Health care analytics

Gain data-driven insights that enable better decision making.

OptumTM has deep analytical capabilities and interoperable health information system technology that enables better decision-making at every point along the care continuum. Our expertise and technology will help you to improve the health of your patients while reducing costs.

By combining clinical data, claims records, socio-demographic and care management data into a single view, Optum offers unprecedented insight into population health care, quality and cost. We convert health data into health intelligence to help providers better track patient care at both individual and population levels. These clinical analytics capabilities enable data-supported care decisions and help you provide effective preventive care and interventions.



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Westmed Accountable Care Collaboration with United Healthcare and Optum Yields Significant Health Improvements!


Clinical analytics

Convert health information to health intelligence with Optum One.

To move successfully through the current reform environment, providers need to improve health and manage costs. They need systems that can support population health across multiple environments and help them manage risk in the new fee-for-value landscape.

Optum One is a breakthrough, cloud-based, decision-support solution that combines technology and analytic methodologies to pinpoint opportunities to improve health care before, during and after patients engage the health care system. The platform is powered by the industry’s most advanced integrated data and supports a flexible suite of applications that pivots knowledge into action at the point of care.

Population risk and reporting

Balance quality with program efficiency.

For health organizations, having the right information, at the right time, is essential. Despite increasingly rigorous expectations, many providers have limited access to the information they need to optimize care delivery. By utilizing health risk analytics, health care organizations can better balance quality with program efficiency, which in turn leads to improvements in health across the entire system.

Optum™ Risk Reporting and Population Management tools are part of a suite of products designed to support care management, provider network management and engagement, and clinical and financial trend analysis. Optum population and risk reporting tools provide a comprehensive picture of a patient’s longitudinal care history.

Actuarial services

Improve medical and financial performance.

As providers transform into fee-for-value models, they are being forced to think more like traditional health plans, looking for ways to reduce the cost of care while they endeavor to improve patients’ health. To effectively manage medical cost and risk, providers need clear benchmarks that help identify opportunities to improve medical and financial performance. OptumTM offers actuarial services that deliver clinical informatics to help providers negotiate payer contracts and improve health outcomes. Our actuarial and analytic solutions are used by nearly 300 health plans covering more than 200 million lives.

Provider-sponsored health plan analytics

Optimize networks, lower costs and align incentives.

To accommodate new care models and the shift in how health care providers are reimbursed for their services, providers need a better understanding of the shared-risk models that are emerging in the industry. They also need the right tools.

Ready to unlock your data to improve outcomes? Let us help you get started today.
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