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Optum Payment Integrity Solutions (Post-Pay) Commentary
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Subject Expert
Mac Boyter
Research Director
KLAS Research Director - Mac Boyter
 

Commentary Summary

Comment Type Breakout

Positive
Neutral
Negative
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User Commentary

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Manager

Value

Optum has very high charges and costs.

Unrated
Jan 2026

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Manager

Relationship, Product

Not everything in the system has been updated to be well-rounded. Optum isn't terrible. Their people...

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Jan 2026

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Manager

Relationship

Unfortunately, Optum has a lot of restrictions on their system, and they haven't been able to...

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Jan 2026

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Manager

Relationship

As a strategic partner, Optum has been innovative. We have been with them for a long time. The...

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Aug 2025

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Manager

Product

We really need innovative ideas. I know there is a line between fraud and payment integrity, but our...

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Aug 2025

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Manager

Relationship

I wish that Optum came up with concepts more frequently. I haven't received new concepts from Optum...

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Aug 2025

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Director

Loyalty, Relationship

In terms of receiving my money’s worth, I don't get any feedback from Optum. I could do everything...

Unrated
Jul 2025

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Analyst/Coordinator

Product

I don't see a lot of issues with Optum post-payment from a stability perspective, but it is a...

Unrated
Jun 2025

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Analyst/Coordinator

Product

Core analytics is a key component. Optum's system is not a platform; it is multiple solutions that...

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Jun 2025

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Director

Loyalty, Value

We are likely going to expand the Optum engagement to also include professional claims. There is not...

Unrated
Jun 2025

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Director

Relationship, Product

The DRG area is new for Optum, and they are still working out bugs in the analytics. However, I have...

Unrated
Jun 2025

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Director

Relationship

We have gotten some definite good communication from Optum about the change in leadership.

Unrated
Jun 2025

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Manager

Relationship, Operations

We have had many issues with the implementation of the solution, and the reports that we are...

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Jun 2025

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VP/Other Executive

Relationship, Product

So far, Optum has been easy to work with. They do comprehensive research to make sure the leads they...

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Apr 2025

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