Network Operations Efficiency
Build a continuous strategy for analyzing, monitoring and maintaining your provider network the right way ¬– with sophisticated analysis and intelligent technology aimed solely at optimizing efficiency and competitiveness.
OptumInsight provider network management solutions can help you achieve provider excellence – a complex, multi-pronged objective that can elevate your organization’s performance. Our solutions can help you develop a proactive and effective provider network strategy aimed at:
- Positioning your network for better access, competitiveness, and compliance
- Identifying and recruiting providers who will improve your network’s performance and competitiveness
- Saving time and money spent credentialing providers
- Maintaining complete and accurate provider demographic data
- Controlling and distributing provider data according to internal and external demands
Credentialing
OptumInsight’s end-to-end credentialing solutions can increase a health plan’s operational efficiency by automating and streamlining the labor-intensive legwork needed to gather, verify, review, and archive provider credentials. Our credentialing solutions enable health plans to satisfy credentialing requirements while delivering on defined business results and lowering costs.
Select a solution
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.
Select a solution
Provider Data Solutions
Provider data touches every facet of a health plan, but with limited resources most plans struggle to maintain an accurate provider database. Our database tools and sophisticated data management services improve processes that depend on complete and accurate provider data. We can help you keep your files updated and maintained to better serve your members and network providers and meet regulatory requirements.
Select a solution
Consulting
Providing better care starts by contracting with the right providers and rewarding them for quality and effectiveness. OptumInsight consulting partners with you to develop your network, integrate provider engagement initiatives with your contracting and payments, perform competitor reimbursement analysis and contract analysis and modeling, and recommend contracting and pricing strategies.
Select a solution