Provider Network Optimization
Build your provider network the right way – with sophisticated analysis and intelligent technology aimed at optimizing efficiency and performance, saving your organization time and money.
Optuminsight solutions apply innovations that lower your network costs while maintaining – or improving – quality of care, which allows you to:
- Employ a more effective source credentialing process
- Simplify the analysis of your network
- Correct, standardize, and augment your provider data
Credentialing
There's a simpler, more cost-effective way to gather, verify, and manage provider data. Whether you delegate part or all of your credentialing, Optuminsight provides fast, effective, and comprehensive solutions to satisfy NCQA, URAC, and JCAHO requirements.
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Network Analytics
Our industry-leading network analysis solutions allow you to monitor your network and analyze how well it meets your access, compliance and quality objectives. Then, strengthen your network competitiveness with Optuminsight provider recruiting solutions. Identify providers that meet your geographic and specialty criteria. Collectively these tools help you select the right providers by giving you immediate access to their history, credentials, quality and other feedback.
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Provider Data Solutions
The path to high-quality provider data is unique to every organization. Optuminsight helps you assess, improve, and maintain your data. Our database tools and sophisticated data management services improve processes that depend on complete and accurate provider data.
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Consulting
OptumInsight network consulting helps you focus on pricing optimization, medical and pharmacy trend management, reimbursement and payment accuracy, network contracting and efficiency, and care management programs to increase profitability and improve health outcomes.
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