Optum Advisory
Member Level: PlatinumVendor Overview
Description of Services: Optum Advisory is a leading consulting firm exclusively dedicated to serving the highly volatile healthcare market. With a team of over 2,000 highly skilled consultants, Optum Advisory brings together seasoned experts from various domains to help healthcare organizations tackle the industry's greatest challenges. We offer valuable assistance to healthcare leaders by providing guidance, insights, and practical strategies that enable their companies to thrive amidst this environment of change and uncertainty.
Our consultants work collaboratively with our clients, bringing diverse expertise and a multi-faceted perspective to projects across the entire healthcare ecosystem. We establish partnerships with various organizations, ranging from individual hospitals and large-scale healthcare systems to regional and national health plans. We are driven to empower healthcare organizations to thrive in a constantly evolving landscape.
Optum Advisory provides reality-based consulting services that help healthcare organizations innovate, solve problems, and optimize business performance. We work collaboratively with our clients to solve healthcare’s most difficult operational, clinical, and technical business challenges. We offer a wide range of services focused on meeting customers top priorities:
• Reducing cost: Helping clients optimize their performance to eliminate waste, improve quality, and reduce the total cost of care delivery.
• Strategic Growth: Leading efforts to enter new markets, expand service areas, and capitalize on revenue integrity programs that ensure appropriate and complete reimbursement.
• Delighting Customers: Collaborating with clients to improve the end-to-end customer experience through optimized processes, accelerated transactions, and personalized omni-channel engagement.
• Delivering Better Care: Working with clients to develop and deploy personalized whole person care models and care coordination programs that ensure the highest quality, equity, and outcomes.
• Transitioning to Value-based-care: Partnering with payers and providers to redesign how care is delivered and reimbursed driving improvements in quality, patient experience, and costs.
Our services encompass a wide range of offerings, including strategy development, capabilities assessments, implementation support, technology solutions, as well as outsourced analytics and managed services. We work closely with our clients to design customized and integrated suite of solutions. Our approach to partnerships emphasizes long-term collaboration, performance transparency, and accountability.
Primary Service: Consulting
Secondary Service: Administrative Systems
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11000 Optum Circle
Eden Prairie, MN 55344
(888) 445-8745
https://www.optum.com/business/health-plans/advisory-services.html
Vendor Video
Documents
Recording: CMS 2024 Star Ratings Recalculation Discussion Part 2
This is part two following the June 18 call. CMS announced on June 13 that they will recalculate the 2024 Star Ratings for 2025 Quality Bonus Payment purposes to address the application of Tukey outlier deletion and guardrails. On this call, Optum Advisory will kick us off with their industry insights from an actuarial standpoint. The remaining time will be used for open discussion and questions.
Company Document
Optum presents how we can improve payer operations for our customers with end-to-end solutions.
Presentation: Strategic Growth: Data and Analytics
Ian Smith, Actuarial Director, Optum Advisory Services shares how to use data and analytics to drive clinical, operational and financial performance in this Data and Analytics case study. Shared at the Sales and Marketing Value Visit on May 8, 2024 in Scottsdale, AZ.
Medical and Rx pipeline forecasting
Make more informed business decisions. Improve your trend analysis, underwriting, pricing management strategies and product development with Optum Health Technology Pipeline.
StepWise Suite: Run health care at the speed of business
Data integrity and enterprise agility - from product ideation to revenue generation - enabling all stakeholders to make quality, rapid decisions.
Presentation: Provider Growth Strategies
Optum Advisory presents the following mind-triggering topics: PSHPs and the evolving healthcare ecosystem, partnering effectively with the health system, achieving against VBC goals, and Achieving success within the market. Presented at the Fall Leadership Forum 2023 in Atlanta, Georgia.
The Role of Private Health Plans in Behavioral Health Care
Advisory Board uploads a "cheat sheet" surrounding "The Role of Private Health Plans in Behavioral Health Care".
Addressing the big information divide
Change Healthcare provides tips on exploring challenges and opportunities in mining mental health data.
The 2022 Healthcare Consumer Index
Change Healthcare shares a national signature research study conducted by Harris Poll and Change Healthcare.
Clinical Interoperability
Change Healthcare presents a document surrounding enabling the sharing of data to deliver personalized care and effective population health management.