Utilization review
Optum delivers a flexible utilization review (UR) program tailored to each client's needs.
Optum Physician Advisor Solutions (OPAS) combines AI-powered technology and proven expert clinical services into a comprehensive UR program. Our solutions are tailored to address our client hospitals' unique needs, both now and in the future.
Whether leveraging our team or empowering your own, OPAS focuses attention on the cases that need it most. That means you can redeploy your clinicians to other patient-focused responsibilities.
The software provides citations to our unmatched foundation of evidence-based research, which improves the compliance and defensibility of patient status arguments. This strengthens revenue integrity.
AI technology and expert services
Producing an efficient and compliant UR program
Greater patient status defensibility
Built on 14 million cases, 280,000 physicians, 20,000 articles
An optimized clinical workforce
Free up clinicians to focus on tasks affecting patient care
Revolutionizing utilization review with artificial intelligence
Traditional utilization review (UR) processes can be slow and error-prone. Learn how Optum360 is leveraging the power of AI to revolutionize UR for greater efficiency, accuracy, and more appropriate use of clinical resources.
Improving case management with Case Advisor
Regional One Health used Optum Case Advisor to:
- Resolve staffing pressure
- Transform case management effectiveness
- Improve relationships with treating physicians
They did all this while also improving patient status defensibility.
