Optum Reviews & Pricing

Key Features

• Pharmacy Care Services: OptumRx helps physicians improve their prescribing and helps patients receive the most effective medication at the best possible cost. Physicians can also precheck and authorize medications in real time. 
• Healthcare Delivery: Provide quality primary care, specialty care and post-acute care by focusing more on treating the patients while also optimizing efficiency and lowering costs. 
• Data and Health Analytics: Automate recognition of high-cost and high-risk patients with data-driven assistance at the point of care. Acquire patients by linking consumer and clinical data and access insights based on patient results. 
• Population Health: Improve health outcomes and lower costs by using insights from data and analytics. A connected network of over 800 Centers of Excellence enables treatment with greater knowledge from the get-go. 
• Advisory Services: Insights help healthcare providers against their biggest challenges so they can and empower the health system, increase revenue, engage customers and improve the quality of care.nbsp;
• Individual and Family Solutions: Individuals can save money while having a greater part in their overall health with different solutions for healthcare, prescriptions and spending. 
• Claims Administration: Promotes payment integrity with features to edit inaccurate claims, appropriately price bills, assess bill details, recover overpayments and prevent inaccurate billing. 
• Optum Bank: Makes paying for treatment easier and more efficient with innovative payments solutions, leading to reduced costs without compromising on healthcare quality. Includes: 
•  Health accounts for employees. 
•  Hassle-free payment solutions for better healthcare. 
•  Health account education with courses to educate employees to become better healthcare consumers. 
• Optum360: Examine opportunities across the revenue cycle to increase margins and prepare for value-based reimbursement. Offers: 
•  A patient financial experience that places them in the center of the revenue cycle. 
•  A/R recovery and denial management to improve payment recovery. 
•  Claims integrity and processing for quick and efficient claims and reimbursement. 
•  Document and coding to help staff drive financial results proactively. 
• Risk and Quality Solutions: Driven from the largest Medicare Advantage database in the industry. 
• Retrospective Solutions: Improves accuracy and completeness with industry analytics. 
• Prospective Solutions: Standardizes processes on behalf of multiple payers for better patient treatment. 
• Improving Outcomes: Drives outcomes while reducing costs with people, technology and clinical insights. 



Limitations

User feedback at the time of this review indicates that some of the product limitations include:


•  Not cost-effective for the features offered. 
•  Runs slower for larger practices. 
•  Lack of helpful customer support. 



Suite Support

mail_outlineEmail: [email protected].
phonePhone: A list of phone numbers for support are available on the website.
schoolTraining: Optum offers a training curriculum to help users get the most out of the software.
local_offerTickets: Sign in to Optum online to submit help requests.