Streamline operations
The key to providing the best services to beneficiaries while staying within budget is ensuring that processes throughout your system are as efficient as possible – from administrative tasks to health management. And it isn’t getting any easier with the ever-increasing complexity of regulations and budget constraints.
Issues and challenges
Data overload
Most organizations are data rich but information poor. You receive a lot of reports and data, but it’s often static and historic in nature. OptumInsight can put you in control of massive amounts of timely, actionable health care information, so you can confidently make strategic business and program decisions.
Building a strong provider network
Effective, yet efficient, provider networks are critical assets for public sector organizations. But with limited resources, it is a struggle to create an ongoing strategy for analyzing, monitoring, and maintaining them. OptumInsight helps you uncover network gaps and recruit providers that improve your services.
Avoiding costly inaccuracies
Inaccurate payments. Unnecessary medical costs. Complexity. We help government health care agencies keep their payment streams cleaner, more accurate, and more transparent – so the right claims get paid at the right time and the right price.
Opportunities
Business Intelligence
Transform critical business data into actionable intelligence by tapping into our industry-leading health care data warehousing solutions. Seamlessly integrate complete, accurate, and timely data to support decision-making.
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Consulting
OptumInsight consulting is here to help you maximize operational efficiencies. We’ll show you how to improve organizational processes and program effectiveness by focusing on customer service, actions that drive retention, and compliance strategies.
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Health Information Exchange
Improve and coordinate the delivery of care. Accurately identify appropriate programs and outreach. Easily monitor public health and track disease. Lower costs through more efficient care delivery processes.
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Health Management and Population Analytics
Use health risk analytics to monitor quality, reward improvements in care, and control spending. Help program administrators improve program efficiency while balancing financial demands. Improve decision support for the Medicaid enterprise. Identify opportunities for improvement and implement programs to create change. Monitor population trends and measure the impact of organizational action.
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Program Integrity
Efficiently identify, investigate, prevent, and recover payments linked to accident-related medical and disability expenses. Intensify recovery efforts and have confidence that claims are paid by appropriate parties. Systematically mine claims data to identify potential cases. Expedite case resolution. Easily report progress and performance to management.
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Provider Network Optimization
Cost-effectively gather, verify, and manage provider data. Reduce expenses and hassles by using fully accredited Ingenix credentialing solutions to authenticate data and licensing for facilities from hospitals and surgery centers to home health agencies and long-term care providers.
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