Resource center
Content, tools and research for financial success
Knowledge is invaluable for today’s health care leader, where many financial decisions have a significant impact. Information is critical.
Transforming the future of health care
Workforce optimization
Review a Q&A about workforce trends, obstacles and solutions.
Have biosimilars arrived?
Six questions and answers reveal insights about the current market.
3 reasons for telemedicine’s success
Learn about the recent growth in telemedicine.
Insights
Connect your patients to funds and support with FundFinder
Help your patients afford their medications and connect to funds from charitable organizations with FundFinder.
Tools for coping with depression
If you feel you’re struggling with depression, these tools are a starting point to help.
Kidney Disease Care: A Comprehensive Approach
Find out how an integrated approach produces better outcomes for renal disease — a common, complex and costly condition.
Specialty Pharmacy 101
Specialty pharmacies deliver high-touch services to help patients stay adherent to treatment plans and live healthier lives.
New diabetes medication recommender app
Our user-centric tool helps prescribers keep up with American Diabetes Association (ADA) medication recommendations.
Medicare enrollment: How a licensed insurance agent can help
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.
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
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.
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.
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.
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.
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.
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.
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.
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.
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.
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?
Mobile clinic brings care to the community
Southwest Medical bridges the access gap with their mobile clinic by meeting patients where they are.
When to refer: PCP guide to Pap exams
Pap smears and HPV immunizations have become fundamental elements of preventive care for women.
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.
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.
Care of the clinician
A 2017 JAMA study showed that 45% of doctors feel at least one symptom of burnout.
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.
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.
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.
Value Transformation at Keck Medicine of USC
Value Transformation at Keck Medicine of USC
Case Study: UMass utilizes analytics to improve adult immunizations
Population health analytics drive UMass participation in the AMGA AI Collaborative
Dynamic Assessment Of Pregnancies And Infants
We help answer questions about maternal and infant health.
Walk in their shoes
Learn how real cancer patient and provider experiences drive care navigation decisions.
Improving UR effectiveness with Case Advisor
Improving UR effectiveness with Case Advisor
The Physician Liaison Outreach Playbook
The Optum Physician Liaison Outreach Playbook gives physician liaisons best practices, tools and templates for effective physician relationship-building.
Transforming Analytics at Boulder Community Health
Learn how Boulder Community Health is using analytics to make decisions, improve care management and drive growth.
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
HIMSS and Optum talk EHR strategies
Dr. John Kontor of Optum shares how EHR strategies provide numerous opportunities to improve and change health care.
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.
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
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.
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.
Clinicogenomics: new, linked data is advancing research
Rich, longitudinal clinicogenomics data can fuel all stages of drug development.
John Muir Health Clinical Operations Video
See how John Muir partnered with Optum to enable a seamless consumer experience.
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.
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.
New indicators of growth
Learn how to measure the success of consumer relationships in today's market.
Slowing the specialty pharmacy carve-out stampede
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.
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.
Specialty vs. retail pharmacy
Specialty medications require high-touch support. Learn more about what sets specialty pharmacy apart from retail.
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.
Is poor market visibility compromising your growth?
How to understand your true growth potential.
Driving Hospital and Health System Growth strategy
Explore a collection of best practices for health systems.
Boulder Community Health and Optum
Optum partnership insights and strategies enable near- and long-term success for provider organizations.
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.
Retaining talent through employee integration
Explore a strategic alignment to transition employees within the expectations and goals of Market Performance Partnerships.
Explore five priorities to improve financial performance
Explore five priorities to improve financial performance
Overcoming challenges to managing costs in health care
A Q&A about opportunities to improve margin performance
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.
Revolutionizing cardiology at Boulder Community Health
Discover how Boulder Community Health and Optum Advisory worked together to achieve smart growth and sustainable change.
Optum named a Leader in patient engagement
Everest Group recognizes Optum in its 2023 Patient Engagement Platforms PEAK Matrix® Assessment.
Pharmacy Network Strategy
Our full-spectrum pharmacy services are designed to provide affordable access to prescription medications and therapies.
Driving innovation with new services
One organization decreased uncompensated care, increased loyalty and patient satisfaction, and connected patients with more funding sources.
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.
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.
Breast cancer awareness month
Early detection is critical to fighting breast cancer; advances in technology are helping
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.
Support for immunology providers
When you work with the Optum® Autoimmune (AI) and Gastroenterology (GI) Center of Excellence, you’ll have access to therapy-specific tools and resources to get your patients with AI/GI conditions started on therapy quickly and efficiently.
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.
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.
Diagnosis and care recommendations for rare congenital anomaly
Rigorous work-up leads to conservative CHD (Congenital Heart Disease) treatment approach.
Strategies to beat the RCM labor shortage
See how strategic revenue cycle partnerships can help you thrive amid the Great Resignation.
Easier access to mental health services
Learn how Refresh Mental Health used online scheduling to simplify consumer access to mental health care.
Two-sided risk: Medicare Advantage vs. fee-for-service Medicare programs
How fully accountable care improves quality outcomes.
Maternal and infant health insights
Optum Advisory uncovers disparities in maternal and infant outcomes — commercial vs. Medicaid — identifying key factors.
New hope for neurological conditions
Learn how a holistic model enhances multiple sclerosis care.
Fecal transplant to treat recurrent urinary tract infection
Leveraging a microbiome approach.
The road to financial stability
Health system CFOs share insights to navigating razor-thin margins
Critical Steps to Navigating Change Management
See how an effective change management strategy can help people adapt to change more quickly and nimbly.
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%
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.
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.
Improve provider engagement with Optum Mobile Query
Watch the demo video to streamline your CDI/coder query workflow and engage providers in real time.
Establishing trust to improve value-based care outcomes
Read this blog to get tips on how payers can support providers to increase engagement and reduce administration burden for better patient care.
Reduce claim errors with front-end RCM solutions
Cut down claim mistakes by collecting accurate data and refining your workflows.
Buyer's guide to RCM services
Buyer's guide from Everest Group offers insights into RCM partnership models and advice to future-proof your RCM operations.
Transforming CDI and coding with advanced analytics
Banner Health and Optum paired AI-powered technology with advanced analytics to expand focus on quality and risk-adjustment initiatives.
Does your patient engagement platform check all the boxes?
A patient engagement platform that covers the full patient journey can streamline operations and costs.
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.
2024 Revenue cycle denials index e-book
A review of national medical claim denial trends and causes, with insights to help health organizations prevent claim denials in the future.
2024 Denials index strained and drained infographic
A review of national medical claim denial trends that occur in each stage of the revenue cycle.
3 steps to establish a successful physician review program
A strong physician review process can help enhance quality of care. In this playbook, learn the 3 steps you need to take to thrive in your physician review process.
Introducing our new patient access and engagement platform
View the public launch of Optum® Patient Access and Engagement on demand.
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.
Everest Group Recognizes Optum as a Leader
The 2021 PEAK Matrix report maps the RCM Business Process Services market.
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.
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.
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.
Your roadmap for driving growth
Use data and analytics to form your business development roadmap.
Outlook on oncology 2024
See how emerging trends, including a global pandemic, are reshaping the landscape of oncology care and medication.
How AI and automation are improving middle RCM performance
Enhance revenue integrity, improve patient journeys with innovations that empower a more efficient middle revenue cycle.
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.