Optum Reviews & Pricing

by Optum | Founded 2013, Eden Prairie, MN

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Overview Pricing Benefits Reviews Features

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What is Optum?

Industry Specialties: Medical

Optum is designed to help health organizations manage their clinical and administrative tasks. With features like scheduling, prescribing, billing and more, it streamlines workflows, provides medical information online, enables greater care and increases overall revenue.

It allows healthcare professionals to spend more time focusing on and communicating with patients and less time dealing with time-consuming tasks.

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User Sentiment

Based on 12 reviews:

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Optum Pricing

Based on our most recent analysis, Optum pricing starts at $0 (Per Transaction, 0.5% Flat Rate).

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Starting From: $0
Pricing Model: Per Transaction, 0.5% Flat Rate
Free Trial: Yes, Request for Free

Training Resources

Optum is supported with the following types of training:

Documentation
In Person
Live Online
Videos
Webinars

Support

The following support services are available for Optum:

Email
Phone
Chat
FAQ
Forum
Help Desk
Knowledge Base
Tickets
Training
24/7 Live Support

Optum Benefits and Insights

Why use Optum?

Key differentiators & advantages of Optum

Improve Quality of Care: Provide quality care with analytics and other helpful tools to compare patient data, health and behavioral patterns for more accurate treatment and diagnosis.
Optimize Productivity and Efficiency: With greater quality healthcare in less time, physicians can see more patients daily. Tools to help manage revenue and billing allow the staff to focus more on treating patients and less on dealing with clerical work.
Enable Growth: Increase the number of clients without sacrificing the quality of treatment, with a solution that grows alongside the expanding needs of a practice.
Increase Revenue: Improved productivity, efficiency and quality of care increases revenue. Patients can also make online payments easily.
Patient Involvement: Patients can communicate with physicians, view their medical history online, and book and manage appointments to play a larger role in their own treatment.

Industry Expertise

Optum is used by a variety of medical clinics and specialties in over 150 countries throughout the world. It connects thousands of physicians and medical professionals.

Optum Reviews

Average customer reviews & user sentiment summary for Optum:

12 reviews

73%

of users would recommend this product

Synopsis of User Ratings and Reviews

Based on an aggregate of Optum reviews taken from the sources above, the following pros & cons have been curated by a SelectHub Market Analyst.

Pros

Extensive Network: Optum boasts a large network of mental health professionals, increasing the likelihood of finding a suitable therapist or psychiatrist in terms of location, specialty, and insurance coverage.
Care Coordination: Optum facilitates communication and collaboration among healthcare providers, ensuring a holistic approach to mental health care. This can be particularly beneficial for individuals with complex needs or multiple diagnoses.
Virtual Care Options: Optum offers telehealth services, providing convenient access to mental health care from the comfort of home. This can be especially helpful for individuals with mobility issues, busy schedules, or those residing in underserved areas.

Cons

Limited In-Network Options: Finding mental health professionals within Optum's network can be challenging, especially for specialized care or in underserved areas. This limitation can force individuals to choose between paying out-of-pocket for preferred providers or settling for less suitable options within the network.
Preauthorization Requirements: Optum often requires preauthorization for certain mental health services, such as therapy sessions or medication. This process can be time-consuming and may delay access to necessary care, potentially exacerbating symptoms or hindering progress.
Claims and Billing Issues: Navigating the complexities of claims and billing processes with Optum can be frustrating for users. Issues such as denied claims, incorrect billing, or difficulty reaching customer service can create additional stress and financial burdens for individuals seeking mental health support.

Researcher's Summary:

Optum, a prominent player in the healthcare software arena, has attracted a range of user feedback over the past year, offering valuable insights into its strengths, weaknesses, and overall suitability for different user groups. Optum's users frequently highlight its comprehensive suite of features, encompassing mental health management, appointment scheduling, and medication tracking, as a key strength. This all-in-one approach simplifies healthcare management for individuals juggling multiple health concerns or those seeking a centralized platform. However, some users note that the extensive features can lead to a steeper learning curve, potentially posing challenges for individuals less comfortable with technology or those preferring simpler interfaces.

Optum distinguishes itself through its robust mental health support features, including mood tracking, journaling tools, and access to mental health professionals. This focus on mental well-being caters to a growing demand for integrated mental health solutions within healthcare platforms. Users appreciate the convenience and accessibility of these features, particularly in the context of rising mental health awareness. Conversely, some users mention occasional technical glitches or slow loading times as areas for improvement. Optum's emphasis on mental health support, coupled with its comprehensive features, makes it well-suited for individuals seeking a holistic healthcare management platform that prioritizes both physical and mental well-being. It is particularly beneficial for those with complex healthcare needs or those actively engaged in managing their mental health.

Key Features

Optum offers a host of services and tools that cater to a wide range of healthcare needs, as listed below:

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.