Modernizing the health system

We are developing and applying the technology of the future to remove the friction and improve transparency between payers, providers and consumers.

Our approach

We’re making it easier for clinicians to focus on caring for patients by providing evidence-based tools to help them make real-time decisions about the best treatment option and lessen the time spent navigating authorizations and claims.

We’re innovating to make administrative transactions, clinical decision-making and payments smoother and faster among providers, payers and consumers.

We’re drawing upon the full strength and breadth of our capabilities, including revenue cycle management, operations, analytics, technology and care coordination to help local health systems continue to independently service their communities with high-quality care.

Surgeons at computer

Transformative technology

Our Optum Insight business has combined with Change Healthcare to help create more effective and simpler experiences for consumers, payers and care providers while lowering costs across the health system.

The combined businesses are working to:

  • Improve the quality of health care delivery by offering critical point of care insights aligned to evidence-based medical standards within the physician workflow.
  • Simplify administration by fully automating claims transactions including editing in the EDI stream, improving claim accuracy.
  • Reduce friction in the payment process by providing patient benefits and payment obligations at point of service and applying payment integrity edits upfront.

Clinical decision support

Our clinical decision support technology is helping clinicians access the tools they need to deliver best-practice care. Clinicians using our tools followed best practice guidance 98% of the time, compared to 72% without access to this support. In addition, the time clinicians spent to arrive at a decision was reduced by nearly 20%.

We are working to incorporate trusted artificial intelligence insights into our clinical decision support tools that provide more predictive capabilities, allowing clinicians to make the shift from detecting a problem to preventing it from happening in the first place.

Go deeper

See our Sustainability Report to learn more about how we are using our unique capabilities in clinical data and analytics to modernize the health system.