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Optum Advisory Risk Analytics

Software

Optum Advisory Risk Analytics

Optum® Advisory Risk Analytics leverages real-world data and risk analytics software to identify frequent emergency room (ER) utilizers.

Using insights from our proprietary model, we help you understand how many times members are likely to return to the ER and why. Empowered with that information, you can align programs to better meet member needs and improve care delivery.

Lower total cost of care

Lower emergency room visits per 1,000 members and improve total cost of care.

Increase member engagement

Help create deeper engagement with members by addressing root causes of ER utilization.

Increase shared risk revenue

Increase risk-sharing revenue with providers within value-based care (VBC) contracts.

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We're adding new products and services to rapidly expand our marketplace and the potential is huge. Be an early adopter and stay ahead of the trend with our bi-weekly e-updates.

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The Optum AI Marketplace is a platform designed to simplify the exploration and adoption of artificial intelligence solutions within the healthcare sector. It offers a curated selection of AI-driven tools and services aimed at enhancing various aspects of healthcare delivery and administration. Key offerings include:

SmartPay Plus: An e-cashiering payment platform that streamlines patient payments and the collection process for providers and health technology companies.
Revenue Performance Advisor: A tool that simplifies complex tasks across the revenue cycle, utilizing advanced healthcare technology to drive efficiency.
Optum Advisory Stepwise Underwriting Cost Predictors: Customizable underwriting services employing advanced machine learning models to predict future costs for underwriting and actuarial needs.
Prior Authorization Inquiry API: An API enabling providers, partners, and health tech companies to check a patient’s prior authorization status from payers in real time, accepting and returning requests in EDI-X12 or JSON formats.

The marketplace also features collaborations with trusted resellers offering their own innovative healthcare solutions, fostering an ecosystem aimed at advancing the industry through smart solutions.

Discover, test, and adopt cutting-edge AI solutions with ease through the Optum AI Marketplace. Whether you’re streamlining operations, enhancing patient care, or optimizing financial performance, we make it simple to find the perfect fit for your needs.

Browse Product Categories – Explore a curated selection of solutions designed for payers, providers, and healthcare organizations.
Try Before You Buy –Request access to a sandbox environment on the product details page for APIs or the Sandbox Access Page to test-drive solutions in real-world scenarios.
Get Personalized Recommendations – Not sure which solution is right for you? Ask our AI assistant, describe your use case, and receive tailored recommendations.

The Optum AI Marketplace offers a range of AI-powered solutions tailored to enhance healthcare operations. Notable offerings include:

• ServiceNow Healthcare Platform: An AI-driven platform that supports high-quality care across clinical, ancillary, and administrative departments, aiming to improve operational efficiency and patient outcomes.
• De-identification Service in Azure Health Data Services: Utilizes AI to anonymize protected health information (PHI) while preserving its clinical relevance, facilitating secure data sharing and analysis.
• Text Analytics for Health: Employs machine learning to extract and label relevant medical information from unstructured texts, such as clinical notes and electronic health records, aiding in predictive modeling and decision support.

These solutions are designed to help healthcare organizations enhance patient care, streamline operations, and leverage data-driven insights.

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