women's Health
Create meaningful change for the women in your workforce.
John Muir Health Partnership Insights
Learn how to lean into a partnership and determine the most important things to your organization and how to achieve them.
Optum Health Care Interoperability & Patient Access Services
Our solution is fully developed and ready right now to help your state meet compliance.
Gratitude for Heroism
Optum Serve is proud to recognize female Service Members and Veterans.
Solutions to the maternal care crisis are coming into focus
Solutions to the maternal care crisis are coming into focus
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.
Electronic Health Records(EHR) Implement and Operate
Maximize your EHR investment through partnership.
Military & Veteran Health Care Journey: Infographic
Delivering and managing health care at key phases of life for Military Service Members and Veterans.
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.
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.
Priority Identification Vaccine Operating Tool (PIVOT)
PIVOT provides the data analytics and visualization needed to optimize planning, administration and monitoring of vaccines.
Reinventing a health system for success
Learn about the Bassett Healthcare and Optum partnership.
Slowing the specialty pharmacy carve-out stampede
Vaccine Outreach - Implementing Community Engagement (VOICE)
VOICE addresses vaccine hesitancy in at-risk and vulnerable populations.
Strategic Growth for Health Systems
This webinar covers topics surrounding disruptive market forces, workforce strategy, competitors growing within the industry and finance.
Health leaders share IT transformation stories
Hear John Muir Health and Bassett Health’s observations on digital transformation, modernizing infrastructure and strategic automation.
Volume 2: Revenue performance for better financial health
Read the white paper for strategies on achieving proper levels of reimbursement, writing off bad debt, and expanding into new service areas.
Digital scheduling at a rural health system
Learn how a rural health system achieved an ideal patient experience and increased bookings with digital scheduling.
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 reimbursement.
6 growth trends for patient-centric health care
Learn strategies you can use to differentiate your health system from your competitors.
Study reveals costs for unrecognized kidney disease
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.
Executive series: Health Care Workforce Crisis
Get strategy, insight and resources to create an enterprise-wide health care workforce strategy.
Benefits of the Optum care model
Learn five fast facts assisted living communities should know.
Bassett Healthcare Network Blazes a Bold Path Forward with Optum
Bassett Healthcare Network Blazes a Bold Path Forward with Optum
Personalized care: Focusing on the member
Hear from Optum Rx chief of operations, Jon Mahrt
Driving Hospital and Health System Growth strategy
Explore a collection of best practices for health systems.
Human Centered Design in Health Care
This Optum white paper shows how human-centered design builds technology and programs that are easy and intuitive for consumers to use.
Four steps to an enterprise data strategy
Explore the steps for creating a real-world data strategy that helps life sciences companies to maximize their data investments.
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.
Targeted care and lower cost: How one state achieved both
One state achieved both in delivering home health services.
Clinical and claims data: A powerful combination
Get a snapshot of the pros/cons of clinical and claims data.
Improve Women's Health with Community-Based Solutions
Improve Women's Health with Community-Based Solutions | Optum
True interoperability adds value
Act on trends, enhance care coordination and much more.
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.
How to control drug costs without compromising care
Explore three principles driving better pharmacy benefit decisions.
Explore five priorities to improve financial performance
Explore five priorities to improve financial performance
Optum named a Leader in patient engagement
Everest Group recognizes Optum in its 2023 Patient Engagement Platforms PEAK Matrix® Assessment.
Driving innovation with new services
One organization decreased uncompensated care, increased loyalty and patient satisfaction, and connected patients with more funding sources.
Virtual urgent care scheduling for telehealth
Optum Patient Access and Engagement connects consumers to virtual urgent care through a national telehealth platform.
Streamline Medicaid Eligibility and Enrollment
The rise of healthcare consumerism has prompted many hospitals and health systems to rethink their patient satisfaction strategies.
Navigating the rapid growth of healthcare data
Optum Advisory experts share how their actuarial consultants help providers reduce care fragmentation and increase coordination.
Navigating the rapid growth of health care data
Optum Advisory experts share how their actuarial consultants help providers reduce care fragmentation and increase coordination.
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.
Optimize Patient Access with Automation and Technology
This webinar shares best practices for optimizing patient access with automation and consumer-centric technology strategies.
Easier access to mental health services
Learn how Refresh Mental Health used online scheduling to simplify consumer access to mental health care.
Strategies to reduce administrative costs
Strategies to fix payer-provider collaboration, streamline patient financial experience and apply AI technologies for better cost savings.
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.
Biosimilars to save billions in this decade
Prices for popular brand-name biologics drop up to 60% with generic-equivalent biosimilars.
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.
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.
Health system boosts reach with payer channel scheduling
St. Luke’s Health dramatically increased volumes and decreased costly no shows with Optum digital scheduling. Learn how your system can, too.
Improve provider engagement with Optum Mobile Query
Watch the demo video to streamline your CDI/coder query workflow and engage providers in real time.
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.
Introducing our new patient access and engagement platform
View the public launch of Optum® Patient Access and Engagement on demand.
Does your patient engagement platform check all the boxes?
A patient engagement platform that covers the full patient journey can streamline operations and costs.
Site of care: A longitudinal review
This on-demand webinar will explore patient care trends, analyze key procedures, and review projections for service line growth.
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.